IADR Abstract Archives

CARIES, PERIODONTAL DISEASE and PERIODONTOPATIC FEATURES in EXTREME MATERNAL MORBIDITY

Objectives: To establish dental, periodontal and microbiological characteristics in pregnant with and without extreme maternal morbidity hospitalized
Methods: A case-control study was designed comparing sociodemographic conditions, dental, periodontal and subgingival microbiological characteristics in EMM as cases and in hospitalized patients without extreme maternal morbidity (NEMM) as controls, at one University Hospital. Patients were classified for EMM by institutional gynecologists with the criteria established by the Colombian National Institute of Health.
Results: 34 EMM cases and 35 controls were included and the most prevalent disease-specific criterion for EMM was severe preeclampsia (70.6%); while the most prevalent diagnosis was non-severe preeclampsia (57.1%) and premature rupture of membranes (20%) in controls. Caries prevalence and DMFT score were similar among study groups. Periodontal disease affected all study population and moderate and severe periodontitis was more prevalent in EMM (85.3%) as compared to NEMM (17.14%) In contrast, gingivitis and slight periodontitis was prevalent in NEMM (82.86%) as compared to EMM (14.7%). In the logistic model, periodontitis severity as well as T. forsythensis, P. micra, Campylobacter species and Gram-negative enteric bacilli were associated with EMM.
Conclusions: This study revealed a higher severity of periodontal disease, and presence of some periodontopathic species in EMM but the exact pathogenetic mechanisms linking both conditions is still unknown

2022 IADR/APR General Session (Virtual)

2022
0110
Periodontal Research-Diagnosis/Epidemiology
  • Pacheco, Olga  ( Universidad del Valle , Cali , Valle , Colombia )
    • NONE
    Interactive Talk Session
    Diagnosis/Epidemiology I
    Wednesday, 06/22/2022 , 08:00AM - 09:30AM
    Dental and periodontal characteristics of pregnant women
    VariableWithout EMM
    n = 35
    (50.7%)    		With EMM
    n=34
    (49.27%)    		Total
    N = 69
    (100%)    		p value
    Tooth decay25 (71.43)24 (70.59)49 (71.01)0.939
    DMF index

    # Decayed teeth
    # Missing teeth
    # Filled teeth    		9.11± 4.52

    3.11 ± 4.26
    1.06 ± 1.55
    4.74 ± 3.45    		7.71 ± 3.99

    2.88 ± 3.08
    1.15 ± 1.81
    3.71 ± 2.94    		8.42 ± 4.30

    3.00 ± 3.70
    1.10 ± 1.67
    4.23 ± 3.23    		0.1752

    0.8833
    0.8078
    0.1778
    Periodontal Condition

    Health
    Gingivitis
    Mild Periodontitis
    Moderate Periodontitis
    Severe Periodontitis    		.
    .
    0 (0.00)
    18 (51.43)
    11 (31,43)
    6 (17.14)
    0 0 (0.00)    		.
    .
    0 (0.00)
    1 (2.94)
    4 (11.76)
    16 (47.06)
    13 (38.24)    		.
    .
    0 (0.00)
    19 (27.54)
    15 (21.74)
    22 (32.88)
    13 (8.84)    		.
    .
    0.000*
    0.000*
    0.000*
    0.000*
    0.000*
    Periodontal Parameters+

    CAL (mm)
    PD(mm)
    BOP
    # of teeth in mouth    		.
    .
    1.38 ± 0.573
    2.78 ± 0.282
    32.48 ± 16.94
    26.71 ± 1.655    		.
    .
    2.01± 0.637
    3.83 ± 0.472
    2.86 ± 0.419
    26.82 ± 1.866    		.
    .
    1.69 ± 0.679
    2.86 ± 0.419
    44.23 ± 26.77
    26.76 ± 1.75    		.
    .
    0.994
    0.037*
    0.017*
    0.797
    Statistical test: t-student Significance Value p< =0.005 + x ± SD DMF index X ± SD Periodontal condition according to AAP-1996 criteria. CAL: clinical attachment loss. PD: probing depth. BOP: bleeding on probing
    Raw and adjusted linear regression of the variables associated with EMM
     ORc (IC95%)p valueORa (IC95%)p value
    Age2.94 (0.90 - 9.51)0.0722.20 (0.31 -15.48)0.315
    Socioeconomic status2.38 (1.13 - 5.01)0.021*2.27 (0.68 - 7.61)0.181
    Periodontal disease severity 8.63 (3.39 - 21.99)0.000*6.63 (2.41 - 18.23)0.000*
    Tannerella forsythensis7.46 (1.98 - 29.27)0.004*7.01 (1.38 - 35.41)0.012*
    Campylobacter spp3.06 (1.09 - 8.62)0.033*3.63 (1.00 - 13.18)0.050
    Parvimonas micra3.84 (0.93 - 15.68)0.0617.16 (1.36 - 37.66)0.020*
    Gram ( - ) Enteric bacilli 7.46 (1.98 - 29.27)0.004*12.73 (2.50 - 64.72)0.002*
    Statistical test: Unadjusted and adjusted logistic regression analysis Adjusted model *Pseudo R2 = 0.5227 for Age- Socioeconomic status - Periodontal disease severity Fitted model Pseudo R2 = 0.3027 for (Tf) (Cam spp) (Pm) Gram(-) enteric bacilli