Maternal periodontitis and preterm birth: Systematic review and meta-analysis.

Community Dentistry and Oral Epidemiology
Edwar J Manrique-CorredorConcepcion Carratala-Munuera

Abstract

To assess the association between periodontitis and preterm birth in women of childbearing age. This review included analytical case-control studies and prospective cohort studies evaluating the association between maternal periodontitis and preterm birth. Of the 3104 screened articles, 31 met the inclusion criteria for the review, and 20 met the quality criteria. The selected studies included a total of 10 215 women. Twenty articles contributed to the meta-analysis; 16 used a case-control design, and 4 were prospective cohort studies. The study heterogeneity was low (Q = 24.2464; P = 0.1869; I2  = 21.63%). A positive association between maternal periodontitis and preterm birth was found in 60% of the studies. Under the random-effects model, meta-analysis gave an odds ratio (OR) of 2.01 (95% CI 1.71, 2.36), representing a significant positive association between the explanatory and outcome variables. Pregnant mothers with periodontitis double the risk of preterm birth. There is a lack of international consensus for diagnosing maternal periodontitis.

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Citations

Apr 11, 2020·Archives of Gynecology and Obstetrics·I C MicuG V Caracostea
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Mar 28, 2021·Evidence-based Dentistry·Surina Bhola, Andrew Geddis-Regan
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May 21, 2021·Clinical Genetics·Joana CouceiroAlexandre Quintas
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Sep 1, 2021·Periodontology 2000·Karen Raju, Lisa Berens
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