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Carranza Samanez, Maynor; García Linares, Sixto; Dulanto Vargas, Julissa (2014)
Publisher: Universidad Nacional Mayor de San Marcos, Facultad de Odontología
Languages: Spanish; Castilian
Types: Article
Subjects: Periodontal disease; fetal growth retardation; IUGR risk factors., Enfermedad periodontal; retardo del crecimiento fetal; factores de riesgo de RCIU.
This study evaluates the relationship between the intrauterine growth retardation (IUGR) and the maternal periodontal disease (MPD). This case-control study of 120 mothers, 38 cases (mothers of babies with IUGR) and 82 controls (mothers of babies without IUGR) at the “Madre Niño San Bartolomé” Teaching Hospital. The mothers were interrogated and their medical histories were reviewed. Data was recorded, such as: the education level, marital status, smoking, alcohol and drug habits. All the mothers were examined within two days after the delivery. Only one examiner evaluated the plaque, gingival and periodontal components through the modified periodontal disease index (PDI) that observes the probing depth, clinical attachment level, proving bleeding, gingival inflammation and plaque presence. The frequency distribution and the Odds Ratio test were calculated. We found out that the maternal periodontal disease increases a little the probability of having children with IUGR [plaque conditions OR 1.49 (IC 95% 0.13-1.96), gingival conditions OR 1.36 (95% IC 1.06-1.74) and periodontal conditions OR 1.32 (IC 95% 0.09-1.82)]. It can be concluded that the maternal periodontal disease does not represent a substantial risk factor for intrauterine growth retardation. El estudio evalúa la relación entre retardo de crecimiento intrauterino (RCIU) y la enfermedad periodontal (EP) materna. Este estudio tipo casos y controles de 120 madres, 38 casos (madres de bebés con RCIU) y 82 controles (madres de bebés sin RCIU) se efectuo en el Hospital Docente Madre Niño San Bartolomé. Se interrogó a las madres y se revisaron las historias clínicas. Se registraron datos como: grado de instrucción, estado civil, hábitos de fumar, alcohol y drogas. Todas se examinaron dentro de los dos días posteriores al parto, un solo examinador evaluó los componentes de placa, gingival y periodontal mediante el índice de enfermedad periodontal (IEP) modificado que observa la profundidad al sondaje, nivel de inserción clínica, sangrado al sondaje, inflamación gingival y presencia de placa. Se calculó la distribución de frecuencias y la prueba de Odds Ratio. Se encontró que la enfermedad periodontal materna aincrementan ligeramente la probabilidad de tener niños con RCIU [condiciones de placa OR 1,49 (IC 95% 0,13-1,96), gingivales OR 1,36 (IC 95% 1,06-1,74) y periodontales OR 1,32 (IC 95% 0,09-1,82)]. Se concluye que la enfermedad periodontal materna no representa un factor de riesgo perceptible del retardo del crecimiento intrauterino.
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