Prevalence and correlates of periodontitis among Kenyan women planning to conceive.
DMFT
Gingivitis
Kenya
Periodontitis
Women
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
31 05 2022
31 05 2022
Historique:
received:
04
04
2022
accepted:
20
05
2022
entrez:
1
6
2022
pubmed:
2
6
2022
medline:
3
6
2022
Statut:
epublish
Résumé
Periodontitis has been associated with adverse pregnancy outcomes. Little is known about the burden and risk factors for periodontitis among reproductive age women in sub-Saharan Africa. This analysis aimed to determine the prevalence and correlates of periodontitis among Kenyan women planning to conceive. HIV-seronegative, reproductive-age women who were planning to conceive were enrolled and underwent a periodontal examination. Following the US Centers for Disease Control and Prevention clinical case definitions, the presence and severity of periodontitis was determined by establishing the level of clinical periodontal attachment loss and graded in three categories: no/mild, moderate, and severe. Secondary outcomes included the scores on the Gingival Index and Decayed, Missing, and Filled Teeth (DMFT) Index. Correlates of periodontitis were examined using univariable and multivariable logistic regression. Of the 647 women in the study, 84% (n = 541) had no/mild periodontitis, 15% (n = 97) had moderate periodontitis, and 1% (n = 9) had severe periodontitis. Mild gingivitis was present in 61% (n = 396) of women, while 27% (n = 176) had moderate gingivitis, and 1% (n = 9) had severe gingivitis. The majority (75%, n = 487) of women had a DMFT index in the very low range (score < 5). Periodontitis was observed in 12% (12/101) of nulliparous women compared to 13% (36/286) of women with one prior delivery (prevalence ratio [PR] 1.03, 95% confidence interval [95% CI] 0.57-1.96), 21% (36/170) of women with two prior deliveries (PR 1.78, 95% CI 0.97-3.26), and 24% (22/90) of women with 3 or more prior deliveries (PR 2.06, 95% CI 1.08-3.92). This study demonstrated a substantial prevalence of moderate-severe periodontitis among women planning to conceive in Kenya. These results highlight the need to address the oral care needs of reproductive age women, particularly those with multiple prior pregnancies.
Sections du résumé
BACKGROUND
Periodontitis has been associated with adverse pregnancy outcomes. Little is known about the burden and risk factors for periodontitis among reproductive age women in sub-Saharan Africa. This analysis aimed to determine the prevalence and correlates of periodontitis among Kenyan women planning to conceive.
METHODS
HIV-seronegative, reproductive-age women who were planning to conceive were enrolled and underwent a periodontal examination. Following the US Centers for Disease Control and Prevention clinical case definitions, the presence and severity of periodontitis was determined by establishing the level of clinical periodontal attachment loss and graded in three categories: no/mild, moderate, and severe. Secondary outcomes included the scores on the Gingival Index and Decayed, Missing, and Filled Teeth (DMFT) Index. Correlates of periodontitis were examined using univariable and multivariable logistic regression.
RESULTS
Of the 647 women in the study, 84% (n = 541) had no/mild periodontitis, 15% (n = 97) had moderate periodontitis, and 1% (n = 9) had severe periodontitis. Mild gingivitis was present in 61% (n = 396) of women, while 27% (n = 176) had moderate gingivitis, and 1% (n = 9) had severe gingivitis. The majority (75%, n = 487) of women had a DMFT index in the very low range (score < 5). Periodontitis was observed in 12% (12/101) of nulliparous women compared to 13% (36/286) of women with one prior delivery (prevalence ratio [PR] 1.03, 95% confidence interval [95% CI] 0.57-1.96), 21% (36/170) of women with two prior deliveries (PR 1.78, 95% CI 0.97-3.26), and 24% (22/90) of women with 3 or more prior deliveries (PR 2.06, 95% CI 1.08-3.92).
CONCLUSION
This study demonstrated a substantial prevalence of moderate-severe periodontitis among women planning to conceive in Kenya. These results highlight the need to address the oral care needs of reproductive age women, particularly those with multiple prior pregnancies.
Identifiants
pubmed: 35642032
doi: 10.1186/s12903-022-02243-w
pii: 10.1186/s12903-022-02243-w
pmc: PMC9152835
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
216Subventions
Organisme : NICHD NIH HHS
ID : R01 HD087346
Pays : United States
Organisme : NICHD NIH HHS
ID : K24 HD088229
Pays : United States
Organisme : NICHD NIH HHS
ID : F32 HD100202
Pays : United States
Informations de copyright
© 2022. The Author(s).
Références
Lancet. 2016 Oct 8;388(10053):1545-1602
pubmed: 27733282
Clin Cosmet Investig Dent. 2020 Nov 10;12:485-492
pubmed: 33204168
J Periodontol. 1999 Jul;70(7):779-85
pubmed: 10440640
J Periodontol. 2013 Apr;84(4 Suppl):S195-208
pubmed: 23631579
Reprod Health. 2016 Dec 1;13(1):141
pubmed: 27903295
J Clin Periodontol. 2010 Mar;37(3):230-40
pubmed: 20088983
Community Dent Oral Epidemiol. 2019 Jun;47(3):243-251
pubmed: 30812054
BMC Public Health. 2013 Oct 22;13:993
pubmed: 24144183
Int J Health Sci (Qassim). 2017 Apr-Jun;11(2):72-80
pubmed: 28539867
BMJ Open. 2020 Feb 25;10(2):e035186
pubmed: 32102825
Front Immunol. 2017 Feb 13;8:139
pubmed: 28243243
J Periodontol. 1967 Nov-Dec;38(6):Suppl:610-6
pubmed: 5237684
J Periodontol. 2007 Jul;78(7 Suppl):1387-99
pubmed: 17608611
J Oral Rehabil. 2003 Apr;30(4):440-5
pubmed: 12631171
Aust Dent J. 2018 May 16;:
pubmed: 29770451
J Int Acad Periodontol. 2009 Oct;11(4):250-7
pubmed: 19886400
Afr Health Sci. 2018 Sep;18(3):601-611
pubmed: 30602993
Int Dent J. 2020 Feb;70(1):53-61
pubmed: 31471898
J Periodontol. 2022 Jan;93(1):135-145
pubmed: 34008185
J Periodontol. 1967 Nov-Dec;38(6):Suppl:602-10
pubmed: 5237683
PLoS One. 2017 May 19;12(5):e0178234
pubmed: 28538740
J Periodontol. 1971 Oct;42(10):653-7
pubmed: 5285837
J Periodontol. 2015 May;86(5):611-22
pubmed: 25688694
Pan Afr Med J. 2016 Jul 12;24:215
pubmed: 27800070
Mediators Inflamm. 2015;2015:623427
pubmed: 25873767
Med Oral Patol Oral Cir Bucal. 2017 Nov 1;22(6):e708-e715
pubmed: 29053651
BMC Oral Health. 2011 Jan 05;11:1
pubmed: 21208407
Amino Acids. 2015 Nov;47(11):2447-55
pubmed: 26133738
JDR Clin Trans Res. 2018 Jan;3(1):10-27
pubmed: 30370334
J Periodontol. 2013 Apr;84(4 Suppl):S164-9
pubmed: 23631576
ScientificWorldJournal. 2020 May 28;2020:2146160
pubmed: 32549797
Community Dent Health. 2002 Jun;19(2):67-72
pubmed: 12146584