Naslov
Pre-term delivery and periodontal disease: a case-control study from Croatia

Autori
Bošnjak, Andrija ; Relja, Tomislav ; Vučičević-Boras, Vanja ; Plasaj, Hrvoje ; Plančak, Darije

Izvornik
Journal of Clinical Periodontology (0303-6979) 33 (2006), 10; 710-716

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
demographics; periodontitis; pregnancy; pre-term birth; risk factors

Sažetak
AIM: The aim of this report was to assess the strength and influence of periodontitis as a possible risk factor for pre-term birth (PTB) in a cohort of 81 primiparous Croatian mothers aged 18-39 years. METHODS: PTB cases (n = 17 ; mean age 25 +/- 2.9 years ; age range 20-33 years) were defined as spontaneous delivery after less than 37 completed weeks of gestation that were followed by spontaneous labour or spontaneous rupture of membranes. Controls (full-time births) were normal births at or after 37 weeks of gestation (n = 64 ; mean age 25 +/- 2.9 years ; age range 19-39 years). Information on known risk factors and obstetric factors included the current pregnancy history, maternal age at delivery, pre-natal care, nutritional status, tobacco use, alcohol use, genitourinary infections, vaginosis, gestational age, and birth weight. Full-mouth periodontal examination was performed on all mothers within 2 days of delivery. RESULTS: PTB cases had significantly worse periodontal status than controls (p = 0.008). Multivariate logistic regression model, after controlling for other risk factors, demonstrated that periodontal disease is a significant independent risk factor for PTB, with an adjusted odds ratio of 8.13 for the PTB group (95% confidence interval 2.73-45.9). CONCLUSION: Periodontal disease represents a strong, independent, and clinically significant risk factor for PTB in the studied cohort. There are strong indicators that periodontal therapy should form a part of preventive prenatal care in Croatia.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA