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Change of Periodontal Disease Status During and After Pregnancy.
MedLine Citation:
PMID:  22873653     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: We explored whether there is any change of periodontal disease status during and after pregnancy. We also examined whether the change is different between women with a history of gestational diabetes mellitus (GDM) and women without GDM during pregnancy. Methods: We conducted a follow-up study at Woman's Hospital, Baton Rouge, LA. Thirty-nine women who were previously enrolled in a case-control study during pregnancy were followed to an average of 22 months postpartum. Periodontal status was assessed through dental examinations performed both during and after pregnancy. Clinical periodontal parameters included bleeding on probing (BOP), mean probing depth (PD) and mean clinical attachment level (CAL). Periodontitis was defined as the presence of one or more sites exhibiting PD ≥ 4 mm or CAL ≥ 4 mm. We used generalized estimating equations (GEE) analysis to examine the change of periodontal status. Results: Mean number and percentage of sites with BOP decreased from 10.7±11.6 (mean ± SD) and 6.5±7.0 during pregnancy to 7.1±8.8 and 4.3±5.3 at 22 months postpartum (P<0.05), respectively. Mean levels of PD and CAL decreased from 1.8±0.4 and 1.9±0.3 to 1.6±0.3 and 1.6±0.3 (P<0.01), respectively. The prevalence of periodontitis decreased from 66.7% to 33.3% (P<0.01, adjusted risk ratio: 2.1, 95% confidence interval: 1.3∼3.4). There was no difference in the change of periodontal status between women with GDM and women without GDM during pregnancy. Conclusions: Pregnancy may be associated with an increased risk of periodontal disease. The association is not different between women with GDM and women without GDM during pregnancy.
Authors:
Yiqiong Xie; Xu Xiong; Karen E Elkind-Hirsch; Gabriella Pridjian; Pooja Maney; Robert L Delarosa; Pierre Buekens
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-8
Journal Detail:
Title:  Journal of periodontology     Volume:  -     ISSN:  1943-3670     ISO Abbreviation:  J. Periodontol.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8000345     Medline TA:  J Periodontol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Epidemiology, Tulane University, New Orleans, LA.
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