Association between maternal periodontitis and preterm and/or low birth weight infants in normal pregnancies.

OBJECTIVE: To relate the periodontal condition with the presence of periodontal bacteria in pregnant that had babies with preterm delivery or/and low weight at birth (PTLBW). METHODS: We recruited 134 pregnant women without systemic diseases attending at the Gynaecology and Obstetrics Room, from Maternal Provincial Hospital, Córdoba, Argentine. Pregnant were grouped according to the International Classification for a System of Periodontal Disease. A sample from periodontal pocket was extracted to identify Porphyromonas gingivalis (Pg), Treponema denticola (Td), Tannerella forsythia (Tf) Prevotella intermedia (Pi) and Agreggatibacter actinomycemcomitans (Aa). RESULTS: We identified 7 (5%) cases of children born underweight or preterm of mothers diagnosed with Gingivitis, 6 (4%) in Mild Periodontitis and 4 (3%) in Moderate Periodontitis. We estimated that when Pi and/or Aa were not detected in the periodontal pockets of mothers, the infants had more than 129% chance of having normal birth weights (OR 3.47 for Pi and OR and 2.29 for Aa). The average age of the mothers who has PTLBW was 21 ± 3.5. The age showed an association with PTLBW (p < 0.0008). CONCLUSIONS: The presences of periodontal pathogens in periodontal pockets from pregnant with different periodontal status would associate with PTLBW infants when the mothers are young, and the normal term and normal birth weight infant are associated with the absence of periodonto bacteria like Pi and Aa.

Periodontal conditions during the pregnancy associated with periodontal pathogens.

AIM: To describe the bacterial associations in the periodontal pockets of pregnant women and to correlate the presence of Prevotella intermedia, Tannerella forsythia (T. forsythia), Treponema denticola (T. denticola), Aggregatibacter actinomycetemcomitans, and Porphyromona gingivalis (P. gingivalis) with periodontal parameters of severity. METHODS: The analysis was performed with 150 pregnant women. The examination consisted of an evaluation of bleeding, suppuration, probing depths, clinical attachment levels, hypermobility scores, the Silness and Löe Plaque Index, and the Löe and the Silness Gingival Index. Each periodontal pathogen was identified by polymerase chain reaction. RESULTS: A statistically-significant association was observed (P < 0.01) between P. gingivalis and T. forsythia, between P. gingivalis and T. denticola, and between T. forsythia and T. denticola. Age was observed to be a risk factor in the development of moderate periodontitis (odds ratio [OR] = 4.92, 95% confidence interval [CI] = 1.1-21.3, P = 0.0328). Age was significantly associated with increased pocket depth and plaque index (OR = 6.36, 95% CI = 1.8-22.2, P = 0.0037). In pregnant women, the presence of P. gingivalis was found to increase the risk of developing a clinical attachment level ≥ 5 mm. CONCLUSION: A high prevalence of P. gingivalis in pregnant women, especially in combination with T. forsythia and T. denticola, was associated with an increased risk of developing moderate periodontitis, and that association was more marked in pregnant women aged 30 years or older.

Higiene oral: rutina sugerida para el práctico general / Oral hygiene: daily routine suggested for the general practitioner

En la actualidad, casi nadie ignora que un programa racional de higiene bucal puede prevenir tanto la caries como la enfermedad periodontal, evidencia que ha resultado tan fuerte que los responsables de administrar salud para poblaciones de individuos han incorporado a sus currículas. La odontología que se aprende en nuestras facultades todavía enseña una profesión con una carga curricular que privilegia los procedimientos terapéuticos y, en consecuencia, el producto final le presta poca atención a los procedimientos preventivos. Sin desmerecer el trasfondo económico que justifique el temperamento, el problema de salud que aqueja al paciente no se resuelve, por el contrario, se agrava. Si la idea de una buena odontología es terminar con el problema, faltamente el dentista tendrá que prestar atención a desarrollar una odontología más sustentable, teniendo especial cuidado en adherir a un programa de higiene bucal. Si el objetivo se alcanza, todos ganarán: el paciente porque estabilizará una condición dental y admitirá de mejor grado la concurrencia a controles regulares de sus dientes, y el odontólogo porque sentirá la sensación del deber cumplido.

Las lesiones endoperiodontales / Endodontic-periodontal lesions

La estrecha relación existente entre la pulpa y el tejido periodontal ha sido demostrada tanto en salud como en enfermedad. El propósito de este artículo es determinar la etiología, sobre bases anatómicas, de las enfermedades en las cuales ambos tejidos están involucrados

Las lesiones endoperiodontales / Endodontic-periodontal lesions

La estrecha relación existente entre la pulpa y el tejido periodontal ha sido demostrada tanto en salud como en enfermedad. El propósito de este artículo es determinar la etiología, sobre bases anatómicas, de las enfermedades en las cuales ambos tejidos están involucrados (AU)