Online Program

Periodontal disease prevalence and risk factors in women with a history of preterm birth

Monday, November 4, 2013

Lauren Katzel, DMD, MPH, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA
Rosemary Frasso, PhD, MSc, CPH, Center for Public Health Initiatives, University of Pennsylvania School of Medicine, Philadelphia, PA
Leny Mathew, MS, Children's Hospital of Philadelphia, Philadelphia, PA
David Webb, PhD, The Craig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA
Jennifer Culhane, PhD, MPH, Children's Hospital of Philadelphia, Philadelphia, PA
Objectives: To examine the prevalence of periodontal disease (PD), and evaluate associated risk factors in a population of women with recent preterm birth (PTB). Methods: We examined data from a longitudinal randomized controlled trial, the Philadelphia Collaborative Preterm Prevention Project. Low-income, urban women with a recent preterm birth were enrolled at delivery, completed comprehensive surveys at enrollment, 1 month postpartum and at 6 month intervals for 2 years (n = 1126). A dental hygienist offered periodontal disease (PD) screening (including probing in each oral sextant) at the 1, 12, and 24 months visits. 765 women completed enrollment and 1 month survey and were screened for PD. Women with a screening score; >/= 3 in at least one sextant were considered PD positive. Results: 56% of participants were PD positive. PD was associated with age, race, income, marital status, education, parity, smoking, BMI, and bleeding of gums. Logistic regression revealed independent associations with: age ( >30 vs. /=; $30,000 aOR 1.88 (1.14, 4.32); African American or Hispanic vs. non Hispanic whites aOR 5.56 (2.99, 10.34) and 4.13 (2.06, 8.27) respectively; women with >/=;2 children vs. primiparous women aOR 1.71 (1.11, 2.65); and pre-pregnancy smokers (>/=;7 packs/wk vs. non-smokers) aOR 1.87 (1.00, 3.50); underweight or obese women vs. normal BMI aOR 2.26 (1.22, 4.18) and 2.00 (1.34, 3.01) respectively. Conclusions: In this sample we found an unexpectedly high rate of periodontal disease associated with numerous demographic factors.

Learning Areas:

Other professions or practice related to public health
Public health or related research

Learning Objectives:
Describe the prevalence of periodontal disease in a population of women with a recent history of preterm birth. Identify demographic, biomedical, smoking, and oral health characteristics of women with documented periodontal disease in this cohort.

Keyword(s): Oral Health, Pregnancy Outcomes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have completed the research of this topic for a student curriculum in the Masters in Public Health program at the University of Pennsylvania.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.