ArticleJournal of International Society of Preventive & Community Dentistry
Periodontal Health Trajectories across Trimesters in Pregnant Women Compared to Non-pregnant Controls: A Multicenter Cross-Sectional Study.
Article in Journal of International Society of Preventive & Community Dentistry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
Aim: Pregnancy-induced hormonal shifts can exacerbate periodontal disease, yet trimester-specific data, especially from sub-Saharan populations, are scarce. This study assessed and compared periodontal status and treatment needs between pregnant and non-pregnant women in the Democratic Republic of the Congo, with attention to changes across trimesters. Materials and Methods: A multicenter cross-sectional study included 307 pregnant women and 309 age-matched non-pregnant controls. Standardized clinical indices, including oral hygiene index-simplified, bleeding on probing, periodontal pocket depth (PPD), clinical attachment loss, and community periodontal index of treatment needs (CPITN) were used. Data were analyzed using Chi-square tests, t tests, and multivariate logistic regression. Results: Pregnant women exhibited significantly worse periodontal health. A higher proportion of pregnant women had PPD > 4 mm (26% vs. 19%, Conclusion: Pregnancy is significantly associated with deteriorating periodontal health and increased treatment needs, particularly in the second and third trimesters. These findings underscore the urgent need to integrate trimester-specific periodontal screening and preventive care into routine antenatal services to improve maternal oral and systemic health.
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