Periodontal disease treatment and risk of preterm birth: a systematic review and meta-analysis

Detalhes bibliográficos
Autor(a) principal: Rosa,Maria Inês da
Data de Publicação: 2012
Outros Autores: Pires,Patrícia Duarte Simões, Medeiros,Lidia Rosi, Edelweiss,Maria Isabel, Martínez-Mesa,Jeovany
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2012001000002
Resumo: The events leading to preterm birth are still not completely understood. A quantitative systematic review was performed to estimate the effects of periodontal care during pregnancy on preventing preterm birth and low birth weight. The meta-analysis included randomized trials with pregnant women with a diagnosis of periodontal disease before 20 weeks of gestation. Relative risk (RR) with 95% confidence intervals (95%CI) was calculated. We evaluated the reduction in preterm and low birth weight. Thirteen trials were included, comparing 3,576 women in intervention groups with 3,412 women receiving usual care. The meta-analysis of the effects of periodontal disease treatment during pregnancy indicated a non-significant reduction in preterm births (RR = 0.90; 95%CI: 0.68-1.19) and low birth weights (RR = 0.92; 95%CI: 0.71-1.20). The creation and examination of a funnel plot revealed clear evidence of publication bias. In summary, primary periodontal care during pregnancy cannot be considered an efficient way of reducing the incidence of preterm birth.
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spelling Periodontal disease treatment and risk of preterm birth: a systematic review and meta-analysisPeriodontal DiseasePremature BirthLow Birth Weight InfantReviewMeta-AnalysisThe events leading to preterm birth are still not completely understood. A quantitative systematic review was performed to estimate the effects of periodontal care during pregnancy on preventing preterm birth and low birth weight. The meta-analysis included randomized trials with pregnant women with a diagnosis of periodontal disease before 20 weeks of gestation. Relative risk (RR) with 95% confidence intervals (95%CI) was calculated. We evaluated the reduction in preterm and low birth weight. Thirteen trials were included, comparing 3,576 women in intervention groups with 3,412 women receiving usual care. The meta-analysis of the effects of periodontal disease treatment during pregnancy indicated a non-significant reduction in preterm births (RR = 0.90; 95%CI: 0.68-1.19) and low birth weights (RR = 0.92; 95%CI: 0.71-1.20). The creation and examination of a funnel plot revealed clear evidence of publication bias. In summary, primary periodontal care during pregnancy cannot be considered an efficient way of reducing the incidence of preterm birth.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2012-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2012001000002Cadernos de Saúde Pública v.28 n.10 2012reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/S0102-311X2012001000002info:eu-repo/semantics/openAccessRosa,Maria Inês daPires,Patrícia Duarte SimõesMedeiros,Lidia RosiEdelweiss,Maria IsabelMartínez-Mesa,Jeovanyeng2012-10-17T00:00:00Zoai:scielo:S0102-311X2012001000002Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2012-10-17T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Periodontal disease treatment and risk of preterm birth: a systematic review and meta-analysis
title Periodontal disease treatment and risk of preterm birth: a systematic review and meta-analysis
spellingShingle Periodontal disease treatment and risk of preterm birth: a systematic review and meta-analysis
Rosa,Maria Inês da
Periodontal Disease
Premature Birth
Low Birth Weight Infant
Review
Meta-Analysis
title_short Periodontal disease treatment and risk of preterm birth: a systematic review and meta-analysis
title_full Periodontal disease treatment and risk of preterm birth: a systematic review and meta-analysis
title_fullStr Periodontal disease treatment and risk of preterm birth: a systematic review and meta-analysis
title_full_unstemmed Periodontal disease treatment and risk of preterm birth: a systematic review and meta-analysis
title_sort Periodontal disease treatment and risk of preterm birth: a systematic review and meta-analysis
author Rosa,Maria Inês da
author_facet Rosa,Maria Inês da
Pires,Patrícia Duarte Simões
Medeiros,Lidia Rosi
Edelweiss,Maria Isabel
Martínez-Mesa,Jeovany
author_role author
author2 Pires,Patrícia Duarte Simões
Medeiros,Lidia Rosi
Edelweiss,Maria Isabel
Martínez-Mesa,Jeovany
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Rosa,Maria Inês da
Pires,Patrícia Duarte Simões
Medeiros,Lidia Rosi
Edelweiss,Maria Isabel
Martínez-Mesa,Jeovany
dc.subject.por.fl_str_mv Periodontal Disease
Premature Birth
Low Birth Weight Infant
Review
Meta-Analysis
topic Periodontal Disease
Premature Birth
Low Birth Weight Infant
Review
Meta-Analysis
description The events leading to preterm birth are still not completely understood. A quantitative systematic review was performed to estimate the effects of periodontal care during pregnancy on preventing preterm birth and low birth weight. The meta-analysis included randomized trials with pregnant women with a diagnosis of periodontal disease before 20 weeks of gestation. Relative risk (RR) with 95% confidence intervals (95%CI) was calculated. We evaluated the reduction in preterm and low birth weight. Thirteen trials were included, comparing 3,576 women in intervention groups with 3,412 women receiving usual care. The meta-analysis of the effects of periodontal disease treatment during pregnancy indicated a non-significant reduction in preterm births (RR = 0.90; 95%CI: 0.68-1.19) and low birth weights (RR = 0.92; 95%CI: 0.71-1.20). The creation and examination of a funnel plot revealed clear evidence of publication bias. In summary, primary periodontal care during pregnancy cannot be considered an efficient way of reducing the incidence of preterm birth.
publishDate 2012
dc.date.none.fl_str_mv 2012-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2012001000002
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2012001000002
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0102-311X2012001000002
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Cadernos de Saúde Pública v.28 n.10 2012
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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