Exposure measurement in the association between periodontal disease and prematurity/low birth weight

J Clin Periodontol. 2007 Nov;34(11):957-63. doi: 10.1111/j.1600-051X.2007.01141.x.

Abstract

Aim: To compare the use of different definitions for exposure measurement in cases of association between periodontal disease (PD) and prematurity and/or low birth weight (PLBW).

Material and methods: A database from a previous case-control study was used to compare four different definitions for periodontitis: at least one site with probing depth > or =4 mm (1); at least one site with clinical attachment loss (CAL)> or =3 mm (2); at least four teeth with one or more sites presenting probing depth > or =4 mm, with CAL> or =3 mm at the same site (3); and at least four teeth with one or more sites with probing depth > or =4 mm, with CAL> or =3 mm at the same site and presence of bleeding on probing (4). The PD frequency, diagnostic values and adjusted association measurements were calculated.

Results: PD frequency ranged from 33.1% to 94.7%. Odds ratio(adjusted) varied slightly according to the exposure measurement used.

Conclusions: The association between PD and PLBW weight was consistent, except for exposure measurement 1, i.e. using at least one site with CAL> or =3 mm for periodontitis diagnosis, while the magnitude of this varied according to the definition established.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Dental Care / statistics & numerical data
  • Epidemiologic Methods
  • Female
  • Humans
  • Infant, Low Birth Weight*
  • Infant, Newborn
  • Middle Aged
  • Oral Hygiene / instrumentation
  • Oral Hygiene / methods
  • Oral Hygiene / statistics & numerical data
  • Periodontal Diseases / complications*
  • Pregnancy
  • Premature Birth / etiology*
  • Socioeconomic Factors