Oral and periodontal assessment at the first trimester of pregnancy: The PERISCOPE longitudinal study.
adverse pregnancy outcomes
early diagnosis
gingival bleeding
periodontitis
Journal
Acta obstetricia et gynecologica Scandinavica
ISSN: 1600-0412
Titre abrégé: Acta Obstet Gynecol Scand
Pays: United States
ID NLM: 0370343
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
revised:
22
12
2022
received:
24
08
2022
accepted:
24
01
2023
medline:
23
5
2023
pubmed:
27
4
2023
entrez:
27
4
2023
Statut:
ppublish
Résumé
Periodontal diseases (gingivitis and periodontitis) are chronic non-communicable inflammatory diseases. The risk of developing gingivitis and periodontitis increases during pregnancy. Also, periodontitis increases the risk of developing adverse pregnancy outcomes such as preterm birth and preeclampsia. Early diagnosis of adverse pregnancy outcomes is essential and periodontitis could be an early sign to take into consideration. We conducted a longitudinal observational study (PERISCOPE study: CNIL, no. 1 967 084 v 0; CER, no. 01-0416) on 121 pregnant women in the first trimester to determine their oral and periodontal health status. We explored the relations between oral and periodontal health status and sociodemographic and behavior characteristics, as well as their course and outcome of pregnancy. A total of 47.1% of the women had periodontitis, of which only 66.7% presented clinical manifestations associated with the disease such as gingival bleeding. These women had a poorer oral and periodontal health, and a higher body mass index, and more of them developed gestational diabetes during the course of pregnancy. The remaining 33.3% showed only discreet and isolated inflammatory signs and, unless thoroughly examined, would have gone undiagnosed for periodontitis. Interestingly these women were more often primiparous, still active professionally and had had a recent oral examination. The PERISCOPE study is one of the few studies that reports the oral and periodontal health status of pregnant women in the first trimester. Furthermore, the results highlight the need for early oral and periodontal assessment and treatment, even in the absence of exterior clinical signs, in order to prevent periodontal disease aggravation and also, by reducing low grade systemic inflammation, possibly adverse pregnancy outcomes.
Identifiants
pubmed: 37101411
doi: 10.1111/aogs.14529
pmc: PMC10201967
doi:
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
669-680Subventions
Organisme : College National des Chirurgiens-dentistes Universitaires en santé Publique
Organisme : Procter and Gamble
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2023 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG).
Références
J Perinat Med. 2010;38(1):3-8
pubmed: 20047523
BMC Oral Health. 2020 Oct 16;20(1):284
pubmed: 33066773
Am J Obstet Gynecol. 2007 Feb;196(2):135.e1-7
pubmed: 17306654
BMC Pregnancy Childbirth. 2013 Dec 09;13:228
pubmed: 24321402
Infect Dis Obstet Gynecol. 2017;2017:9027918
pubmed: 28325959
Acta Odontol Scand. 2011 Jul;69(4):248-56
pubmed: 21375427
Cochrane Database Syst Rev. 2017 Jun 12;6:CD005297
pubmed: 28605006
Oral Health Prev Dent. 2021;19(1):77-83
pubmed: 33491381
Dent J (Basel). 2021 Apr 19;9(4):
pubmed: 33921608
J Reprod Immunol. 2021 Jun;145:103293
