Radnai Marta, Pál Attila, Novak Tibor, Urban Edit, Eller József, Heffter Nora, Horváth Gábor, Gorzó István
Szegedi Tudományegyetem.
Fogorv Sz. 2008 Oct;101(5):179-85.
More publications support the statement that maternal periodontitis may be a risk factor of preterm delivery and low birth-weight, than the number of those that suggest opposing evidence. The proving or rejecting of the questionable relationship may be carried out--among other methods--by analyzing the results of interventional studies. The aim of our study was to investigate whether or not it is possible to decrease the chance of preterm birth and low birth-weight in the case of healthy non-smoking women through the elimination of periodontal inflammation by providing professional oral hygiene treatment during pregnancy. After periodontal examination 80 pregnant women received professional oral hygiene treatment including plaque and calculus removal, root planing, motivation and instruction (treatment group); only the periodontal status was recorded in 79 cases (control group). The mean length of pregnancy and birth-weight in the treatment group were compared with similar data of the control group. Data were assessed using statistical methods. The mean weight of newborns was 3005.3 grams in the treatment group, while 2644.2 grams in the control group (p < 0.0001). The delivery occurred later in the treatment group (37.0 week), than among the control group (36.4 week), although the difference was not significant (p = 0.059). In the periodontal treated group, which had a statistically suitable number of members, the periodontal treatment might have contributed to a more optimal date of delivery and to achieving a larger birth-weight.
支持“孕期牙周炎可能是早产和低出生体重风险因素”这一说法的出版物数量,多于那些提出相反证据的出版物数量。除其他方法外,对这一存在疑问的关系进行证实或否定可通过分析干预性研究的结果来进行。我们研究的目的是调查对于健康的不吸烟女性,在孕期通过提供专业口腔卫生治疗消除牙周炎症,是否有可能降低早产和低出生体重的几率。在进行牙周检查后,80名孕妇接受了包括清除牙菌斑和牙石、根面平整、给予动力和指导在内的专业口腔卫生治疗(治疗组);79例仅记录了牙周状况(对照组)。将治疗组的平均妊娠时长和出生体重与对照组的类似数据进行比较。使用统计方法评估数据。治疗组新生儿的平均体重为3005.3克,而对照组为2644.2克(p<0.0001)。治疗组的分娩时间(37.0周)比对照组(36.4周)晚,尽管差异不显著(p = 0.059)。在成员数量具有统计学意义的牙周治疗组中,牙周治疗可能有助于实现更理想的分娩日期并获得更大的出生体重。