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  • Title: Association Between Periodontitis and Preterm Birth in a Cohort of Pregnant Women in Ivory Coast.
    Author: Pockpa ZAD, Soueidan A, Koffi-Coulibaly NT, Mobio GS, Pere M, Badran Z, Struillou X.
    Journal: Oral Health Prev Dent; 2022 Oct 19; 20():363-368. PubMed ID: 36259439.
    Abstract:
    PURPOSE: The aim of this study was to investigate the possible association between periodontitis and preterm birth in Ivory Coast. MATERIALS AND METHODS: A cohort study including 446 volunteers (pregnant women) aged 15-50 years was performed in the Gynecology-Obstetrics Department of the University Hospital Center of Cocody-Abidjan in Ivory Coast. Socioeconomic and periodontal status was obtained during pregnancy. After delivery, obstetric data was collected. Periodontitis was diagnosed according to the new 2018 EFP/AAP classification of Periodontal and Peri-Implant Diseases and Conditions, as follows: a subject presenting with interdental CAL at two non-adjacent teeth or buccal/oral CAL ≥ 3 mm with pocketing > 3 mm was diagnosed with periodontitis. Any birth before the 37th week was considered a preterm birth (PTB). RESULTS: The prevalence of periodontitis and preterm birth were 59.47% and 18.34%, respectively. Periodontitis was mainly stage 1. PTB was statistically significantly higher in pregnant women with periodontitis compared to women without periodontitis (p = 0.0002). Multivariate analysis showed that periodontitis was associated with PTB (p = 0.0002). Logistic regression showed that periodontitis is a risk factor for preterm birth (OR = 3.62; 95% CI: 1.80-7.31; p = 0.0003). CONCLUSION: The results of this study suggest that periodontitis is an additional risk factor for preterm birth in Ivory Coast.
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