scholarly journals THE UVEITIS – PERIODONTAL DISEASE CONNECTION IN PREGNANCY: CONTROVERSY BETWEEN MYTH AND REALITY

2015 ◽  
Vol 3 (1) ◽  
pp. 30 ◽  
Author(s):  
Widyawati Sutedjo ◽  
Chiquita Prahasanthi ◽  
Daniel Haryono Utomo

Background: Recently, It had been recognized that oral infection, especially periodontal disease are potential contributing factors to a variety of systemic diseases, such as cardiovascular and cerebrovascular diseases, pregnancy problem, diabetes mellitus type 2, etc. However, the adverse effect of periodontal disease toward uveitis still not clearly understood especially if happens during pregnancy. Interestingly, in Indonesia, there is still a myth that pregnant women should not get any dental treatment, therefore, it may deteriorate periodontal disease during pregnancy. Purpose: to explain the possible connection between periodontal disease and uveitis and increasethe awareness of these problems during pregnancy that could be understood by doctor and laymen. Reviews: literatures revealed that dental infection can caused uveitis via metastatic spread of toxin and inflammatory mediators. Additionaly, more recent investigation reported that the neural system may also stimulated by oral infection. In the orofacial regions there's trigeminal nerve complex that also related to the orbital region, thus may also involved in the uveitis pathogenesis. The effects of periodonto pathogens toxins towardimmunocompetent cell and nerves had also been reported by researcher. Moreover, pregnant women are more susceptible to periodontal disease, therefore maintaining oral hygiene and dental monitoring is a mandatory.Conclusion: in woman who susceptible to uveitis, periodontal disease may exacerbate the symptoms especially in pregnancy. Therefore simple explanation about connection of oral infection-systemic diseases especially in pregnancy should be widespread among Indonesian people.

2018 ◽  
Vol 24 (5) ◽  
pp. 508-514
Author(s):  
M. L. Chukhlovina ◽  
S. E. Medvedev

Nowadays, the risk factors, improvement of diagnosis and treatment of cardiovascular diseases are of particular interest. Arterial hypertension (HTN) is known to contribute to cardiovascular disease and to be a risk factor for cerebrovascular diseases. HTN during pregnancy and in the postpartum period draws particular attention. Throughout the world, hypertension during pregnancy remains the leading cause of maternal and child morbidity and mortality. To our knowledge, only a few works studied neurological disorders associated with HTN in pregnant women. In this connection, the purpose of our review was to analyze the role of HTN in the development of cerebrovascular diseases in pregnancy. Pregnant women with HTN show 5,2-fold higher frequency of strokes than normotensive women. The risk of stroke increases from the third trimester of pregnancy to six weeks of the postpartum period. The pregnant women with HTN develop changes in the coagulation system leading to the formation of arterial and venous thromboses in the cerebrovascular circulation. The presence of preeclampsia (PE) is associated with the 7–9-fold increase in the risk of stroke. Endothelial dysfunction is one of the leading links in the pathogenesis of PE. The PE is associated with an increase in anti-angiogenic factors and a decrease in angiogenic factors. Thus, the measures preventing the development of cerebrovascular diseases in pregnant women with HTN, include identification of prehypertension in women of childbearing age, the improvement of HTB management strategies, and an interdisciplinary approach to the diagnostic and treatment process involving the obstetrician, the therapist, the cardiologist and the neurologist.


2020 ◽  
Vol 11 (4) ◽  
pp. 5192-5197
Author(s):  
Chanchal Rathi ◽  
Manoj Chandak ◽  
Madhulika Chandak ◽  
Pavan Bajaj ◽  
Pooja Chandak

The dental practitioner provides dental treatment to pregnant women to maintain their oral health. This is known as Intrauterine Dentistry. Dental treatment neither is cancelled nor be obstructed after confirming the pregnancy. Precautions should be taken while performing a dental procedure. During pregnancy number of physiologic and hormonal changes are taking place. Due to this, the oral cavity is more prone to infection. Also, increased consumption of carbohydrates leads to more acid formation. Also, vomiting and saliva are reduced. Also, pregnant women are always at high risk for caries than non-pregnant women. So proper dental health care of a pregnant patient is utmost necessary. Endodontic treatment comprises the use of radiographs, local anaesthetic agents, intracanal irrigants, intra-canal medicaments, and drugs. While performing an endodontic procedure, a radiograph should be taken with minimal exposure and only when it is required. Also, local anaesthesia has been chosen depending upon its effects on the baby and pregnant women. Antibiotics like amoxicillin and cephalosporin are considered to be safe in pregnancy. Also, it is stated that the second trimester is the safest period for performing any dental treatment. Analgesics are also used when a patient is in pain condition. Whenever analgesia is required paracetamol is always used safely in pregnancy. It is the drug of choice for pain relief. Only plain paracetamol is indicated. So this review discusses endodontic consideration and possible risk while performing a dental treatment.


