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Comparative Study on the Periodontal Parameters Used in Diagnosing Periodontitis in Puerperae and Periodontitis' Relationship with the Birth of Preterm Infants: A Case-Control Study
To compare different criteria for the diagnosis of periodontitis and to evaluate the association of this condition with prematurity, this case-control study was conducted on 283 mothers of infants, divided into two groups based on gestational age (cases:
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Published in: | International journal of environmental research and public health 2024-01, Vol.21 (2), p.156 |
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container_title | International journal of environmental research and public health |
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creator | de Vasconcelos Calixto, Nayra Rodrigues Lopes, Fernanda Ferreira Franco, Marcela Mayana Pereira Gomes-Filho, Isaac Suzart Benatti, Bruno Braga Alves, Cláudia Maria Coêlho |
description | To compare different criteria for the diagnosis of periodontitis and to evaluate the association of this condition with prematurity, this case-control study was conducted on 283 mothers of infants, divided into two groups based on gestational age (cases: |
doi_str_mv | 10.3390/ijerph21020156 |
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< 0.05). 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The periodontal evaluation included probing depth (PD), clinical attachment level (CAL), plaque index, and bleeding on probing (BOP). Participants were classified regarding periodontitis per 14 criteria based on different periodontal parameters. The criterion selected as the gold standard was the presence of at least four teeth with one or more sites with a PD ≥ 4 mm, CAL ≥ 3 mm, and BOP at the same site. The prevalence of periodontal disease ranged from 8.1% to 55.1%. Moreover, compared to the gold standard, the sensitivities of the other criteria were 100%, while specificity ranged from 50.4% to 96.4%. Periodontitis, defined by six of the selected criteria, was associated with prematurity after multivariate adjustment, with OR ranging from 1.85 to 2.69 and 95% CI from 1.01 to 5.56; one of them was the gold standard mentioned above. 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< 0.05). Given this study's limitations, we can conclude that the diagnostic criteria for a periodontitis definition using a PD ≥ 4 mm and CAL ≥ 3 mm in two or more teeth, with BOP at the same site, seem stronger when detecting an association between periodontitis and prematurity.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>38397649</pmid><doi>10.3390/ijerph21020156</doi><orcidid>https://orcid.org/0000-0001-5818-412X</orcidid><orcidid>https://orcid.org/0000-0001-9144-6793</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Birth weight Case-Control Studies Comparative analysis Eclampsia Family income Female Gum disease Humans Hypertension Infant Infant, Newborn Infant, Premature Infants Mothers Obstetrics Periodontal Diseases - complications Periodontitis - complications Periodontitis - diagnosis Periodontitis - epidemiology Premature birth Premature labor Social classes Socioeconomic factors Software Teeth Urinary tract infections Womens health |
title | Comparative Study on the Periodontal Parameters Used in Diagnosing Periodontitis in Puerperae and Periodontitis' Relationship with the Birth of Preterm Infants: A Case-Control Study |
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