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Published in: BMC Oral Health 1/2018

Open Access 01-12-2018 | Research article

History of periodontal treatment and risk for intrauterine growth restriction (IUGR)

Authors: Cande V. Ananth, Howard F. Andrews, Panos N. Papapanou, Angela M. Ward, Emilie Bruzelius, Mary Lee Conicella, David A. Albert

Published in: BMC Oral Health | Issue 1/2018

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Abstract

Background

To explore the hypothesis that maternal periodontitis is associated with increased risk for Intrauterine Growth Restriction (IUGR), we examined the risk of IUGR in relation to periodontal treatment before, during and after pregnancy.

Methods

We conducted a retrospective cohort analysis of insurance claims data from 2009 to 2012 for women who delivered a singleton live birth (n = 32,168). IUGR was examined as a function of type and timing of dental treatment, adjusting for potential confounders in logistic regression. Sensitivity analysis evaluated the potential effects of unmeasured confounding.

Results

Women who received periodontal treatment after delivery, indicating the presence of untreated periodontal disease during pregnancy, had significantly higher odds of IUGR compared to women who received no periodontal treatment (adjusted OR 1.5, 95% CI 1.2, 1.8).

Conclusions

Periodontal treatment provided in the immediate postpartum period, a proxy for periodontitis during gestation, was associated with increased risk of IUGR.
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Metadata
Title
History of periodontal treatment and risk for intrauterine growth restriction (IUGR)
Authors
Cande V. Ananth
Howard F. Andrews
Panos N. Papapanou
Angela M. Ward
Emilie Bruzelius
Mary Lee Conicella
David A. Albert
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2018
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-018-0623-2

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