A retrospective study to assess and correlate maternal periodontal status with term of pregnancy and weight of newborn
Keywords:Low birth weight, Periodontal disease, Pregnancy, Preterm
Background: Periodontitis is an inflammatory disease affecting the tooth supporting structures; studies have shown that it also affects the systemic health and conditions like pregnancy. With this background the present retrospective study was conducted to assess and correlate periodontal status of pregnant women with their pregnancy outcome.
Methods: A total of 150 pregnant women two days postpartum were examined for periodontal status using following parameters: Oral hygiene index- simplified (OHI-S), modified gingival index (MGI), probing pocket depth (PPD) and clinical attachment loss (CAL). The level of education, body mass index (BMI), gestational age and weight of the baby were recorded and correlated with the periodontal status.
Results: Out of 150 women, 83 (55.3%) women suffered from gingivitis and 67 (44.7%) had periodontitis. The incidence of preterm low birth weight babies was seen in 65 (43.33%) women. Body mass index, education level and periodontal disease were significantly associated with preterm low birth weight infants.
Conclusions: A significant association was found between periodontitis and preterm low birth infants. The promotion of early detection and treatment of periodontal diseases in women before and during pregnancy will be beneficial. This will minimize the cost of post natal care and morbidity in the new born.
World Health Organization. International classification of diseases and related health problems. Tenth revision. Geneva, WHO, 1993.
Shanthi V, Vanka A. Bhambal A, Saxena V, Saxena S, Kumar SS. Association of pregnant women periodontal status to preterm and lowbirth weight babies: A systematic and evidencebased review. Dent Res J. 2012;9(4):368–80.
Lopez N.J, Smith PC, Guiterrez J. Higher risk of preterm birth and low birth weight in women with periodontal disease. J Dent Res. 2002;81:58-63.
McGaw T. Periodontal disease and preterm delivery of low-birth-weight infants. J Can Dent Assoc. 2002;68(3):165-9.
Bey A, Gupta ND, Khan S, Ashfaq N, Hadi SA. Periodontitis: a significant risk factor for preterm low birth weight (PTLBW) babies. Biol Med. 2011;3:158-63.
Peter S. Essentials of Public health dentistry.5th edition. New Delhi: Aryamedi publishing house; 2013.
Sharma R, Saini NK. A Critical Appraisal of Kuppuswamy’s Socioeconomic Status Scale in the Present Scenario. J Family Med Prim Care. 2014;3:3-4.
UNICEF: Low birth weight: Country, regional and global estimates. 2004, United Nations Children's Fund.
Krishna K. Tobacco chewing in pregnancy. Br J Obstet Gynecol. 1978;85:726-8.
Ohlsson A, Shah P. Determinants and prevention of low birth weight: A synopsis of the evidence. Edmonton: Institute of Health Economics (IHE); 2008: 2-284.
Noack B, Klingenberg J, Weigelt J, Hoffmann T. Periodontal status and preterm low Birth weight: A case control study. J Periodontal Res. 2005;40:339-45.
Lohana MH, Suragimath G, Patange RP, Varma S, Zope SA. A Prospective Cohort Study to Assess and Correlate the Maternal Periodontal Status with Their Pregnancy Outcome. J Obstet Gynecol India. 2017;67(1):27-32.
Radnai M, Gorzo I, Nagy E, Urban E, Novak T, Pal A. A possible association between preterm birth and early periodontitis.A pilot study. J Clin Periodontol. 2004;31:736-41.
Davenport ES, Williams CE, Sterne JA, Sivapathasundram V, Fearna JM, Curtis MA. The east London study of maternal chronic periodontal disease and preterm low birth weight infants: study design and prevalence data. Ann Periodontol. 1998;3(1):213-21
Buduneli N, Baylas H, Buduneli E, Turkoglu O. Dahlen G. Evaluation of the relationship between smoking during pregnancy and subgingival microbiota. J Clin Periodontol. 2005;32:68-74.
Romero BC, Chiquito CS, Elejalde LE, Bernardoni CB. Relationship between periodntal disease in pregnant women and the nutritional condition of their newborns. J Periodontol. 2002;73:1177-83.
Kramer MS. Determinants of low birth weight: methodological assessment and Meta-analysis. Bull World Health Organ. 1987;65:663-737.
Dickute J, Padaiga Z, Grabauskas V, Nadišauskienė RJ, Basys V, Gaižaukienė A. Maternal socioeconomic factors and the risk of low birth weight in Lithuania. Medicina (Kaunas). 2004;40:475-82.
Secher NJ, Kern Hansen P, Thomsen BL, Keiding N. Growth retardation in preterm infants. Br J Obstet Gynaecol. 1987;94(2):115-20.
Schneider HG, Göbbels E, Apel EM. Simplification of plaque index method of Quigley and Hein. Stomatol DDR. 1989;39(2):91-4.
Hunter W. Oral sepsis as a cause of disease. Br Med J. 1900;2(2065):215-6.
Lohsoonthorn V, Kungsadalpipob K, Chanchareonsook P, Limpongsanurak S, Vanichjakvong O, Sutdhibhisal S, et al. Is maternal periodontal disease a risk factor for preterm delivery. Am J Epidemol. 2009;169:731-9.
Siqueira FM, Cota LO, Costa JE, Haddad JP, Lana AM, Costa FO. Intrauterine growth restriction, low birth weight, and preterm birth: Adverse pregnancy outcomes and their association with maternal periodontitis. J Periodontol. 2007;78:2266–76.
Rajapakse PS, Nagarathne M, Chandrasekra KB, Dasanayake AP. Periodontal disease and prematurity among nonsmoking Sri Lankan women. J Dent Res. 2005;84:274-7.
Toygar HU, Seydaoglu G, Kurklu S, Guzeldemir E, Arpak N. Periodontal health and adverse pregnancy outcome in 3,576 Turkish women. J Periodontol. 2007;78:2081-94.
Agueda A, Ramón JM, Manau C, Guerrero A, Echeverría JJ. Periodontal disease as a risk factor for adverse pregnancy outcomes: A prospective cohort study. J Clin Periodontol. 2008;35:16-22.
Moore S, Ide M, Coward PY, Randhawa M, Borkowska E, Baylis R, et al. A prospective study to investigate the relationship between periodontal disease and adverse pregnancy outcome. Br Dent J. 2004;197:251-8.
Nabet C, Lelong N, Colombier ML, Sixou M, Musset AM, Goffinet F, et al. Maternal periodontitis and the causes of preterm birth: The casecontrol Epipap study. J Clin Periodontol. 2010;37:37-45.
Vettore MV, Leal MD, Leão AT, Da Silva AM, Lamarca GA, Sheiham A. The relationship between periodontitis and preterm low birth weight. J Dent Res. 2008;87:73-8.
Bassani DG, Olinto MT, Kreiger N. Periodontal disease and perinatal outcomes: A casecontrol study. J Clin Periodontol. 2007;34:31-9.
Boarh M, Agarwalla R. Maternal and socio-demographic determinants of low birth weight (LBW): A community-based study in a rural block of Assam. P Postgard Med 2016;62:178-81.