Yonsei Med J.  2008 Apr;49(2):200-203. 10.3349/ymj.2008.49.2.200.

Periodontitis as a Risk Factor for Preterm Low Birth Weight

Affiliations
  • 1Department of Periodontology, Selcuk University, Faculty of Dentistry, Konya, Turkey. imarakoglu@selcuk.edu.tr
  • 2Department of Periodontology, Cumhuriyet University, Faculty of Dentistry, Sivas, Turkey.
  • 3Department of Family Physician, Selcuk University, Faculty of Medicine, Konya, Turkey.

Abstract

PURPOSE
There is growing evidence showing that a number of complex human diseases are caused or are at least influenced by periodontal diseases. Such diseases include cardiovascular diseases, respiratory diseases, diabetes mellitus and osteoporosis. The aim of study was to evaluate periodontal diseases as a risk factor for a preterm low birth weight. MATERIALS AND METHODS: A total of 48 mothers, 20 of who had a preterm low birth weight delivery, were examined in the Clinics of Periodontology, Faculty of Dentistry, Cumhuriyet University. The periodontal exams consisted of a full mouth pocket depth, a Loe and Sillness Gingival index score measurements, and a panoramic radiograph analysis. Information on any other factors that may cause a preterm low birth weight was obtained from the family physician. RESULTS: The study results indicated that periodontitis (OR: 3.6 95% CI: 1.06-12.18) together with bacterial vaginosis (OR: 11.57 95% CI: 1.26-105.7) were independent risk factors of a preterm low birth weight. According to the data obtained from this study, the paternal age, tobacco use and the mothers' height were not significant risk factors for a preterm low birth weight. CONCLUSION: Within the limits of this study, it is concluded that a poor periodontal health status of the mother may be a potential risk factor for a preterm low birth weight.

Keyword

Preterm low birth weight; maternal periodontal health

MeSH Terms

Body Height
Female
Humans
*Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Odds Ratio
Periodontitis/etiology/*physiopathology
Pregnancy
*Premature Birth
Risk Factors
Smoking/adverse effects
Vaginosis, Bacterial/complications/physiopathology

Cited by  1 articles

Periodontitis among poor rural Indian mothers increases the risk of low birth weight babies: a hospital-based case control study
Pulikottil Shaju Jacob, Sonia Nath
J Periodontal Implant Sci. 2014;44(2):85-93.    doi: 10.5051/jpis.2014.44.2.85.


