2009, Número 2
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Perinatol Reprod Hum 2009; 23 (2)
Conceptos actuales sobre infección periodontal y su relación con el infante prematuro de bajo peso
Márquez-Correa IC
Idioma: Español
Referencias bibliográficas: 40
Paginas: 74-81
Archivo PDF: 104.17 Kb.
RESUMEN
Durante las últimas dos décadas la comunidad científica ha mostrado interés creciente por entender cómo la enfermedad periodontal podría estar relacionada con complicaciones del embarazo. Este interés surge, al menos en parte, porque a pesar de los avances en atención prenatal todavía el desenlace adverso del embarazo continúa siendo un grave problema de salud pública a nivel mundial. La periodontitis crónica representa un proceso infeccioso que afecta a más del 23% de mujeres entre 30 y 54 años de edad. La capacidad de diseminación e inducción de inflamación local y sistémica en el huésped por parte de los patógenos periodontales y sus factores de virulencia ha originado la hipótesis acerca de que la infección periodontal crónica puede tener consecuencias que rebasan las fronteras de los tejidos periodontales. Este artículo presenta evidencia que sugiere que la infección periodontal crónica constituye un riesgo importante para la aparición de resultados adversos del embarazo; de igual forma, ofrece información donde se demuestra que el tratamiento periodontal oportuno logra reducir tales complicaciones.
REFERENCIAS (EN ESTE ARTÍCULO)
World Health Organization. The incidence of low birth weight: an update. Weekly Epidemiol Rec 1984; 59: 205-11.
World Health Organization. International Classification of Diseases. 1975 revision. Volume 1. Geneva: WHO, 1977.
Lye SJ, Mitchell J, Nashman N, Oldenhof A, Ou R, Shynlova O, Langille L. Role of mechanical signals in the onset of term and preterm Labor. Smith R, editor: The endocrinology of parturition. Basic science and clinical applications. Front Horm Res. Basel: Karger, 2001: 165-78.
AIHW. Australia’s mothers and babies 2000. Sydney: Australian Institute of Health and Welfare National Perinatal Statistics Unit, 2003.
U. S. Congress. Office of Technology Assessment. Neonatal intensive care for low birth weight infants. Cost and Effectiveness. Health Technology Case Study 38. OTA-HCS-38. Washington, DC: OTA, 1987.
Stanley F. Survival and cerebral palsy in low birthweight infants: implications for perinatal care. Paediatr Perinat Epidemiol 1992; 6: 298-310.
Romero R, Mazor M, Wu YK, Sirtori M, Oyarzun E, Mitchell MD, Hobbins HC. Infection in the pathogenesis of preterm labor. Semin Perinatol 1988; 12: 262-79.
McDonald HM, O’Loughlin JA, Jolley P, Vigneswaran R, McDonald PJ. Vaginal infections and preterm labor. Br J Obstet Gynaecol 1991; 98: 427-35.
Gibbs R, Romero R, Hillier SL, Eschenbach DA, Sweet RL. A review of premature birth and subclinical infections. Am J Obstet Gynecol 1992; 166: 1515-28.
DeStefano F, Anda RF, Kahn HS, Williamson DF, Russell CM. Dental disease and risk of coronary heart disease and mortality. BMJ 1993; 306: 688-91.
Offenbacher S, Katz V, Fertik G, Collins J, Boyd D, Maynor G, McKaig R, Beck J. Periodontal infection as a possible risk factor for preterm low birth weight. J Periodontol 1996; 67(10 Suppl): 1103-13.
Main MD. The epidemiology of preterm birth. Clin Obstet Gynecol 1988; 31: 521-32.
World Health Organization. The incidence of low birth weight: a critical review of available information. World Health Stat Q 1980; 33: 197-224.
Mortality Statistics. Perinatal and Infant: social factors. England and Wales. OPCS. London: HMSO, 1995: Series DH3, No. 26.
National Center for Health Statistics. MVSR Vol. 45, No. 11 (S). Report of final natality statistics. Washington, DC: National Center for Health Statistics, 1995.
Barker DJP, editor: Mothers, Babies and Health in Later Life. Edinburgh: Churchill Livingstone, 1998: 13-41.
McCormick MC. The contribution of low birth weight to infant mortality and childhood morbidity. N Engl J Med 1985; 312: 82-90.
