Elzer, Ashraf
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Does Periodontal Treatment During Pregnancy Reduce the Incidence of Preterm Birth Rates?: A Meta-Analysis of Randomized Controlled Trials Elzer, Ashraf; Elzahaf, Raga A; Asrafel, Hameda; Sassi, Khalid; Jedeh, Mohamed
Journal of Dentistry Indonesia Vol. 32, No. 1
Publisher : UI Scholars Hub

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Abstract

Objective: To find out if scaling and root planing for periodontal disease during pregnancy lowers the incidence of preterm births. Methods: This is a meta-analysis study design; searches were conducted in the PubMed database and on Google Scholar between January 2000 and December 2023. Only randomized controlled trials (RCTs) were considered. The studies will be examined to determine the relationship between non-surgical periodontal treatment and preterm birth rates among pregnant women. Results: Only 14 trials were included out of 194 articles identified. The overall result indicated a statistically significant reduction in preterm birth rate when we use the random effects model (odds ratio 0.64, 95% CI: 0.46 to 0.89; p = 0.008). Conclusions: This meta-analysis demonstrates that treating chronic periodontitis with scaling and root planing in pregnant women has a significant impact on reducing the incidence of preterm birth rate. Periodontal disease is common in pregnancy, resulting in a lower quality of life, frequent systemic pathologies, and poor pregnancy outcomes. Given the negative consequences, public health implications, and large disease burden, it is worthwhile to look into more aspects of periodontal disease during pregnancy. Further well-organized studies are still needed.