Estado periodontal y microbiota subgingival en mujeres preeclámpticas

Abstract

Objective: To describe periodontal status and subgingival microbiota composition among pre-eclamptic women institutionalized in the Hospital Universitario del Valle (HUV) - Cali- Colombia. Methods: Eighty one preeclamptic women were studied in the HUV after signing the inform consent and filling inclusion criteria. Selected patients were examined and their medical, dental, periodontal data recorded. Periodontal index used were pocket depth, clinical attachment loss six measurements by tooth in the whole dentition except third molars. Subgingival samples for bacterial culture were taken and Periodontal diagnosis made according to the American Academy of Periodontology (AAP) concensus report-1999. Results: Sixty
three percent of women had slight pre-eclampsia and 27.2% severe preaclampsia. Ninety one percent
women (n=74) had certain degree of gingival and periodontal afection. Fifty nine percent (n=48) had
Chronic Periodontitis and only 8.6% preeclamptic women had oral health. More prevalent periodontal
organisms among pre-eclamptic women were Fusobacterium ssp 80.2% (n=65), Porphyromonas gingivalis
59.3% (n = 48) and Prevotella intermedian/nigrescens 51.9% (n=42). Conclusions: More pre-eclamptic women had chronic periodontitis and also harbored in their subgingival microbiota important periodontophatic organisms. Treatment of periodontal disease before or during pregnancy might be important to reduce medical and systemic health complications. Key words: Preeclampsia, Chronic Periodontitis, Subgingival microbiota, periodontopatógens.