AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Periodontitis treatment linked to reduction in preterm births. (Pilot Trial).
SAN FRANCISCO -- Pregnant women with periodontitis who underwent a deep tooth cleaning and root planing procedure had a significantly lower rate of preterm birth than those who received no treatment in a pilot study of 366 women.
Previous studies have shown that periodontitis in pregnancy greatly increases the likelihood of preterm birth. The current study is the first to suggest that "mechanical" deep tooth scaling and root planing using a small instrument to clean teeth above and below the gums helped prevent preterm births in women with the disease.
Adding adjunctive antibiotic therapy with metronidazole (Flagyl) to mechanical treatment, however, did not improve out-comes, Marjorie Jeffcoat, D.M.D., reported at the annual meeting of the Society for Maternal-Fetal Medicine.
The researchers screened women at 20-22 weeks' gestation and randomized those with periodontitis to one of three groups. Patients in a control group had a standard surface cleaning and polishing and took a placebo capsule t.i.d. for 1 week. Patients randomized to mechanical treatment alone received deep scaling, root planing, and polishing. They also took the placebo capsules. The third group underwent mechanical treatment and took Flagyl 250 mg t.i.d. for 1 week.
Women who received mechanical treatment alone had the lowest rates of delivery before 37 weeks' gestation (4%) and 35 weeks' gestation (1%).
In a separate reference group of 723 pregnant women with periodontitis recruited from the same population but not treated, 14% delivered before 37 weeks of gestation, and 6% delivered before 35 weeks, said Dr. Jeffcoat, chair of periodontics at the University of Alabama, Birmingham.
The mechanical treatment was well accepted by patients. "Many more women wanted treatment than could be enrolled in this pilot trial, Dr. Jeffcoat said.
- Treatment of periodontitis curbs preterm births. (Well Tolerated).
- Magazine article from: Family Practice News Boschert, Sherry April 15, 2003 700+ words
...the gums helped prevent preterm births in women with the disease...metronidazole (Flagyl) to mechanical treatment, however, did not improve...Patients randomized to mechanical treatment alone received deep scaling...third group underwent mechanical treatment and took ...
- HPV vaccine may prevent preterm births.
- Newspaper article from: Cancer Vaccine Week April 13, 2009 700+ words
...may therefore reduce the number of preterm births. A new Norwegian study has calculated...treated with conisation proportion with preterm births among women who have had conisation...with conisation, between 60 and 220 preterm births per 100 000 births could be caused...
- Preterm births and their costs growing.
- Newspaper article from: Baltimore Sun (Baltimore, MD) July 14, 2006 700+ words
...Institute of Medicine. "And yet preterm births have not received the attention and...who chaired the committee. In 2005, preterm births totaled 12.5 percent of all births...research into the causes and prevention of preterm births, along with integrated research centers...
- Late Preterm Births Present Serious Risks to Newborns.
- Newspaper article from: Life Science Weekly December 30, 2008 700+ words
...preterm in the United States each year, and preterm births are on the rise. Late preterm births, or births that occur between 34 and 36...date), account for more than 70% of preterm births. Despite the large number of affected...
- Prediction of survival for preterm births.
- Magazine article from: British Medical Journal Draper, Elizabeth S Manktelow, Bradley Field, David J James, David July 22, 2000 700+ words
...James DJ. Prediction of survival for preterm births by weight and gestational age: retrospective...Casey A. Prediction of survival for preterm births. BMJ 2000;320:647. (4 March...Simpson NAB. Prediction of survival for preterm births. BMJ 2000;320:647-8. (4 March...
- The high cost of preemies: Preterm births in U.S. weigh in with $26 billion in...
- News wire article from: Kansas City Star (Kansas City, MO) July 14, 2006 700+ words
...progress in understanding or preventing preterm births, the Institute of Medicine's panel...to multiple births has caused more preterm births, for example. But that's just a...developmental delays. Annual costs of preterm births --$16.9 billion for medical care...
- Genetic cause for preterm births found.
- News wire article from: UPI NewsTrack March 16, 2007 700+ words
...Nev., Friday that they've linked preterm births in Hispanic women to a genetic cause...of racial disparity, a tendency of preterm births to occur within families and a high...samples from 102 mothers with unexplained preterm births and 408 mothers who delivered at term...
- Progesterone shots may prevent preterm births. (History of Preterm Delivery).
- Magazine article from: Family Practice News Boschert, Sherry April 1, 2003 700+ words
...a proven tool that may prevent some preterm births in women with a history of preterm...hydroxyprogesterone caproate decreased preterm births by a third, compared with placebo...by 27% since 1981, with 476,000 preterm births in 2001, according to the March of...
- 17P: best for prior preterm births before 34 weeks.(News)
- Magazine article from: OB GYN News Finn, Robert March 15, 2005 700+ words
...risk women with prior spontaneous preterm births (Obstet. Gynecol. 2003;102:1115...having at least two prior spontaneous preterm births. A physician would have to treat 4...detect a significant improvement in preterm births among women whose earliest prior preterm...
- Hormone therapy could help prevent preterm births.
- Newspaper article from: OBGYN & Reproduction Week March 3, 2003 700+ words
...able to prevent more than a third of preterm births in women with a history of giving birth...of a successful treatment to reduce preterm births in women at risk," said Meis. The...been linked to an increased risk of preterm births. Margaret Harper, MD, of Wake Forest...
Source: HighBeam Research, Periodontitis treatment linked to reduction in preterm births. (Pilot...