2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Dolapo A. Babalola ◽  
Folashade Omole

An increasing number of studies are confirming an association between periodontal disease (PD) and adverse outcomes in pregnancy. PD places pregnant women at greater risk for preterm birth than alcohol consumption or smoking. This underscores the importance of offering dental screening to women who are pregnant or contemplating pregnancy and the need for physicians who provide obstetric care to be aware of the possible connection between poor dental health and poor pregnancy outcomes.


2020 ◽  
Vol 8 (12) ◽  
pp. 1163-1167
Author(s):  
Zainbganayah Hasan Sulimani ◽  
◽  
Amal Mohammed Said Abushal ◽  
Manal Abdulaziz Murad ◽  
Hoda Jehad Abousada ◽  
...  

Objectives: To assess the prevalence and awareness of dental problems during pregnancy, and to ascertain the risk factors that lead to dental problems in pregnancy. Methods: A cross-sectional questionnaire study was conducted. Patients who were currently pregnant or had been pregnant were selected, and questioned on the frequency and type of dental problems during pregnancy, treatment availed and systemic problems. Recorded data was analysed using SPSS version 17. Results: A total of 64.5% of patients experienced dental problems during pregnancy. Dental caries was the most frequent problem (50.7%), followed by gingivitis (48.4%). Only 14% of patients availed dental treatment. Presence of systemic diseases and low oral hygiene scores were associated with significantly higher incidence of dental problems. Conclusions: This study demonstrated that several pregnant women experience dental problems during pregnancy, however, many perceive that they have normal to good oral hygiene. Low oral hygiene status and systemic problems were more significantly associated with dental problems during pregnancy.


2018 ◽  
Vol 23 (4) ◽  
Author(s):  
Elżbieta Pels ◽  
Angelika Kobylińska ◽  
Magdalena Kukurba-Setkowicz ◽  
Anna Szulik ◽  
Renata Chałas

Introduction. Pregnancy is a special period in the life of a woman, when she cares not only for her own health, but also for that of her unborn child. Prenatal care is defined as comprehensive and multidisciplinary care provided to a pregnant woman, developing foetus, and then a newborn. The aim of caries prevention in pregnancy is not only to protect the future mother from caries, but also to prevent the disease in the child. Aim. The aim of the paper was to present the recommendations on preventive and therapeutic dental management in pregnant women with regard to oral diseases in the mother and her child. Material and methods. Electronic search for literature in medical databases (Pubmed, EMBASE, MEDLINE) and manual search for literature on primary-primary prevention of dental caries and dental care in pregnancy. Results. The available literature indicates the safety of preventive and therapeutic activities during pregnancy, including the use of local anaesthesia and dental diagnostic radiology. Although dental treatment requires some modifications due to pregnancy-related changes, it may be safely used for the benefit of the mother’s and the child’s health. Conclusions. Dental care in pregnancy should be primarily dedicated to education, prevention and treatment, if needed. Future mothers should be made aware that the child’s oral health can and should be taken care of already in the prenatal period.


Author(s):  
S. Rithanya ◽  
M. Sivasankar ◽  
M. Griffin ◽  
P. S. Premanand ◽  
V. Kamaraj ◽  
...  

