Poor periodontal health as a risk factor for development of pre-eclampsia in pregnant women

Aims: Periodontal disease has been considered a systemic exposure implicated in a higher risk of adverse pregnancy outcomes. The aim of the present study was to determine whether maternal oral health is associated with an increased risk of pre-eclampsia. Subjects and Methods: A case-control study wa...

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Main Authors: Shailesh Varshney, Akansha Gautam
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Journal of Indian Society of Periodontology
Subjects:
Online Access:http://www.jisponline.com/article.asp?issn=0972-124X;year=2014;volume=18;issue=3;spage=321;epage=325;aulast=Varshney
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author Shailesh Varshney
Akansha Gautam
author_facet Shailesh Varshney
Akansha Gautam
author_sort Shailesh Varshney
collection DOAJ
description Aims: Periodontal disease has been considered a systemic exposure implicated in a higher risk of adverse pregnancy outcomes. The aim of the present study was to determine whether maternal oral health is associated with an increased risk of pre-eclampsia. Subjects and Methods: A case-control study was conducted which included 40 pregnant women patients admitted to the Department of Obstetrics and Gynecology, J.N. Medical College, A.M.U, Aligarh. Pre-eclampsia was defined as classic triad of hypertension, proteinuria and symptoms such as swelling/edema esp. in hands and face, headache, visual changes etc., A periodontal examination was done during 48 h after child delivery. Maternal oral status was evaluated using gingival index by Loe and Silness, oral hygiene index (simplified) by greene and vermillion and periodontal pockets and clinical attachment level (CAL). Statistical Analysis: Null hypothesis that no difference exist between the two groups (pre-eclamptic and non-pre-eclamptic Group) was calculated using paired t-test, Chi-square and Mann-Whitney U statistical tests using SPSS 11.5 (Statistical Package for Social sciences, Chicago). P < 0.05 was considered to be statistically significant. Results: The amount of gingival inflammation, oral hygiene levels, pocket depth and CALs as measured by their respective indices were higher in the pre-eclamptic group when compared to non-pre-eclamptic group. Furthermore CAL was significantly increased in the test group. This study showed that pre-eclamptic cases were more likely to develop periodontal disease (P < 0.05). 30% of the test group and 65% of the case group had periodontal disease (P < 0.05) which had shown that pre-eclamptic cases were 4.33 times more likely to have periodontal disease (odds ratio = 4.33). Conclusions: Maternal oral status was determined to be associated with an increased risk of pre-eclampsia.
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spelling doaj.art-c04f85d4e18f43409a7f7c1b9ec54ab52022-12-21T19:06:45ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2014-01-0118332132510.4103/0972-124X.134569Poor periodontal health as a risk factor for development of pre-eclampsia in pregnant womenShailesh VarshneyAkansha GautamAims: Periodontal disease has been considered a systemic exposure implicated in a higher risk of adverse pregnancy outcomes. The aim of the present study was to determine whether maternal oral health is associated with an increased risk of pre-eclampsia. Subjects and Methods: A case-control study was conducted which included 40 pregnant women patients admitted to the Department of Obstetrics and Gynecology, J.N. Medical College, A.M.U, Aligarh. Pre-eclampsia was defined as classic triad of hypertension, proteinuria and symptoms such as swelling/edema esp. in hands and face, headache, visual changes etc., A periodontal examination was done during 48 h after child delivery. Maternal oral status was evaluated using gingival index by Loe and Silness, oral hygiene index (simplified) by greene and vermillion and periodontal pockets and clinical attachment level (CAL). Statistical Analysis: Null hypothesis that no difference exist between the two groups (pre-eclamptic and non-pre-eclamptic Group) was calculated using paired t-test, Chi-square and Mann-Whitney U statistical tests using SPSS 11.5 (Statistical Package for Social sciences, Chicago). P < 0.05 was considered to be statistically significant. Results: The amount of gingival inflammation, oral hygiene levels, pocket depth and CALs as measured by their respective indices were higher in the pre-eclamptic group when compared to non-pre-eclamptic group. Furthermore CAL was significantly increased in the test group. This study showed that pre-eclamptic cases were more likely to develop periodontal disease (P < 0.05). 30% of the test group and 65% of the case group had periodontal disease (P < 0.05) which had shown that pre-eclamptic cases were 4.33 times more likely to have periodontal disease (odds ratio = 4.33). Conclusions: Maternal oral status was determined to be associated with an increased risk of pre-eclampsia.http://www.jisponline.com/article.asp?issn=0972-124X;year=2014;volume=18;issue=3;spage=321;epage=325;aulast=VarshneyCase-control studyperiodontal diseasepre-eclampsiapregnancyrisk factor
spellingShingle Shailesh Varshney
Akansha Gautam
Poor periodontal health as a risk factor for development of pre-eclampsia in pregnant women
Journal of Indian Society of Periodontology
Case-control study
periodontal disease
pre-eclampsia
pregnancy
risk factor
title Poor periodontal health as a risk factor for development of pre-eclampsia in pregnant women
title_full Poor periodontal health as a risk factor for development of pre-eclampsia in pregnant women
title_fullStr Poor periodontal health as a risk factor for development of pre-eclampsia in pregnant women
title_full_unstemmed Poor periodontal health as a risk factor for development of pre-eclampsia in pregnant women
title_short Poor periodontal health as a risk factor for development of pre-eclampsia in pregnant women
title_sort poor periodontal health as a risk factor for development of pre eclampsia in pregnant women
topic Case-control study
periodontal disease
pre-eclampsia
pregnancy
risk factor
url http://www.jisponline.com/article.asp?issn=0972-124X;year=2014;volume=18;issue=3;spage=321;epage=325;aulast=Varshney
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