Risk association between periodontitis and preeclampsia. a retrospective systematic review
DOI:
https://doi.org/10.33448/rsd-v10i10.19200Keywords:
Peridontal disease; Preeclampsia; Periodontitis; Adverse effects of pregnancy; Risk factors.Abstract
Objective. The present systematic review aims to evaluate the available literature on the risk association between periodontitis and preeclampsia. Methodology. A search was carried out for scientific articles that studied the association between periodontitis and preeclampsia, the MEDLINE (PubMed) and Scopus platforms were used as search engines, case-control studies were selected that reported results such as the OR (Odds ratio), clear definitions and appropriate diagnostic criteria for periodontitis and preeclampsia. The review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta analysis) guidelines. In addition, the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement was used to control the quality of the included studies. Results. Applying the inclusion and exclusion criteria, 15 case-control studies were obtained and included in the review. Of the 15 included studies, 13 (86.67%) showed a positive association between periodontitis and the development of preeclampsia. Age, parity, and smoking were the most controlled variables in each study. Conclusion. Periodontitis was a risk factor for preeclampsia, emphasizing the importance of periodontal care in prenatal programs. Systematic review registration: PROSPERO CRD42020205855.
References
Barak, S., Oettinger-Barak, O., Machtei, E. E., Sprecher, H., & Ohel, G. (2007). Evidence of Periopathogenic Microorganisms in Placentas of Women With Preeclampsia. Journal of Periodontology, 78(4), 670–676. https://doi.org/10.1902/jop.2007.060362
Boggess, K. A., Lieff, S., Murtha, A. P., Moss, K., Beck, J., & Offenbacher, S. (2003). Maternal periodontal disease is associated with an increased risk for preeclampsia. Obstetrics and Gynecology, 101(2), 227–231. https://doi.org/10.1016/S0029-7844(02)02314-1
Canakci, V., Canakci, C. F., Canakci, H., Canakci, E., Cicek, Y., Ingec, M., Ozgoz, M., Demir, T., Dilsiz, A., & Yagitz, H. (2004). Periodontal Disease as a Risk Factor for Preeclampsia. Australian and New Zealand Journal of Obstetrics and Gynaecology, 1(1), 568–573. https://doi.org/10.17795/intjsh-18908
Carvajal, P. (2016). Enfermedades periodontales como un problema de salud pública: el desafío del nivel primario de atención en salud. Revista Clínica de Periodoncia, Implantología y Rehabilitación Oral, 9(2), 177–183. https://doi.org/10.1016/j.piro.2016.07.001
Casas, A. (2020). Nueva clasificación de enfermedades periodontales y periimplantarias. Revista el dentista moderno, 28–41. https://www.eldentistamoderno.com/wp-content/uploads/pdf/DM48-pag28-41.pdf
Collet, M., & Beillard, C. (2005). Conséquences du tabagisme sur le développement fœtal et le risque de retard de croissance intra-utérin ou de mort fœtale in utero. J Gynecol Obstet Biol Reprod, 34(1), 135–145. https://doi.org/10.4324/9781843141051-5
Conde-Agudelo, A., Villar, J., & Lindheimer, M. (2008). Maternal infection and risk of preeclampsia: Systematic review and metaanalysis. American Journal of Obstetrics and Gynecology, 198(1), 7–22. https://doi.org/10.1016/j.ajog.2007.07.040
Condo-Baque, C., Barreto-Pincay, G., Montaño-Parrales, G., Borbor-Sánchez, L., Manrique-Regalado, G., & García-Sigcha, A. (2018). Preeclampsia y eclampsia en pacientes atendidas en el área de emergencia del Hospital Verdi Cevallos Balda julio 2016 - junio del 2017. Revista Cientifica Dominio de Las Ciencias, 4(3), 278–293. https://doi.org/http://dx.doi.org/10.23857/dc.v4i3.810
Contreras, A., Herrera, J. A., Soto, J. E., Arce, R. M., Jaramillo, A., & Botero, J. E. (2006). Periodontitis Is Associated With Preeclampsia in Pregnant Women. Journal of Periodontology, 77(2), 182–188. https://doi.org/10.1902/jop.2006.050020
Cota, L. O. M., Guimarães, A. N., Costa, J. E., Lorentz, T. C., & Costa, F. O. (2006). Association Between Maternal Periodontitis and an Increased Risk of Preeclampsia. Journal of Periodontology, 77(12), 2063–2069. https://doi.org/10.1902/jop.2006.060061