Background: Some degree of dilatation of the upper two-thirds of the ureter and the pelvicalyceal system is observed in physiological hydroureteronephrosis. It may be present in 90% of pregnancies and is more pronounced on the right side. It develops as early as 6-10 weeks of gestation and disappears a few weeks after birth. Smooth muscle-relaxant effects of progesterone and mechanical compression have been postulated as contributing factors. Ultrasound is the imaging modality of choice. Most of the cases resolve with conservative measures. Objectives: The study aimed to assess the incidence of hydroureteronephrosis in pregnancy using ultrasound, to assess the laterality of hydroureteronephrosis in pregnancy and to assess the proportion of subjects with hydroureteronephrosis in pregnancy requiring intervention. Materials and Methodology: A prospective study was conducted among the pregnant women presenting to the department of obstetrics and gynecology in a tertiary health care hospital from January 2021 to April 2021. A simple random sampling technique was employed, 40 subjects were identified for the study. The relationship between hydroureteronephrosis and gestational age, urinary tract problems and parity were compared. Results: Unilateral right-sided hydroureteronephrosis was present in 7 (36.8%) of the study subjects with hydroureteronephrosis. Hydroureteronephrosis was observed in 22.5% and 15% of the study subjects on the right and left side respectively during the second trimester. Hydroureteronephrosis was observed in 30% and 15% of the study subjects with urinary tract problems on the right and left side respectively. Hydroureteronephrosis was observed in 13 (52%) of the study subjects with no previous delivery. Conclusion: The incidence of hydroureteronephrosis was found to be 47.5%. Differentiation of physiological and pathological hydroureteronephrosis is necessary. A coordinated approach between obstetricians and urologists is essential to provide the best care for the mother and the fetus.


2012 ◽  
Vol 19 (1) ◽  
pp. 72
Author(s):  
Nur Rahma Prihantini ◽  
Sri Lelyati C Masulili

Background: Systematic disease is a risk factor in periodontal disease. In contrast, severe generalize periodontal disease may also contribute to the development of certain systemic diseases and has and adverse affect in controlling the systemic disease. The majority of systemic diseases manifest in the oral cavity, one of which is systemic Lupus Erythematosus (SLE)., anautoimmune chronic systemic diseases. To date, the etiology of Lupus Erythematosus is still not clear, but the prognosis can become good if the adequate theraphy is given. SLE have a fairly high incidence, but the dangers of this disease is still not widely understood by the public. Purpose: To demonstrate how to manage the oral manifestations of SLE, as it must be done carefully so that patients ca get appropriate treatment to be successful, and the patients with oral manifestations similar to SLE can have a more thorough axamination. Cases: Two patients with SLE and symptoms of easy bleeding gums, frequent stomatitis, dry mouth, and mobile teeth. In both cases, there is gingival hyperemia, edema, pockets of 3-6 mm (case 1) and 3-4 mm (case 2). Prior to dental treatment, both patients are consulted to an internist. Treatment: Periodontal initial treatment such as DHE, scaling, and tooth restorations. Gradual scaling done in multiple visits, followed by gingival curettage. Conclusion: A good periodontal treatment can reduce gingival inflammation, and relatively improve oral hygiene, so it can be expected to increase body immunity.


Author(s):  
Dr. Archana Mohana ◽  
Dr. Sujata Badoniya

The Aim of this study is to Review the timing of intervention which will provide the Best Outcome in Hypothyroidism in Pregnancy. Hypothyroid pregnant women are appropriately managed with regular antenatal checkup and thyroxine therapy during pregnancy, a good maternal and fetal outcome can be achieved and congenital cretinism and other neuro developmental sequele in the offspring can be averted. Keywords: Intervention, Hyperthyroidism, Pregnancy & Thyroid disease.


1965 ◽  
Vol 48 (1) ◽  
pp. 14-22 ◽  
Author(s):  
S. A. Aboul-Khair ◽  
J. Crooks

ABSTRACT Studies of iodine metabolism have been carried out in 15 pregnant women, 33 cases with sporadic goitre and 11 with thyrotoxicosis. A low plasma inorganic iodine was common to the three groups. In pregnancy and sporadic goitre the thyroid clearance of iodine was elevated and the absolute iodine uptake normal. A high thyroid clearance of iodine in thyrotoxicosis was associated with a high absolute iodine uptake. The results suggest that both pregnancy and sporadic goitre are physiological responses to an iodine deficiency state while the iodine deficiency state of thyrotoxicosis is secondary to increased thyroid activity.


1960 ◽  
Vol XXXV (IV) ◽  
pp. 575-584 ◽  
Author(s):  
C. Borel ◽  
J. Frei ◽  
A. Vannotti

ABSTRACT Enzymatic studies, on leucocytes of pregnant women, show an increase of the alkaline phosphatase activity and a decrease of the glucose consumption and lactate production, as well as of proteolysis. The oxygen consumption, with succinate as substrate, does not vary.


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