Liao JB, Buhimschi CS, Norwitz ER. Normal labor: mechanism and duration. Obstet Gynecol Clin N Am 2005; 32: 145-64.
Norwitz ER, Robinson JN, Challis JR. The control of labor. N Engl J Med 1999; 341: 660-66.
Lopez BA, Rivera J, Europe-Finner GN, Phaneuf S, Asbóth G. Parturition: activation of stimulatory pathways or loss of uterine quiescence? Adv Exp Med Biol 1995; 395: 435-51.
Garrioch DB. The effect of indomethacin on spontaneous activity in the isolated human myometrium and on the response to oxytocin and prostaglandin. Br J Obstet Gynaecol 1978; 85: 47-52.
Norwitz ER, Robinson JN, Repke JT. Labor and delivery. In: Gabbe SG, Niebyl JR, Simpson JL, editors: Obstetrics: Normal and problem pregnancies. New York: Churchill-Livingstone, 2001: 353-400.
Lindhe J, editor: Textbook of clinical periodontology. Copenhagen: Munskgaard, 1989: 19-20.
Miller WD. The human mouth as a focus of infection. Dental Cosmos 1891; 33: 689-713.
Collins JG, Smith MA, Arnold RR, Offenbacher S. Effects of Escherichia coli and Porphyromonas gingivalis lipopolysaccharide on pregnancy outcome in the golden hamster. Infect Immun 1994; 62: 4652-5.
Collins JG, Windley HW, Arnold RR, Offenbacher S. Effects of a Porphyromonas gingivalis infection on inflammatory mediator response and pregnancy outcome in hamsters. Infect Immun 1994; 62: 4356-61.
Greene JC. Oral hygiene and periodontal disease. Am J Public Health 1963; 53: 913-22.
Scherp HW. Current concepts in periodontal disease research: epidemiological contributions. J Am Dent Assoc 1964; 68: 667-75.
Ainamo J, Barmes D, Beagrie G, Cutress T, Martin J, Sardo-Infirri J. Development of the World Health Organization (WHO) Community Periodontal Index of Treatment Needs (CPITN). Int Dent J 1982; 32: 281-91.
Albandar JM, Kingman A. Gingival recession, gingival bleeding and dental calculus in adults 30 years of age and older in the United Sates, 1988-1994. J Periodontol 1999; 70: 30-43.
Matthews DC. Periodontal medicine: a new paradigm. J Can Dent Assoc 2000; 66: 496-99.
Champagne CM, Madianos PN, Lieff S, Murtha AP, Beck JD, Offenbacher S. Periodontal medicine: emerging concepts in pregnancy outcomes. J Int Acad Periodontol 2000; 2: 9-13.
Scannapieco FA, Bush RB, Paju S. Periodontal disease as a risk factor for adverse pregnancy outcomes. A systematic review. Ann Periodontol 2003; 8: 70-8.
Jeffcoat MK, Geurs NC, Reddy MS, Cliver SP, Goldenberg RL, Hauth JC. Periodontal infection and preterm birth: results of a prospective study. J Am Dent Assoc 2001; 132: 875-80.
Boggess KA, Lieff S, Murtha AP, Moss K, Beck J, Offenbacher S. Maternal periodontal disease is associated with an increased risk of pre-eclampsia. Obstet Gynecol 2003; 101: 227-31.
Guyatt G, Rennie D, editors: User’s Guides to the Medical Literature - Essentials of Evidence-Based Clinical Practice. Chicago: AMA Press, 2002: 12-27.
López NJ, Da Silva I, Ipinza J, Gutiérrez J. Periodontal therapy reduces the rate of preterm low birth weight in women with pregnancy-associated gingivitis. J Periodontol 2005; 76(11 Suppl): 2144-53.
Sadatmansouri S, Sedighpoor N, Aghaloo M. Effects of periodontal treatment phase I on birth term and birth weight. J Indian Soc Pedod Prev Dent 2006; 24: 23-6.
Michalowicz BS, Hodges JS, DiAngelis AJ, Lupo VR, Novak MJ, Ferguson JE, Buchanan W, Bofill J, Papapanou PN, Mitchell DA, Matseoane S, Tschida PA. Treatment of periodontal disease and the risk of preterm birth. N Engl J Med 2006; 2: 355: 1885-94.
Tarannum F, Faizuddin M. Effect of periodontal therapy on pregnancy outcome in women affected by periodontitis. J Periodontol 2007; 78: 2095-103.