Fogágybetegség kezelésének hatása a terhesség kimenetelére

Autor: László Hodoniczki, Zoltan Kozinszky, Nándor Práger, Gábor Németh, István Gorzó, Tibor Novák, Márta Radnai
Rok vydání: 2018
Předmět:
Zdroj: Orvosi Hetilap. 159:978-984
ISSN: 1788-6120
0030-6002
DOI: 10.1556/650.2018.31103
Popis: Abstract: Introduction: Correlations between periodontitis and its effects on the outcome of pregnancies are actually more focused topics. Maternal motivation for a good oral hygiene and preventive dental treatment must be highlighted tasks during pregnancy care. Aim: The authors analysed the effect of the preventive dental treatment during pregnancy and its obstetrical effects. Method: In a prospective randomised study, including pregnant women observed for threatening preterm deliveries, patients with dental examination (n = 71) were compared with patients undergoing dental treatment at the same time (n = 79). Statistical analysis: Univariate comparisons for categorical variables were assessed by χ2 tests and independent Student’s t-tests for continuous variables. ORs were compared with Mantel–Haenszel tests. Multivariable logistic regression was performed to evaluate the factors determining the poor periodontal parameters and gingivitis separately. The two-tailed statistical significance level was set at 5%. Results: In the dental treatment group, the neonatal birth weight was significantly higher than in the non-treated group, in case of patients with periodontitis (2990 ± 582.3 g vs 2568.1 ± 699.1 g, p = 0.005). Also the average age at delivery was significantly higher in the treated vs non-treated groups (37.3 ± 1.9 vs 36.0 ± 2.9 weeks, p = 0.027), and the treatment had a beneficial effect on the prolongation of pregnancy, with a higher level of significance in the gingivitis group vs patients with periodontitis groups (p = 0.02 vs p = 0.043). Conclusions: Dental treatment of expecting women has a beneficial effect on the prolongation of pregnancy by decreasing the rate of prematurity and perinatal complications. Orv Hetil. 2018; 159(24): 978–984.
Databáze: OpenAIRE