Das, S., Das, R., Bajracharya, R., Baral, G., Jabegu, B., Odland, J. Ø., & Odland, M. L. (2019). Incidence and risk factors of pre-eclampsia in the paropakar maternity and women’s hospital, Nepal: A retrospective study. International Journal of Environmental Research and Public Health, 16(19), 1–8. https://doi.org/10.3390/ijerph16193571
De Jesús-García, A., Jimenez-Baez, M. V., González-Ortiz, D. G., De la Cruz-Toledo, P., Kuc-Peña, L. M., & Sandoval-Jurado, L. (2018). Características clínicas, epidemiológicas y riesgo obstétrico de pacientes con preeclampsia-eclampsia. Rev. enferm. Inst. Mex. Seguro Soc, 26(4), 256–262. https://www.medigraphic.com/pdfs/enfermeriaimss/eim-2018/eim184e.pdf
Dekker, G., & Sibai, B. (2001). Primary, secondary, and tertiary prevention of pre-eclampsia. The Lancet, 357, 209–215. https://doi.org/10.1016/S0140-6736(00)03599-6
Desai, K., Desai, P., Duseja, S., Kumar, S., Mahendra, J., & Duseja, S. (2015). Significance of maternal periodontal health in preeclampsia. Journal of International Society of Preventive and Community Dentistry, 5(2), 103–107. https://doi.org/10.4103/2231-0762.155734
Ha, J. E., Oh, K. joon, Yang, H. J., Jun, J. K., Jin, B. H., Paik, D. Il, & Bae, K. H. (2011). Oral Health Behaviors, Periodontal Disease, and Pathogens in Preeclampsia: A Case-Control Study in Korea. Journal of Periodontology, 82(12), 1685–1692. https://doi.org/10.1902/jop.2011.110035
Herrera, D., Figuero, E., Shapira, L., Jin, L., & Sanz, M. (2018). La nueva clasificación de las enfermedades periodontales. Revista Científica de la Sociedad Española de Periodoncia, 11. http://www.sepa.es/web_update/wp-content/uploads/2018/10/p11ok.pdf
Huang, X., Wang, J., Liu, J., Hua, L., Zhang, D., Hu, T., & Ge, Z. li. (2014). Maternal periodontal disease and risk of preeclampsia: A meta-analysis. Journal of Huazhong University of Science and Technology - Medical Science, 34(5), 729–735. https://doi.org/10.1007/s11596-014-1343-8
Komar, K., Glavina, A., Boras, V. V., Verzak, Ž., & Brailo, V. (2018). Impact of smoking on oral health: Knowledge and attitudes of dentists and dental students. Acta Stomatologica Croatica, 52(2), 148–155. https://doi.org/10.15644/asc52/2/8
Konopka, T., & Zakrzewska, A. (2020). Periodontitis and risk for preeclampsia - A systematic review. Ginekologia Polska, 91(3), 158–164. https://doi.org/10.5603/GP.2020.0024
Kunnen, A., Blaauw, J., Van Doormaal, J. J., Van Pampus, M. G., Van Der Schans, C. P., Aarnoudse, J. G., Van Winkelhoff, A. J., & Abbas, F. (2007). Women with a recent history of early-onset pre-eclampsia have a worse periodontal condition. Journal of Clinical Periodontology, 34(3), 202–207. https://doi.org/10.1111/j.1600-051X.2006.01036.x
Kunnen, A., Van Doormaal, J. J., Abbas, F., Aarnoudse, J. G., Van Pampus, M. G., & Faas, M. M. (2010). Periodontal disease and pre-eclampsia: A systematic review. Journal of Clinical Periodontology, 37(12), 1075–1087. https://doi.org/10.1111/j.1600-051X.2010.01636.x
Lohsoonthorn, V., Kungsadalpipob, K., Chanchareonsook, P., Limpongsanurak, S., Vanichjakvong, O., Sutdhibhisal, S., Sookprome, C., Wongkittikraiwan, N., Kamolpornwijit, W., Jantarasaengaram, S., Manotaya, S., Siwawej, V., Barlow, W. E., Fitzpatrick, A. L., & Williams, M. A. (2009). Maternal periodontal disease and risk of preeclampsia: A case-control study. American Journal of Hypertension, 22(4), 457–463. https://doi.org/10.1038/ajh.2008.365
Macedo, T. C. C., Montagna, E., Trevisan, C. M., Zaia, V., De Oliveira, R., Barbosa, C. P., Laganà, A. S., & Bianco, B. (2020). Prevalence of preeclampsia and eclampsia in adolescent pregnancy: A systematic review and meta-analysis of 291,247 adolescents worldwide since 1969. European Journal of Obstetrics and Gynecology and Reproductive Biology, 248, 177–186. https://doi.org/10.1016/j.ejogrb.2020.03.043
