Department of Periodontology, Manipal College of Dental Sciences, Manipal, India.
J Periodontol. 2013 Aug;84(8):1118-25. doi: 10.1902/jop.2012.120264. Epub 2012 Oct 29.
Periodontal disease is thought to be associated with increased risk of systemic diseases and adverse pregnancy outcomes, including pregnancy hypertension (PH). The aim of the present study is to find the prevalence of periodontal disease in females with PH in a rural-based medical institute.
The present case control study was performed with 200 females, 100 with PH and 100 without PH. Antenatal periodontal screening was performed within 72 hours of their hospital admission for delivery. The periodontal parameters assessed were oral hygiene index-simplified, gingival index, mean probing depth, and loss of attachment.
Prevalence of periodontal disease was 65.5% and was significantly higher (P <0.0001) in females with hypertension (relative risk = 1.5; 95% confidence interval [CI] = 1.3 to 1.9). Socioeconomic status, education, occupation, and body mass index did not appear to influence the relationship between periodontal disease and PH on bivariate multiple logistic regression analysis. Nulliparous females were at higher odds to develop periodontal disease and PH (odds ratio = 1.7; 95% CI = 0.5 to 6.1). As the severity of periodontal disease increased from moderate to severe, the severity of hypertension also increased (r(2) = 0.8 and 0.5 for moderate and severe periodontal disease, respectively).
Periodontal disease is more prevalent in females with PH.
牙周病被认为与全身疾病和不良妊娠结局风险增加有关，包括妊娠高血压（PH）。本研究旨在农村医疗机构中发现患有 PH 的女性中牙周病的患病率。
本病例对照研究共纳入 200 名女性，100 名患有 PH，100 名无 PH。在分娩住院后 72 小时内进行产前牙周筛查。评估的牙周参数包括口腔卫生指数简化版、牙龈指数、平均探诊深度和附着丧失。
牙周病的患病率为 65.5%，患有高血压的女性明显更高（P<0.0001）（相对风险=1.5；95%置信区间[CI]为 1.3 至 1.9）。社会经济地位、教育、职业和体重指数似乎并未影响二元多变量逻辑回归分析中牙周病与 PH 之间的关系。初产妇发生牙周病和 PH 的几率更高（比值比=1.7；95%CI 为 0.5 至 6.1）。随着牙周病从中度到重度的严重程度增加，高血压的严重程度也增加（中度和重度牙周病的 r(2)分别为 0.8 和 0.5）。
患有 PH 的女性中牙周病更为普遍。
