Periodontal Pathogens and Adverse Pregnancy Outcomes: A Narrative Review

Periodontal disease is a multi-microbial infection of the teeth-supporting apparatus that manifests as clinical attachment loss and alveolar bone loss. The association between periodontal disease and systemic diseases has been proposed in the literature owing to the former’s chronic state of inflamm...

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Main Authors: Mishali AlSharief, Esraa Alabdurubalnabi
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/7/1559
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author Mishali AlSharief
Esraa Alabdurubalnabi
author_facet Mishali AlSharief
Esraa Alabdurubalnabi
author_sort Mishali AlSharief
collection DOAJ
description Periodontal disease is a multi-microbial infection of the teeth-supporting apparatus that manifests as clinical attachment loss and alveolar bone loss. The association between periodontal disease and systemic diseases has been proposed in the literature owing to the former’s chronic state of inflammation, and adverse pregnancy outcomes are no exception. As a result of periodontal pathogen invasion, a series of systemic inflammatory and immunologic events affecting the safety of the fetoplacental unit may unfold. This may be further exaggerated by physiologic hormonal and metabolic fluctuations during pregnancy. This can not only negatively affect the gestation period and consequently cause preterm low weight but also complicate the pregnancy via preeclampsia and gestational diabetes. This narrative review article aims to provide a summary of relevant available evidence pertinent to the relationship between periodontal diseases, associated periodontal pathogens and virulence mechanisms mediated by pro-inflammatory cytokines and prostaglandins, and adverse pregnancy outcomes. Furthermore, this article highlights some of the literature addressing the impact of periodontal therapy interventions and pregnancy outcomes.
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spelling doaj.art-e05408debc21473ab6f60cb5d1dfb7342023-11-18T20:10:12ZengMDPI AGLife2075-17292023-07-01137155910.3390/life13071559Periodontal Pathogens and Adverse Pregnancy Outcomes: A Narrative ReviewMishali AlSharief0Esraa Alabdurubalnabi1Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi ArabiaFellowship in Periodontics Program, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi ArabiaPeriodontal disease is a multi-microbial infection of the teeth-supporting apparatus that manifests as clinical attachment loss and alveolar bone loss. The association between periodontal disease and systemic diseases has been proposed in the literature owing to the former’s chronic state of inflammation, and adverse pregnancy outcomes are no exception. As a result of periodontal pathogen invasion, a series of systemic inflammatory and immunologic events affecting the safety of the fetoplacental unit may unfold. This may be further exaggerated by physiologic hormonal and metabolic fluctuations during pregnancy. This can not only negatively affect the gestation period and consequently cause preterm low weight but also complicate the pregnancy via preeclampsia and gestational diabetes. This narrative review article aims to provide a summary of relevant available evidence pertinent to the relationship between periodontal diseases, associated periodontal pathogens and virulence mechanisms mediated by pro-inflammatory cytokines and prostaglandins, and adverse pregnancy outcomes. Furthermore, this article highlights some of the literature addressing the impact of periodontal therapy interventions and pregnancy outcomes.https://www.mdpi.com/2075-1729/13/7/1559periodontitisperiodontal pathogensoral microbiomeinflammatory mediatorspregnancyadverse pregnancy outcomes
spellingShingle Mishali AlSharief
Esraa Alabdurubalnabi
Periodontal Pathogens and Adverse Pregnancy Outcomes: A Narrative Review
Life
periodontitis
periodontal pathogens
oral microbiome
inflammatory mediators
pregnancy
adverse pregnancy outcomes
title Periodontal Pathogens and Adverse Pregnancy Outcomes: A Narrative Review
title_full Periodontal Pathogens and Adverse Pregnancy Outcomes: A Narrative Review
title_fullStr Periodontal Pathogens and Adverse Pregnancy Outcomes: A Narrative Review
title_full_unstemmed Periodontal Pathogens and Adverse Pregnancy Outcomes: A Narrative Review
title_short Periodontal Pathogens and Adverse Pregnancy Outcomes: A Narrative Review
title_sort periodontal pathogens and adverse pregnancy outcomes a narrative review
topic periodontitis
periodontal pathogens
oral microbiome
inflammatory mediators
pregnancy
adverse pregnancy outcomes
url https://www.mdpi.com/2075-1729/13/7/1559
work_keys_str_mv AT mishalialsharief periodontalpathogensandadversepregnancyoutcomesanarrativereview
AT esraaalabdurubalnabi periodontalpathogensandadversepregnancyoutcomesanarrativereview