Notes from...Upstream

A Newsletter of Arkansas Child Abuse Prevention - July 2004

Gum Disease and Premature Babies

While growing up, children are constantly reminded to “brush your teeth.” Whether the reminder comes from parents, dentists, schools, or even Saturday morning dancing toothbrushes, it is always present and the alternative presented of having teeth fall out or decay is very bleak. Now, scientists have discovered another reason to brush and floss teeth – preventing premature babies.

Guided by research on the link between gum disease and premature babies and with support from the March of Dimes, Parenting and Childbirth Education Services (PACES) has taken action. The program has has teamed with local jonesboro dentists, Dr. Michael C. Parkey and Dr. Craig Davis Jr., to provide pregnant clients with dental care during pregnancy to reduce the risk of premature labor.

Six mothers to be have participated in the program and received dental care with two more to be seen shortly. The collaboration will expand to serve the children of clients shortly. PACES serves pregnant women and families of children 0-3 in both Craighead and Poinsett counties.

According to PACES Executive Director, Rebecca Matthews, “Periodontal disease may be the silent factor in preterm births. PACES thanks the March of Dimes for the opportunity to explore this possibility. Thanks to Martha Mancilla for her hard work in scheduling and insuring all PACES’ participants made their appointments! We could not have done it without her!”

Studied have shown that the effect of gum disease in pregnancy may be up to seven times more likely to deliver a premature baby. According to Professor Steven Offenbaucher, a researcher from the University of North Carolina, “The results of the trial indicate that the effect of gum disease in pregnancy seems to be as harmful as other well established risk factors such as smoking.”

The reason for concern for pregnant women with gum disease involves the chemicals the body produces as a result of gum infection. Gum infection causes increased production of prostaglandin and tumor necrosis factor, chemicals that induce labor.

A recent study published in the Journal of Periodontology showed treating severe gum disease during pregnancy reduced premature births by 84%. The study found that cleaning the tooth and root surfaces before a participant reached the 35th week of pregnancy reduced the risk of premature labor.

According to Professor Marjorie Jeffcoat, of the University of Alabama at Birmingham School of Dentistry, who lead the research: “In light of these finding, I recommend that all women who are thinking of becoming pregnant or who are pregnant receive a full periodontal exam and diagnosis.”

 

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