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Review
Published: 08-05-2022

Periodontal diseases in pregnant women as a risk factor: a concise systematic review

UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
Periodontal disease Inflammatory periodontal diseases Pregnant women

Abstract

This study highlighted that periodontal diseases in pregnant women can be one of the determinants of low birth weight. Studies were carried out to verify the existence of an association between maternal periodontal disease and low birth weight. Gestational period, where the occurrence of periodontal diseases (PD) is more likely, due to its hormonal and physiological changes. Therefore, pregnant women must be alert and take proper care, have prenatal care with their dentist, in addition to their oral care, they must be alert to the risks of low birth weight and premature births. Infections in regions of the genitourinary tract, such as PD, may be associated with the occurrence of low birth weight newborns through the same mechanisms as other maternal and preterm birth infections. The contraction of the uterus and cervical dilation, acting as a trigger for premature birth, can be caused by inflammatory stimuli, which can induce hyperirritability of the uterine smooth muscles. The infection and the resulting inflammatory process can cause damage to the placenta, thereby restricting fetal development. Throughout life, a woman goes through several phases of hormonal fluctuations that, in addition to interfering with the reproductive system, exert influence on other organs and systems, such as the periodontium, particularly in the presence of preexisting gingival inflammation induced by plaque. During pregnancy, a woman is exposed to several significant hormonal changes, as the placenta produces high amounts of estrogen and progesterone, which in turn affect the oral tissues. It was concluded that black women aged over 40 years old are more likely to have PD, having a higher risk of low development to the fetus.

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References

  1. Gadzhula NG, Cherepakha OL, Lezhnova OV. Efficiency of treatment of inflammatory periodontal diseases in pregnant women. Wiad Lek. 2021;74(5):1065-1068. PMID: 34090265.
  2. Cruz, Simone Seixas da et al. Doença periodontal materna como fator associado ao baixo peso ao nascer. Revista de Saúde Pública [online]. 2005, v. 39, n. 5 [Acessado 16 Dezembro 2021], pp. 782-787. Disponível em: <https://doi.org/10.1590/S0034-89102005000500013>. Epub 03 Fev 2006. ISSN 1518-8787. https://doi.org/10.1590/S0034-89102005000500013.
  3. Geisinger ML, Geurs NC, Bain JL, Kaur M, Vassilopoulos PJ, Cliver SP, Hauth JC, Reddy MS. Oral health education and therapy reduces gingivitis during pregnancy. J Clin Periodontol. 2014 Feb;41(2):141-8. doi: 10.1111/jcpe.12188. Epub 2013 Nov 19. PMID: 24164645.
  4. Ostrovskaya LI. Modern approaches to prevention of periodontal diseases in pregnancy: a review. Wiad Lek. 2019;72(1):89-94. PMID: 30796869.
  5. Petit C, Benezech J, Davideau JL, Hamann V, Tuzin N, Huck O. Consideration of Oral Health and Periodontal Diseases During Pregnancy: Knowledge and Behaviour Among French Pregnant Women. Oral Health Prev Dent. 2021;19(1):33-42. doi: 10.3290/j.ohpd.b875513. PMID: 33491376.
  6. Iheozor-Ejiofor Z, Middleton P, Esposito M, Glenny AM. Treating periodontal disease for preventing adverse birth outcomes in pregnant women. Cochrane Database Syst Rev. 2017 Jun 12;6(6):CD005297. doi: 10.1002/14651858.CD005297.pub3. PMID: 28605006; PMCID: PMC6481493.
  7. Grinin VM, Makeeva IM, Gosteva NS, Erkanyan IM, Solovyova OA. Struktura vospalitel'nykh zabolevaniĭ parodonta i dinamika parodontal'nogo statusa beremennykh na protiazhenii gestatsionnogo perioda [The structure of inflammatory periodontal diseases and the dynamics of the periodontal status in pregnant women during the gestational period]. Stomatologiia (Mosk). 2020;99(1):12-17. Russian. doi: 10.17116/stomat20209901112. PMID: 32125296.
  8. Hartnett E, Haber J, Krainovich-Miller B, Bella A, Vasilyeva A, Lange Kessler J. Oral Health in Pregnancy. J Obstet Gynecol Neonatal Nurs. 2016 Jul-Aug;45(4):565-73. doi: 10.1016/j.jogn.2016.04.005. Epub 2016 Jun 6. PMID: 27281467.
  9. Steffens JP, Marcantonio RAC. Classificação das Doenças e Condições Periodontais e Peri-implantares 2018: guia Prático e Pontos-Chave. Revista de Odontologia da UNESP [online]. 2018, v. 47, n. 4 [Acessado 17 Dezembro 2021], pp. 189-197. Disponível em: <https://doi.org/10.1590/1807-2577.04704>. Epub Jul-Aug 2018. ISSN 1807-2577. https://doi.org/10.1590/1807-2577.04704.
  10. Escobar-Arregoces F, Latorre-Uriza C, Velosa-Porras J, Roa-Molina N, Ruiz AJ, Silva J, Arias E, Echeverri J. Inflamatory response in pregnant women with high risk of preterm delivery and its relationship with periodontal disease: a pilot study. Acta Odontol Latinoam. 2018 Jun;31(1):53-57. English. PMID: 30056467.
  11. Opacic J, Maldonado A, Ramseier CA, Laugisch O. Einfluss der Parodontitis auf Schwangerschaft und Geburt [Influence of periodontitis on pregnancy and childbirth]. Swiss Dent J. 2019 Jul 22;129(7-8):581–589. German. PMID: 31271020.
  12. Bobetsis YA, Graziani F, Gürsoy M, Madianos PN. Periodontal disease and adverse pregnancy outcomes. Periodontol 2000. 2020 Jun;83(1):154-174. doi: 10.1111/prd.12294. PMID: 32385871.

How to Cite

Tauchert, J. da S., Francez, A. C. de S., Rodrigues, J. B. dos S., & Fernandes, P. G. (2022). Periodontal diseases in pregnant women as a risk factor: a concise systematic review. MedNEXT Journal of Medical and Health Sciences, 3(S3). https://doi.org/10.54448/mdnt22S305