A periodontal examination should be part of a woman's prenatal
care, according to the results of a study that were published
recently in the Journal of Periodontology. The study included
870 pregnant women at low risk for preterm birth and low
birth weight. At the study's onset, all of the women received a
full-mouth periodontal examination. The women were then separated
into a control group and a treatment group.
The treatment group received periodontal therapy before
28 weeks of gestation and then maintenance therapy every
2 to 3 weeks until delivery. Each participant was provided
with toothbrushes and chlorhexidine and was told to rinse
once a day with 0.12% chlorhexidine until delivery. The control
group was checked 2 to 3 times during pregnancy and
was given repeated periodontal examinations after 30
weeks of gestation to evaluate changes in periodontal status.
The results of the study indicated that women with gingivitis
(the earliest form of gum disease) who received dental
therapy before 28 weeks of gestation had a considerably
lower occurrence of preterm low-birth-weight infants, compared
with women who did not receive therapy.