Inter J Stomatol ›› 2018, Vol. 45 ›› Issue (3): 319-323.doi: 10.7518/gjkq.2018.03.014

• Original Articles • Previous Articles     Next Articles

Effects of periodontal basic therapy on pregnancy outcome and inflammatory cytokine of threatened abortion pregnant women

Zhu Shanshan, Lu Zhiyue, Wang Shuang   

  1. Dept. of Stomatology, National Center of Gerontology, Beijing Hospital, Beijing 100730, China
  • Received:2017-08-22 Revised:2018-02-09 Published:2018-05-08
  • Supported by:
    This study was supported by the Youth Project of Beijing Hospital (BJ-2012-51).

Abstract: Objective To investigate the effects of periodontal basic therapy on pregnancy outcome and inflammatory cytokine of threatened abortion pregnant women. Methods Select 80 cases of pregnant women with threatened abortion symptoms as threatened abortion group and 86 cases of healthy pregnant women as normal pregnancy group. Select pregnant women with periodontitis from the above two groups, then randomly divided into treatment group and non-treatment group. For each treatment group the pregnant women were used periodontal treatment and regular maintenance, the non-treatment group accepted no special treatment except the oral hygiene instruction. Check the periodontal status [gingival sulcus bleeding index (SBI), probing depth (PD), and attachment loss (AL)] and the content of prostaglandin E2 (PGE2), tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) in serum in week 16 of pregnancy and before delivery, record the pregnancy outcomes of each pregnant women. Results In week 16 of pregnancy the SBI, PD and AL rate of threatened abortion group were higher than in normal pregnancy group, the difference was statistically significant. The improvement of SBI and PD before and after the periodontal treatment in threatened abortion and healthy pregnant women group have statistical significance. There was no significant difference in the content of PGE2, TNF-α and IL-6 before and after treatment in each group, there was no significant difference in the incidence of preterm low birth weight also. Conclusion Periodontal therapy is safe for pregnant women and can effectively improve the periodontal status, but cannot change the level of inflammatory factors in the blood and the pregnancy outcomes.

Key words: periodontal therapy, threatened abortion, preterm low birth weight

CLC Number: 

  • R781.4

TrendMD: 
[1] Offenbacher S, Katz V, Fertik G, et al.Periodontal in-fection as a possible risk factor for preterm low birth weight[J]. J Periodontol, 1996, 67(10 Suppl):1103-1113.
[2] Radnai M, Gorzó I, Urbán E, et al.Possible associa-tion between mother’s periodontal status and preterm delivery[J]. J Clin Periodontol, 2006, 33(11):791-796.
[3] Novák T, Radnai M, Gorzó I, et al.Prevention of preterm delivery with periodontal treatment[J]. Fetal Diagn Ther, 2009, 25(2):230-233.
[4] Bosnjak A, Relja T, Vucićević-Boras V, et al.Pre-term delivery and periodontal disease: a case-control study from Croatia[J]. J Clin Periodontol, 2006, 33(10):710-716.
[5] Buduneli N, Baylas H, Buduneli E, et al.Periodontal infections and pre-term low birth weight: a case-control study[J]. J Clin Periodontol, 2005, 32(2):174-181.
[6] 和璐, 黄振, 康军, 等. 母亲牙周炎对早产低体重儿的影响[J/OL]. 中华临床医师杂志(电子版), 2010, 4(10):1830-1834.
He L, Huang Z, Kang J, et al.Influence of maternal periodontitis on the production of preterm low birth weight[J/OL]. Chin J Clin (Electr Ed), 2010, 4(10): 1830-1834.
[7] Radnai M, Pál A, Novák T, et al.Benefits of perio-dontal therapy when preterm birth threatens[J]. J Dent Res, 2009, 88(3):280-284.
[8] Offenbacher S, Lin D, Strauss R, et al.Effects of periodontal therapy during pregnancy on periodontal status, biologic parameters, and pregnancy outcomes: a pilot study[J]. J Periodontol, 2006, 77(12):2011-2024.
[9] Radnai M, Pál A, Novák T, et al.The possible effect of basic periodontal treatment on the outcome of pre-gnancy[J]. Fogorv Sz, 2008, 101(5):179-185.
[10] Moore S, Randhawa M, Ide M.A case-control study to investigate an association between adverse preg-nancy outcome and periodontal disease[J]. J Clin Perio-dontol, 2005, 32(1):1-5.
[11] Madianos PN, Bobetsis YA, Offenbacher S.Adverse pregnancy outcomes (APOs) and periodontal disease: pathogenic mechanisms[J]. J Periodontol, 2013, 84(4 Suppl):S170-S180.
[12] Bobetsis YA, Barros SP, Offenbacher S.Exploring the relationship between periodontal disease and pre-gnancy complications[J]. J Am Dent Assoc, 2006, 137(Suppl):7S-13S.
[13] Niederman R.Periodontal treatment did not prevent complications of pregnancy[J]. Evid Based Dent, 2010, 11(1):18-19.
[14] Sanz M, Kornman K, working group 3 of the joint EFP/AAP workshop. Periodontitis and adverse preg-nancy outcomes: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Disea-ses[J]. J Periodontol, 2013, 84(4 Suppl):S164-S169.
[15] 李晓军, 孔经贾, 梁峰冰, 等. 牙周状况、血清白细胞介素-1β水平与妊娠关系初探[J]. 华西口腔医学杂志, 2007, 25(1):61-63.
Li XJ, Kong JJ, Liang FB, et al.A pilot study on re-lationship of periodontal status, serum level of inter-leukin-1β and delivery outcomes in pregnant women[J]. West Chin J tomatol, 2007, 25(1):61-63.
[16] 康军, 沙月琴, 和璐, 等. 北京地区母亲牙周状况与早产低出生体重新生儿的关系[J]. 中华口腔医学杂志, 2009, 44(10):580-583.
Kang J, Sha YQ, He L, et al.Association between mother’s periodontal status and preterm low birth weight in Beijing[J]. Chin J Stomatol, 2009, 44(10): 580-583.
[17] 杨维军. 牙周炎对产妇母婴结局的影响[J]. 中国妇幼保健, 2014, 29(29):3736-3739.
Yang WJ.The effect of periodontitis on maternal and infant outcome[J]. Matern Child Health Care Chin, 2014, 29(29):3736-3739.
[18] 裴喜燕, 欧阳翔英, 和璐. 关于牙周炎定义标准[J]. 牙体牙髓牙周病学杂志, 2015, 25(1):45-51.
Bei XY, Ouyang XY, He L.Case definition of perio-dontitis: a review[J]. Chin J Conserv Dent, 2015, 25(1):45-51.
[19] 曹采芳. 临床牙周病学[M]. 北京: 北京大学医学出版社, 2009:4-5.
Cao CFClinical periodontology[M]. Beijing: Peking University Medical Press, 2009:4-5.
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