The Impact of Periodontal Disease on Preterm Birth and Preeclampsia

Author:

Tsikouras Panagiotis1,Oikonomou Efthymios1ORCID,Nikolettos Konstantinos1,Andreou Sotiris1,Kyriakou Dimitrios1,Damaskos Christos23ORCID,Garmpis Nikolaos4ORCID,Monastiridou Vassiliki1,Nalmpanti Theopi1,Bothou Anastasia56,Iatrakis George67ORCID,Nikolettos Nikolaos1

Affiliation:

1. Department of Obstetrics and Gynecology, Democritus University of Thrace, 68100 Alexandroupolis, Greece

2. Department of Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece

3. Renal Transplantation Unit, Laiko General Hospital, 11527 Athens, Greece

4. Department of Surgery, Sotiria Hospital, 11527 Athens, Greece

5. Neonatal Department, University Hospital Alexandra, 11528 Athens, Greece

6. Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, 11528 Athens, Greece

7. Department of Obstetrics and Gynecology, Rea Maternity Hospital, 17564 Athens, Greece

Abstract

This review delves into the possible connection between periodontitis and negative pregnancy outcomes, such as preeclampsia and preterm birth. It highlights the potential influence of an unidentified microbial factor on preeclampsia and the effects of inflammatory responses on the rate of preterm births. Furthermore, it underscores the prevalent occurrence of oral ailments within the populace and their significant repercussions on quality of life. Hormonal fluctuations during pregnancy may exacerbate oral conditions such as pregnancy gingivitis and periodontitis, necessitating bespoke therapeutic approaches that take into account potential fetal ramifications. Periodontal disease, characterized by microbial attack and inflammatory response, results in tissue destruction and tooth loss. The oral cavity’s susceptibility to bacterial colonization, which is primarily due to its role as a site for food intake, is highlighted. Furthermore, research indicates a correlation between inflammatory responses and factors such as prostaglandin E2 and IL-1β, and preterm birth. Therapeutic interventions are a focus of international research, with efforts being aimed at optimizing outcomes through larger studies involving pregnant women.

Publisher

MDPI AG

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