This review of adverse health conditions in the prenatal, perinatal and postnatal periods and associations with hypomineralised second primary molars(HSPM) included 14 studies. The findings suggest associations between HSPM and a number of condition but findings should be interpreted cautiously.
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This review of the prevalence of dental caries in preschool children born preterm and/or with a low birth weight included 59 observational studies suggesting caries prevelence was similar to full term children of normal weight. However, the certainty of teh evidence was very low.
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This review of the systemic exposures associated with with molar incisor hypomineralisation (MIH) included 29 observational studies. VEry low quality evidence suggests that maternal illness, psychological stress, caesarean delivery, delivery complications, respiratory diseases, fever and childhood illnesses may be associated with MIH.
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This review assessing the association between periodontitis and preterm birth included 31 studies with 20 contributing to a meta-analysis suggesting a significant positive association 2.01 (95%CI; 1.71 – 2.36).
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Twenty three systematic reviews were included in this overview of reviews reviews assessing the link between periodontal disease and adverse periodontal outcomes. While a majority of the available reviews suggest an association there are concerns regarding the quality of the primary studies.
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15 RCTs were included in this Cochrane review of impact of periodontal treatment on adverse pregnancy outcomes. all the included studies were considered to be at high risk of bias. There was no evidence that periodontal treatment reduces the number of preterm babies.
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Alan Underwood summarises a population based cohort study of 2.4 million Swedish children, which highlights links between perinatal risk factors such as smoking during pregnancy, and later development of obsessive compulsive disorder.
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Ellen Grimas summarises a systematic review on prenatal exposure to cannabis and maternal and child health outcomes, which highlights the lack of high quality research in this area.
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This study updates a previous meta-analysis adding 2 new studies and reassessing the findings. Overall, it suggests that the provision of periodontal treatment does not seem to prevent adverse pregnancy outcomes, although there is a suggestion of benefit in high risk populations.
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Human pregnancy is considered to be full-term when it lasts between 37-42 weeks. Anything shorter is considered to be a pre-term birth and anything longer is considered post-term. Longer pregnancies can be a risk to both the mother and infant and so labour tends to be induced if a pregnancy goes on past 42 weeks. [read the full story…]
