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Preterm labor and periodontal disease ?



Question:

I've obviiously been reading too much. Here is the preterm labor quiz: Without knowing anything about the condition of the pregnant what is the most effective treatment to reduce the incidence?


Answer:

There has been a resurgence of interest in recent years in the systemic effects of oral infections such as periodontal diseases. The study of the various means by which periodontal infections and inflammation may influence a variety of systemic conditions is collectively referred to as periodontal medicine. The periodontium responds to tooth-borne biofilm (dental plaque) by the process of inflammation. Dental biofilms release a variety of biologically active products, such as bacterial lipopolysaccharides (endotoxins), chemotactic peptides, protein toxins, and organic acids. These molecules stimulate the host to produce a variety of responses, among them the production and release of potent agents known as cytokines. These include interleukin-1 beta, interleukin-8, prostaglandins, and tumor necrosis factor-alpha. There is a spectrum of periodontal response to these molecules, from mild gingivitis to severe destructive periodontitis. These and other host products and responses may influence a variety of important disease pathways, including atherosclerosis, mucosal inflammation, and premature parturition. The purpose of this article is to review the possible biological pathways by which periodontal diseases may influence these disease processes.

Not just brushing, you need to floss too. My midwife with my 4th baby said that she thinks my preterm labour with #3 was likely due to my systemic viral load (had a really, really bad cold that turned into sinusitis) so there's another potential way to avoid having a premmie baby - get antibiotics _before_ your third week straight of a bad cold.

I do that too. What keeps me from brushing, is that I force myself to floss every time I brush. I just don't want all that trouble, but knowing it is for a very good cause, I will floss every evening. And I will brush at least twice a day.


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