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The effects of periodontal treatment on pregnancy outcomes.
MedLine Citation:
PMID:  23627329     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Preterm infants are at greater risk than term infants for physical and developmental disorders. Morbidity and mortality increases as gestational age at delivery decreases. Observational studies indicate an association between poor periodontal health and risk for preterm birth or low birthweight, making periodontitis a potentially modifiable risk factor for prematurity.
AIM: To identify randomized controlled trials (RCTs) published between January 2011 and July 2012 and discuss all published RCTs testing whether periodontal therapy reduces rates of preterm birth and low birthweight.
METHODS: Search of databases including PubMed, ISI Web of Science and Cochrane Library.
RESULTS: The single RCT identified showed no significant effect of periodontal treatment on birth outcomes.
DISCUSSION: All published trials included non-surgical periodontal therapy; only two included systemic antimicrobials as part of test therapy. The trials varied substantially in terms of sample size, obstetric histories of subjects, study preterm birth rates and the periodontal treatment response. The largest trials - also judged to be high-quality and at low risk of bias - have yielded consistent results, and indicate that treatment does not alter rates of adverse pregnancy outcomes.
CONCLUSION: Non-surgical periodontal therapy, scaling and root planing, does not improve birth outcomes in pregnant women with periodontitis.
Authors:
Bryan S Michalowicz; Anders Gustafsson; Vivek Thumbigere-Math; Kåre Buhlin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical periodontology     Volume:  40 Suppl 14     ISSN:  1600-051X     ISO Abbreviation:  J. Clin. Periodontol.     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-04-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0425123     Medline TA:  J Clin Periodontol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S195-208     Citation Subset:  D; IM    
Copyright Information:
© 2013 European Federation of Periodontology and American Academy of Periodontology.
Affiliation:
Department of Developmental and Surgical Sciences, University of Minnesota School of Dentistry, Minneapolis, Minnesota, USA.
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