pubmed: 33676065
PLoS One. 2022 Oct 19;17(10):e0275129
pubmed: 36260615
J Oral Rehabil. 2003 Apr;30(4):440-5
pubmed: 12631171
J Periodontal Implant Sci. 2014 Apr;44(2):57-64
pubmed: 24778899
J Public Health Dent. 2009 Spring;69(2):74-7
pubmed: 19054314
Am J Clin Nutr. 2016 Feb;103(2):495-504
pubmed: 26739036
J Obstet Gynaecol Res. 2017 Jan;43(1):16-22
pubmed: 28074549
Am J Obstet Gynecol. 2019 Nov;221(5):383-392.e3
pubmed: 31051120
Lancet. 2017 Sep 16;390(10100):1211-1259
pubmed: 28919117
Int J Environ Res Public Health. 2020 Oct 08;17(19):
pubmed: 33049972
J Dent Res. 2019 Sep;98(10):1053-1062
pubmed: 31429666
Sci Transl Med. 2014 May 21;6(237):237ra65
pubmed: 24848255
J Dent Sci. 2016 Jun;11(2):146-151
pubmed: 30894963
Anaerobe. 2018 Apr;50:55-59
pubmed: 29409815
PLoS One. 2016 Jan 05;11(1):e0146157
pubmed: 26731111
Infect Immun. 2010 Apr;78(4):1789-96
pubmed: 20123706
J Am Dent Assoc. 2010 Dec;141(12):1423-34
pubmed: 21119126
Acta Obstet Gynecol Scand. 2023 Jun;102(6):669-680
pubmed: 37101411
Periodontol 2000. 2018 Oct;78(1):129-153
pubmed: 30198127
Int J Dent. 2017;2017:3534048
pubmed: 28465684
Nat Rev Immunol. 2015 Jan;15(1):30-44
pubmed: 25534621
Obstet Gynecol. 2010 Feb;115(2 Pt 2):442-445
pubmed: 20093874
J Periodontol. 2007 Jul;78(7):1179-81
pubmed: 17608570
Biol Trace Elem Res. 2017 Aug;178(2):171-179
pubmed: 28035581
Sante Publique. 2013 May-Jun;25(3):281-92
pubmed: 24007904
J Gynecol Obstet Hum Reprod. 2017 Dec;46(10):701-713
pubmed: 29031048
Reprod Health. 2016 Dec 1;13(1):141
pubmed: 27903295
Periodontol 2000. 2020 Jun;83(1):175-188
pubmed: 32385886
Circ Res. 2019 Mar 29;124(7):1094-1112
pubmed: 30920918
Saudi J Anaesth. 2019 Apr;13(Suppl 1):S31-S34
pubmed: 30930717
BMC Oral Health. 2019 Jan 5;19(1):2
pubmed: 30611255
Periodontol 2000. 2013 Feb;61(1):160-76
pubmed: 23240948
Cochrane Database Syst Rev. 2017 Apr 13;4:CD004905
pubmed: 28407219
Nutrients. 2020 Sep 06;12(9):
pubmed: 32899964
Periodontol 2000. 2021 Feb;85(1):126-160
pubmed: 33226693
J Clin Periodontol. 2005;32 Suppl 6:132-58
pubmed: 16128835
Reprod Health. 2012 Jan 24;9:3
pubmed: 22273008
BMC Pregnancy Childbirth. 2016 Nov 9;16(1):347
pubmed: 27829388
BMJ. 2010 Dec 29;341:c7017
pubmed: 21190966
Hum Reprod. 2012 May;27(5):1332-42
pubmed: 22362927
J Clin Periodontol. 2010 Mar;37(3):220-9
pubmed: 20070862
J Indian Soc Pedod Prev Dent. 2017 Jan-Mar;35(1):47-50
pubmed: 28139482
Gynecol Endocrinol. 2016 Jul;32(7):509-16
pubmed: 26956254
J Clin Periodontol. 2010 Jan;37(1):37-45
pubmed: 20096065
BMC Oral Health. 2009 Jul 18;9:18
pubmed: 19615094
N Z Dent J. 1992 Apr;88(392):67
pubmed: 1495643
J Periodontol. 2007 Apr;78(4):670-6
pubmed: 17397314
Community Dent Oral Epidemiol. 2006 Feb;34(1):1-10
pubmed: 16423025
Lancet. 2019 Jul 20;394(10194):249-260
pubmed: 31327369
Minerva Ginecol. 2018 Feb;70(1):99-119
pubmed: 28895680
J Obstet Gynaecol Res. 2019 Jan;45(1):5-12
pubmed: 30094895
J Clin Periodontol. 2013 Apr;40 Suppl 14:S164-9
pubmed: 23627326
Oral Health Prev Dent. 2016;14(1):41-7
pubmed: 26106653
J Clin Periodontol. 2016 May;43(5):390-400
pubmed: 26881700
Int J Environ Res Public Health. 2021 Jul 05;18(13):
pubmed: 34281133
J Periodontol. 1972 Jan;43(1):38
pubmed: 4500182
Pathogens. 2021 Jun 09;10(6):
pubmed: 34207831
Int Dent J. 1982 Sep;32(3):281-91
pubmed: 6958657