Reference

1. World Health Organization. The incidence of low birth weight: an update. Weekly Epidemiol Rec. 1984. 59:205–212.
2. Williams CE, Davenport ES, Sterne JA, Sivapathasundaram V, Fearne JM, Curtis MA. Mechanisms of risk in preterm low-birth weight infants. Periodontol 2000. 2000. 23:142–150.
3. Kramer MS. Determinants of low birth weight: methodological assessment and meta-analysis. Bull World Health Organ. 1987. 65:663–737.
4. Day JC. Population projections of the United States by age, sex, race, and hispanic origin: 1995 to 2050, US Bureau of the Census, Current Population Reports, P25-1130. 1996. Washington, DC: US Government Printing Office.
5. Shapiro S, McCormick MC, Starfield BH, Krischer JP, Bross D. Relevance of correlates of infant deaths for significant morbidity at one year of age. Am J Obstet Gynecol. 1980. 136:363–373.
Article
6. McCormick MC. The contribution of low birth weight to infant mortality and childhood morbidity. N Engl J Med. 1985. 312:82–90.
Article
7. Byrne J, Ellsworth C, Bowering E, Vincer M. Language development in low birth weight infants: the first two years of life. J Dev Behav Pediatr. 1993. 14:21–27.
8. Fitzharding PM. Follow-up studies of the low birth weight infant. Clin Perinatol. 1976. 3:503–516.
9. McCall MG, Acheson ED. Respiratory disease in infancy. J Chronic Dis. 1968. 21:349–359.
Article
10. Hack M, Caron B, Rivers A, Fanaroff AA. The very low birth weight infant: the broader spectrum of morbidity during infancy and early childhood. J Dev Behav Pediatr. 1983. 4:243–249.
11. Van den berg BJ, Yerushalmy J. The relationship of the rate of intrauterine growth of infants of low birth weight to mortality, morbidity and congenital anomalies. J Pediatr. 1966. 69:531–545.
Article
12. Cristianson RE, van den Berg BJ, Milkovich L, Oechsli FW. Incidence of congenital anomalies among white and black live births with long-term follow-up. Am J Public Health. 1981. 71:1333–1341.
Article
13. Speidel BD. Adverse effects of routine procedures on preterm infants. Lancet. 1978. 1:864–866.
Article
14. National Center for Health Statistics. Health, United States, 1982. DHHS Pub. No. (PHS) 83-1232. Public Health Service. 1982. Dec. Washington, DC: US Government Printing Office.
15. Waitzman NJ, Scheffler RM, Romano PS. The cost of birth defects: estimates of the value of protection. 1996. Lanham, MD: University press of America.
16. Lewitt EM, Baker LS, Corman H, Shiono PH. The direct cost of low birth weight. Future Child. 1995. 5:35–56.
Article
17. Institute of medicine, committee to study the prevention of low birth weight. 1985. Washington, DC: National Academy Press.
18. Evaldson G, Lagrelius A, Winiarski J. Premature rupture of the membranes. Acta Obstet Gynecol Scand. 1980. 59:385–393.
Article
19. Gortmaker SL. The effects of prenatal care upon the health of the newborn. Am J Public Health. 1979. 69:653–660.
Article
20. Møller M, Thomsen AC, Borch K, Dinesen K, Zdravkovic M. Rupture of fetal membranes and premature delivery associated with group B streptococci in urine of pregnant women. Lancet. 1984. 2:69–70.
Article
21. McDonald HM, O'Loughlin JA, Jolley P, Vigneswaren R, McDonald PJ. Vaginal infection and preterm labour. Br J Obstet Gynaecol. 1991. 98:427–435.
Article
22. Gibbs RS, Romero R, Hillier SL, Eschenbach DA, Sweet RL. A review of premature birth and subclinical infection. Am J Obstet Gynecol. 1992. 166:1515–1528.
Article
23. Scannapieco FA. Position paper of The American Academy of Periodontology: periodontal disease as a potential risk factor for systemic diseases. J Periodontol. 1998. 69:841–850.
24. Offenbacher S, Katz V, Fertik G, Collins J, Boyd D, Maynor G, et al. Periodontal infection as a possible risk factor for preterm low birth weight. J Periodontol. 1996. 67:1103–1113.
Article
25. Loe H, Silness J. Periodontal disease in pregnancy. 1. Prevalence and severity. Acta Odontol Scand. 1963. 21:533–551.
26. Ramfjord SP, Ash MM. Periodontology and Periodontics: modern theory and practice. 1989. St. Louis, Tokyo: Ishiyaku EuroAmerica, Inc.;117–164.
27. Galloway CE. Focal infection. Am J Surg. 1931. 14:643–645.
Article
28. Jeffcoat MK, Geurs NC, Reddy MS, Cliver SP, Goldenberg RL, Hauth JC. Periodontal infection and preterm birth results of a prospective study. J Am Dent Assoc. 2001. 132:875–880.
Article
29. Dasanayake AP. Poor periodontal health of the pregnant woman as a risk factor for low birth weight. Ann Periodontol. 1998. 3:206–212.
Article
30. Dasanayake AP, Boyd D, Madianos PN, Offenbacher S, Hills E. The association between Porphyromonas gingivalis-specific maternal serum IgG and low birth weight. J Periodontol. 2001. 72:1491–1497.
Article
Full Text Links
  • YMJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr