Maternal periodontitis and preterm birth: Systematic review and meta-analysis

Aim: To assess the association between periodontitis and preterm birth in women of childbearing age. Materials and methods: This review included analytical case-control studies and prospective cohort studies evaluating the association between maternal periodontitis and preterm birth. Of the 3104 scr...

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Detalhes bibliográficos
Autores: MANRIQUE CORREDOR, EDWAR JAVIER, Orozco-Beltran, Domingo, Lopez-Pineda, Adriana, Quesada, Jose A., Gil-Guillén, Vicente F, Carratala-Munuera, Concepcion
Tipo de documento: artigo
Data de publicação:2019
País:España
Recursos:Universidad Miguel Hernández de Elche
Repositório:REDIUMH. Depósito Digital de la UMH
OAI Identifier:oai:dspace.umh.es:11000/34955
Acesso em linha:https://hdl.handle.net/11000/34955
Access Level:Acceso aberto
Palavra-chave:infant
low birth weight
periodontal disease
periodontitis
pregnancy
premature birth
Descrição
Resumo:Aim: To assess the association between periodontitis and preterm birth in women of childbearing age. Materials and methods: This review included analytical case-control studies and prospective cohort studies evaluating the association between maternal periodontitis and preterm birth. Of the 3104 screened articles, 31 met the inclusion criteria for the review, and 20 met the quality criteria. The selected studies included a total of 10 215 women. Results: Twenty articles contributed to the meta-analysis; 16 used a case-control design, and 4 were prospective cohort studies. The study heterogeneity was low (Q = 24.2464; P = 0.1869; I2 = 21.63%). A positive association between maternal periodontitis and preterm birth was found in 60% of the studies. Under the random-effects model, meta-analysis gave an odds ratio (OR) of 2.01 (95% CI 1.71, 2.36), representing a significant positive association between the explanatory and outcome variables. Conclusion: Pregnant mothers with periodontitis double the risk of preterm birth. There is a lack of international consensus for diagnosing maternal periodontitis.