Document Detail


Oral health and adverse pregnancy outcomes - what's next?
MedLine Citation:
PMID:  21041548     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Studies on the link between periodontal disease and adverse pregnancy outcome have gone through several phases. The epidemiological studies predominantly support a positive association between these wide-affecting diseases. During the intervention phase, a few small-scale, single-center studies reported improvement of birth outcome following periodontal treatment, whereas the large-scale multi-center studies did not demonstrate efficacy. Many questions arise with regard to patient population, disease type, and therapy. In addressing these questions, it is crucial that one understands the mechanism underlying the link between these diseases. Two non-mutually exclusive hypotheses exist. In the first, periodontal disease is believed to affect the maternal and fetal immune responses systemically, leading to premature labor. Alternatively, evidence is accumulating that oral bacteria may translocate directly into the pregnant uterus, causing localized inflammation and adverse pregnancy outcome in the presence or absence of clinical periodontitis. The oral-uterine transmission is not limited to the well-recognized periodontal pathogens, but instead may also involve the commensal species. Future studies should investigate these mechanisms, to understand the host susceptibility to oral-uterine transmission. Only when a thorough understanding of the mechanism is achieved can meaningful intervention studies be designed utilizing effective therapies, targeting appropriate populations, and measuring relevant outcomes.
Authors:
Y W Han
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review     Date:  2010-11-01
Journal Detail:
Title:  Journal of dental research     Volume:  90     ISSN:  1544-0591     ISO Abbreviation:  J. Dent. Res.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-07     Completed Date:  2011-03-22     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  0354343     Medline TA:  J Dent Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  289-93     Citation Subset:  D; IM    
Affiliation:
Department of Periodontics, School of Dental Medicine, Case Western Reserve University, Cleveland, OH 44106-4905, USA. yiping.han@case.edu
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MeSH Terms
Descriptor/Qualifier:
Clinical Trials as Topic
Female
Humans
Infectious Disease Transmission, Vertical* / prevention & control
Maternal-Fetal Exchange
Oral Health
Periodontitis / complications*,  microbiology,  therapy
Pregnancy
Pregnancy Complications, Infectious* / microbiology,  therapy
Pregnancy Outcome*
Premature Birth / epidemiology,  etiology*,  prevention & control
Grant Support
ID/Acronym/Agency:
KO2 DE16102/DE/NIDCR NIH HHS; R01 DE14924/DE/NIDCR NIH HHS; R21 DE17165/DE/NIDCR NIH HHS
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