科索沃地区牙周病与早产低体重之间的关联。
The Association between Periodontal Disease and Preterm Low Birthweight in Kosovo.
作者信息
Meqa Kastriot, Dragidella Fatmir, Disha Metush, Sllamniku-Dalipi Zana
机构信息
University of Pristina, Dentistry School, Department of Periodontology and Oral Medicine, Pristina, Republic of Kosovo.
出版信息
Acta Stomatol Croat. 2017 Mar;51(1):33-40. doi: 10.15644/asc51/1/4.
OBJECTIVE
Periodontal diseases have a high prevalence worldwide. Existing evidence support the concept that gingivitis and periodontitis are potentially infectious and they present inflammatory reservoirs that can be threatening to the fetoplacental unit. The objective of this study was to compare the periodontal status between women with normal delivery and those with preterm low-birthweight delivery.
MATERIALS AND METHODS
This study included 200 postpartum women whose periodontal and obstetrical parameters were taken. The periodontal condition was assessed bedside according to the modified criteria established by Machtei, while the birthweight and gestational age were assessed according to the World Health Organization criteria.
RESULTS
Women with periodontitis are statistically at 3.2 times higher risk to deliver a child with low weight, and at 3.4 times higher risk to deliver preterm, compared to women without periodontitis. The women with preterm low-birthweight babies had deeper periodontal pockets (2.49mm ± 0.49mm) than women with normal delivery (2.26mm ± 0.49mm).
CONCLUSIONS
Periodontal disease in pregnant women with a reservoir of organisms and their products can be considered a risk factor for adverse pregnancy outcome.
目的
牙周疾病在全球范围内具有很高的患病率。现有证据支持牙龈炎和牙周炎具有潜在传染性这一概念，并且它们构成了可能对胎儿 - 胎盘单位构成威胁的炎症病灶。本研究的目的是比较正常分娩妇女和早产低体重分娩妇女的牙周状况。
材料与方法
本研究纳入了200名产后妇女，记录了她们的牙周参数和产科参数。根据Machtei制定的改良标准在床边评估牙周状况，而出生体重和孕周则根据世界卫生组织标准进行评估。
结果
与无牙周炎的妇女相比，患有牙周炎的妇女分娩低体重儿的风险在统计学上高3.2倍，早产风险高3.4倍。早产低体重儿的妇女牙周袋深度（2.49mm±0.49mm）比正常分娩的妇女（2.26mm±0.49mm）更深。
结论
患有牙周疾病且存在微生物及其产物蓄积的孕妇，可被视为不良妊娠结局的一个危险因素。
Zotero 插件