Journal of Indian Society of Periodontology

REVIEW ARTICLE
Year
: 2020  |  Volume : 24  |  Issue : 1  |  Page : 7--14

The influence of nonsurgical periodontal therapy on the occurrence of adverse pregnancy outcomes: A systematic review of the current evidence


Rohini Govindasamy1, Sugavanesh Periyasamy2, Mohan Narayanan3, Venkateshwarapuram Rengasamy Balaji1, Manikandan Dhanasekaran1, Balakrishnan Karthikeyan1 
1 Department of Periodontics, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu, India
2 Department of Public Health Dentistry, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu, India
3 Department of Oral Medicine and Radiology, Vinayaga Mission Dental College, Salem, Tamil Nadu, India

Correspondence Address:
Dr Rohini Govindasamy
Department of Periodontics, CSI College of Dental Sciences and Research, No. 129, East Veli Street, Madurai - 625 001, Tamil Nadu
India

Background and Objectives: The poor maternal oral health in the pregnancy has an impact on the fetus through the oral-systemic link. Various studies have proven the relationship between poor maternal oral health and the occurrence of adverse pregnancy outcomes. Hence, periodontal therapy becomes indispensable during pregnancy. Previous systematic reviews and meta-analysis conducted to assess the influence of periodontal therapy on the occurrence of adverse pregnancy outcomes have shown inconsistent results. Hence, we conducted the present review to assess the influence of periodontal therapy on the occurrence of adverse pregnancy outcomes including the studies published till date. Materials and Methods: We searched for the relevant studies using the databases PUBMED, MEDLINE, CINAHL, and EMBASE on the randomized controlled trials evaluating the influence of periodontal treatment on adverse pregnancy outcomes from 2000 to 2018. Nineteen studies were considered for the present review based on the predetermined criteria. The risk of bias tool by Cochrane was used to evaluate the risk of bias among the studies. Results: Among the studies included for the present review, the occurrence of preterm birth among the pregnant mothers who received periodontal therapy ranged from 0% to 53.5%, while in the control group, the range was 6.38%–72%. The rate of LBW among the mothers treated for periodontal disease ranged from 0% to 36%, and in the control group, it varied from 1.15% to 53.9%. Conclusion: With best possible evidence, it can be inferred that nonsurgical periodontal therapy is safe during pregnancy. Even though it does not completely avert the occurrence of adverse pregnancy outcomes, it can be recommended as a part of antenatal care.


How to cite this article:
Govindasamy R, Periyasamy S, Narayanan M, Balaji VR, Dhanasekaran M, Karthikeyan B. The influence of nonsurgical periodontal therapy on the occurrence of adverse pregnancy outcomes: A systematic review of the current evidence.J Indian Soc Periodontol 2020;24:7-14


How to cite this URL:
Govindasamy R, Periyasamy S, Narayanan M, Balaji VR, Dhanasekaran M, Karthikeyan B. The influence of nonsurgical periodontal therapy on the occurrence of adverse pregnancy outcomes: A systematic review of the current evidence. J Indian Soc Periodontol [serial online] 2020 [cited 2020 Feb 26 ];24:7-14
Available from: http://www.jisponline.com/article.asp?issn=0972-124X;year=2020;volume=24;issue=1;spage=7;epage=14;aulast=Govindasamy;type=0