Evidence map›Paper›PMID 41039851›Full record

SynthesisInternational journal of dental hygiene2026

The Risk of Preterm Birth in Women With Periodontitis: A Systematic Review and Meta-Analysis.

Dimitris Sokos, Dagmar Else Slot, Berna Dogan, Sergio Bizzarro

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International journal of dental hygiene, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Dimitris SokosDepartment of Periodontology, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-5609-0864
Dagmar Else SlotDepartment of Periodontology, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0001-7234-0037
Berna DoganDepartment of Periodontology, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Sergio BizzarroDepartment of Periodontology, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-5228-5998

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPrevious studies have explored the association between periodontitis and preterm birth (PTB), with conflicting results primarily due to variability in methodology, statistical analyses and the case definitions of both conditions. This study aimed to synthesise critically the available scientific evidence of observational studies that evaluate the risk of PTB in pregnant women with or without periodontitis. MATERIAL AND

methodsMEDLINE-PubMed and Cochrane databases were searched from their inception through June 2025 to identify eligible studies evaluating the incidence of PTB in women with periodontitis compared to those without. Inclusion required that periodontitis be defined through full-mouth clinical examination, assessing probing pocket depth in combination with clinical attachment loss and/or radiographic alveolar bone loss. The risk of bias was assessed. Descriptive analysis, and when feasible, meta-analysis (MA) and trial sequential analysis (TSA) were performed. Sub-analyses were conducted based on the risk of bias analysis, study design, geographical area, periodontitis case definition, smoking, health or country social economic status, history of urinary tract infections and the number of evaluated teeth. The total body of evidence was graded.

resultsA total of 723 unique papers were identified, and 11 eligible studies were included. The descriptive analysis showed that seven of the eleven studies present a significant association between PTB and periodontitis. Confounding variables on personal, medical and environmental aspects lowered the risk. The crude overall MA based on 11 studies resulted in a small effect, odds ratio (OR: 2.38 [95% CI: 1.78; 3.18], p < 0.00001). The TSA showed that the required number of events was reached, and the type I error is ruled out.

conclusionThere is moderate certainty that pregnant women with periodontitis compared to pregnant women without periodontitis have a small risk of PTB.

trial registrationPROSPERO number: CRD42022327501.

Indexed as

PeriodontitisPregnancy ComplicationsPremature BirthFemaleHumansPregnancyRisk Factorsgestationmeta‐analysisodds ratioperiodontal medicineperiodontitispregnancypreterm birthsystematic review

Identifiers

PMID41039851
PMCPMC12748043

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.