Treating periodontal disease during pregnancy
Report by Dr Yiorgos Bobetsis and Prof Phoebus Madianos
- Research shows that non-surgical periodontal therapy during the second trimester is safe – but it does not reduce the incidence of adverse pregnancy outomes.
- Periodontal therapy may reduce rates of adverse pregnancy outcomes in women who are at high risk of pregnancy complications or who have a better response to periodontal treatment.
- No substantial evidence exists on the benefit or harm of using systemic antibiotics in addition to non-surgical periodontal therapy.
- Non-surgical periodontal therapy improves the periodontal status of most pregnant women with periodontal disease – but falls short of eliminating gingival inflammation.
- The main role of periodontal treatment during pregnancy is to improve the periodontal and overall health of the pregnant woman.
- In terms of affecting adverse pregnancy outcomes, it may be more effective to provide periodontal intervention before conception.