Periodontal treatment during pregnancy decreases the rate of adverse pregnancy outcome: a controlled clinical trial
J. appl. oral sci
;
19(2): 130-136, May-Apr. 2011. ilus, tab
Artículo
en Inglés
| LILACS
| ID: lil-586033
ABSTRACT
OBJECTIVES:
The aim of this study was to evaluate the effects of non-surgical treatment of periodontal disease during the second trimester of gestation on adverse pregnancy outcomes. MATERIAL ANDMETHODS:
Pregnant patients during the 1st and 2nd trimesters at antenatal care in a Public Health Center were divided into 2 groups NIG - "no intervention" (n=17) or IG- "intervention" (n=16). IG patients were submitted to a non-surgical periodontal treatment performed by a single periodontist consisting of scaling and root planning (SRP), professional prophylaxis (PROPH) and oral hygiene instruction (OHI). NIG received PROPH and OHI during pregnancy and were referred for treatment after delivery. Periodontal evaluation was performed by a single trained examiner, blinded to periodontal treatment, according to probing depth (PD), clinical attachment level (CAL), plaque index (PI) and sulcular bleeding index (SBI) at baseline and 35 gestational weeks-28 days post-partum. Primary adverse pregnancy outcomes were preterm birth (<37 weeks), low birth weight (<2.5 kg), late abortion (14-24 weeks) or abortion (<14 weeks). The results obtained were statistically evaluated according to OR, unpaired t test and paired t test at 5 percent signifcance level.RESULTS:
No signifcant differences were observed between groups at baseline examination. Periodontal treatment resulted in stabilization of CAL and PI (p>0.05) at IG and worsening of all periodontal parameters at NIG (p<0.0001), except for PI. Signifcant differences in periodontal conditions of IG and NIG were observed at 2nd examination (p<0.001). The rate of adverse pregnancy outcomes was 47.05 percent in NIG and 6.25 percent in IG. Periodontal treatment during pregnancy was associated to a decreased risk of developing adverse pregnancy outcomes [OR=13.50; CI 1.47-123.45; p=0.02].CONCLUSIONS:
Periodontal treatment during the second trimester of gestation contributes to decrease adverse pregnancy outcomes.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Enfermedades Periodontales
/
Complicaciones del Embarazo
/
Resultado del Embarazo
Tipo de estudio:
Ensayo Clínico Controlado
/
Estudio de etiología
/
Factores de riesgo
Límite:
Adolescente
/
Adulto
/
Femenino
/
Humanos
/
Recién Nacido
/
Embarazo
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
J. appl. oral sci
Asunto de la revista:
Odontología
Año:
2011
Tipo del documento:
Artículo
País de afiliación:
Brasil
/
Estados Unidos
Institución/País de afiliación:
University of Southern California/US
/
University of São Paulo/BR
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