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检测早产和/或低体重儿母亲的牙周病病原体。

Detection of periodontal pathogens in mothers of preterm birth and/or low weight.

机构信息

Programa de Pos-Graduacao em Odontologia Campus Universitario do Bacanga Avenida dos Portugueses, 1966 Sao Luis-MA, Brazil, CEP: 65080-805

出版信息

Med Oral Patol Oral Cir Bucal. 2019 Nov 1;24(6):e776-e781. doi: 10.4317/medoral.23135.

Abstract

BACKGROUND

The present study aims to estimate the possible relationship between periodontal pathogens in the oral cavity and the birth of Preterm Birth (PTB) and/or Low Birth Weight (LBW).

MATERIAL AND METHODS

It's a case- control study with the subgengival biofilm samples were collected from four sites up deeper until 48 hours postpartum and were processes by Polymerase Chain Reaction (PCR) for presence the periodontal pathogens Prevotella intermedia (Pi), Fusobacterium nucleatum (Fn), Porphyromonas gingivalis (Pg), Treponema denticola (Td), Tannerella forsythia (Tf) e Aggregatibacter actinomycetemcomitans (Aa). The mothers were divided into case grup (babies weighing < 2500g and/or gestational age < 37 weeks) and control group (babies weighing ≥ 2500g and gestational age ≥ 37 weeks). Chi-square test and the measure of association obtained by Odds Ratio (OR) were used to estimate the association between the variables.

RESULTS

Microbial analyses results showed no significant association between PTB and LBW with most periodontal pathogens in the oral cavity, even with association with the clinical presence of periodontitis.

CONCLUSIONS

given the high presence of periodontal pathogens in the biofilm subgengival of recent mothers, it is suggested that the findings of this research serve as the basis for future studies on the pathophysiology involved in the relationship between periodontitis and PTB and/or LBW.

摘要

背景

本研究旨在评估口腔牙周病病原菌与早产(PTB)和/或低出生体重(LBW)之间可能存在的关系。

材料和方法

这是一项病例对照研究,在产后 48 小时内从四个部位采集龈下生物膜样本,并通过聚合酶链反应(PCR)检测牙周病病原菌中间普氏菌(Pi)、核梭杆菌(Fn)、牙龈卟啉单胞菌(Pg)、牙髓密螺旋体(Td)、福赛坦纳氏菌(Tf)和伴放线放线杆菌(Aa)的存在。将母亲分为病例组(体重<2500g 和/或胎龄<37 周的婴儿)和对照组(体重≥2500g 和胎龄≥37 周的婴儿)。采用卡方检验和优势比(OR)获得的关联度量来估计变量之间的关联。

结果

微生物分析结果表明,口腔中大多数牙周病病原菌与 PTB 和 LBW 之间无显著关联,即使与牙周炎的临床存在有关。

结论

鉴于近期母亲龈下生物膜中牙周病病原菌的高存在率,建议该研究结果为未来研究牙周炎与 PTB 和/或 LBW 之间涉及的病理生理学关系提供依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8126/6901144/e5d11b93a022/medoral-24-e776-g001.jpg

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