Maternal periodontal diseases affect the leukocyte profiles of umbilical cord blood: A cohort study

Oral Dis. 2024 May;30(4):2533-2545. doi: 10.1111/odi.14683. Epub 2023 Jul 23.

Abstract

Aim: This study evaluated the connection of periodontal status with the leukocyte profiles of maternal peripheral blood (MPB) and umbilical cord blood (UCB).

Materials and methods: Ninety-nine pregnant females were recruited, and their data were collected via questionnaire and from medical records, including demographics, systemic conditions, complete blood count (CBC) and C-reaction protein (CRP) level in MPB. Full-mouth periodontal assessment was performed. CBC and CRP levels in UCB were measured after parturition.

Results: All subjects and their neonates were generally healthy. 30.3% of the participants presented with periodontal health condition, whereas 69.7% had different severities of periodontal diseases. The counts/percentages of eosinophils and monocytes in UCB from the subjects with periodontal diseases elevated, and the percentage of neutrophils decreased referencing to that from the counterparts (p < 0.05). There were positive correlations for total leukocyte count, neutrophils and lymphocytes counts/percentages in MPB and UCB among the periodontally healthy subjects (r > 0.4, p < 0.05), but such findings did not exist in those with periodontal diseases. Moreover, periodontal diseases independently accounted for the counts/percentages of neutrophils and eosinophils in UCB after controlling confounders in four testing models (ANCOVA, p < 0.05).

Conclusion: Maternal periodontal diseases could to some extent disturb the leukocyte profiles of umbilical cord blood.

Keywords: complete blood count; leukocyte profiles; maternal periodontal diseases; maternal peripheral blood; neonates; umbilical cord blood.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • C-Reactive Protein / analysis
  • Cohort Studies
  • Female
  • Fetal Blood*
  • Humans
  • Infant, Newborn
  • Leukocyte Count
  • Leukocytes
  • Neutrophils
  • Periodontal Diseases* / blood
  • Pregnancy
  • Pregnancy Complications / blood
  • Young Adult

Substances

  • C-Reactive Protein