怀孕不良结果和孕产妇牙周病:对元分析和方法质量的概述
Vanessa Machado1,2, Madalena Ferreira1, Luísa Lopes1
1Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health and Science, 2829-511 Caparica, Portugal.
Journal of clinical medicine
|June 10, 2023
概括
孕产妇牙周炎与不良妊娠结果如早产和低出生体重密切相关. 然而,牙周治疗对这些结果的影响仍然不确定,需要更多的研究.
科学领域:
- 产科和妇科 产科和妇科
- 牙周病学 牙周病学
- 公共卫生 公共卫生
背景情况:
- 孕产妇牙周炎是一种普遍的口腔疾病.
- 负面的妊娠结果 (APO) 对母亲和婴儿的健康构成重大风险.
研究的目的:
- 评估方法质量和证据强度,将母乳牙周炎与APO联系起来.
- 评估牙周治疗对APO的影响.
主要方法:
- 系统性审查 (SRs) 和元分析的总体审查.
- 在2023年2月之前搜索了多个数据库 (PubMed,CENTRAL,Web-of-Science,LILACS,临床试验).
- 独立的研究选,数据提取和偏差风险评估.
主要成果:
- 强有力的证据将牙周炎与早产 (PTB),低出生体重 (LBW) 和妊娠糖尿病 (GDM) 联系起来.
- 孕前显示出暗示性但较弱的关联.
- 牙周治疗没有显示出与APO的强烈关联,尽管PTB和LBW有一些证据.
结论:
- 观察性研究提供了强有力的证据,表明牙周炎增加了PTB,LBW,GDM和子宫前的风险.
- 牙周治疗在预防APO方面的有效性目前尚不确定.
- 需要进一步的研究,以确定关于治疗效果的最终结论.
更多相关视频
06:39Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
3.1K
07:15Robust Ligature-Induced Model of Murine Periodontitis for the Evaluation of Oral Neutrophils
Published on: January 21, 2020
11.5K
相关概念视频
Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K
Pathophysiology of Diabetes
1.0K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
1.0K
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Oogenesis
63.9K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.9K