Moura da Silva, G., Coutinho, S. B., Piscoya, M. D. B., Ximenes, R. A., & Jamelli, S. R. (2012). Periodontitis as a Risk Factor for Preeclampsia. Journal of Periodontology, 83(11), 1388–1396. https://doi.org/10.1902/jop.2012.110256
Nazir, M., Al-Ansari, A., Al-Khalifa, K., Alhareky, M., Gaffar, B., & Almas, K. (2020). Global Prevalence of Periodontal Disease and Lack of Its Surveillance. The Scientific World Journal. https://doi.org/10.1155/2020/2146160
Nocini, R., Lippi, G., & Mattiuzzi, C. (2020). Periodontal disease: the portrait of an epidemic. Journal of Public Health and Emergency, 4(10). https://doi.org/10.21037/jphe.2020.03.01
OMS. (2014). Recomedaciones de la OMS para la prevención y el tratamiento de la preeclmpsia y la eclampsia. 1–38. http://apps.who.int/iris/bitstream/10665/138405/1/9789243548333_spa.pdf?ua=1&ua=1
Pereira Calvo, J., Pereira Rodríguez, Y., & Quirós Figueroa, L. (2020). Actualización en preeclampsia (Update in preeclampsia). Revista Médica Sinergia, 5(1). https://doi.org/https://doi.org/10.31434/rms.v5i1.340
Politano, G. T., Passini, R., Nomura, M. L., Velloso, L., Morari, J., & Couto, E. (2011). Correlation between periodontal disease, inflammatory alterations and pre-eclampsia. Journal of Periodontal Research, 46(4), 505–511. https://doi.org/10.1111/j.1600-0765.2011.01368.x
Pralhad, S., Thomas, B., & Kushtagi, P. (2013). Periodontal Disease and Pregnancy Hypertension: A Clinical Correlation. Journal of Periodontology, 84(8), 1118–1125. https://doi.org/10.1902/jop.2012.120264
Sayar, F., Sadat Hoseini, M., & Abbaspour, S. (2011). Effect of periodontal disease on preeclampsia. Iranian Journal of Public Health, 40(3), 122–127. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481644/
Sgolastra, F., Petrucci, A., Severino, M., Gatto, R., & Monaco, A. (2013). Relationship between periodontitis and pre-eclampsia: a meta-analysis. PLOS ONE, 8(8), 24–26. https://doi.org/10.1371/journal.pone.0071387
Shetty, M., Shetty, P. K., Ramesh, A., Thomas, B., Prabhu, S., & Rao, A. (2010). Periodontal disease in pregnancy is a risk factor for preeclampsia. Acta Obstetricia et Gynecologica Scandinavica, 89(5), 718–721. https://doi.org/10.3109/00016341003623738
Siqueira, F. M., Miranda Cota, L. O., Costa, J. E., Amaral Haddad, J. P., Quintão Lana, Â. M., & Oliveira Costa, F. (2008). Maternal Periodontitis as a Potential Risk Variable for Preeclampsia: A Case-Control Study. Journal of Periodontology, 79(2), 207–215. https://doi.org/10.1902/jop.2008.070174
Taghzouti, N., Xiong, X., Gornitsky, M., Chandad, F., Voyer, R., Gagnon, G., Leduc, L., Xu, H., Tulandi, T., Wei, B., Sénécal, J., Velly, A. M., Salah, M. H., & Fraser, W. D. (2012). Periodontal Disease is Not Associated With Preeclampsia in Canadian Pregnant Women. Journal of Periodontology, 83(7), 871–877. https://doi.org/10.1902/jop.2011.110342
Urrutia, G., & Bonfill, X. (2010). Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis. Medicina Clínica, 135(11), 507–511. https://doi.org/https://doi.org/10.1016/j.medcli.2010.01.015
Vandenbroucke, J. P., Von Elm, E., Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J., Poole, C., Schlesselman, J. J., & Egger, M. (2009). Mejorar la comunicación de estudios observacionales en epidemiología (STROBE): explicación y elaboración. Gaceta Sanitaria, 23(2), 1–28. https://doi.org/10.1016/j.gaceta.2008.12.001
Varshney, S., & Gautam, A. (2014). Poor periodontal health as a risk factor for development of pre-eclampsia in pregnant women. Journal of Indian Society of Periodontology, 18(3), 321–325. https://doi.org/10.4103/0972-124X.134569
Wang, J., Yang, W., Xiao, W., & Cao, S. (2021). The association between smoking during pregnancy and hypertensive disorders of pregnancy: A systematic review and meta‐analysis. International Journal of Gynecology & Obstetrics, 00, 1–11. https://doi.org/10.1002/ijgo.13709
Wei, B. J., Chen, Y. J., Yu, L., & Wu, B. (2013). Periodontal Disease and Risk of Preeclampsia: A Meta-Analysis of Observational Studies. PLOS ONE, 8(8), 1–6. https://doi.org/10.1371/journal.pone.0070901
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