Gynecology / reproductive medicine

DIAGNOSING ORAL SILENT INFLAMMATIONS

How ``mouth-healthy`` are your fertility patients?

“Statistically, 20-year-old women have one less tooth than men of the same age,” notes Dr. Christiane Gleissner, President of the German Society for Gender-Specific Dentistry, Oral and Maxillofacial Therapy.

The importance of oral health in gynecological practice is often underestimated. About every second adult in Germany is diagnosed with moderate periodontitis – and the trend is rising. Some 30-100% of pregnant women suffer from gingivitis, a precursor to periodontal disease. The reason for this includes altered hormone levels.

NUMEROUS INTERNATIONAL STUDIES HAVE SHOWN LINKS BETWEEN PERIODONTAL DISEASES AND

  • bacterial vaginoses
  • endometriosis
  • Fertility in men and women
  • gestational diabetes
  • preclampsia
  • premature babies
  • low birth weight (< 2,500

IS THERE A NEED FOR ACTION?

YES, ESPECIALLY IN COUPLES OR PATIENTS WITH A DESIRE TO HAVE CHILDREN, BECAUSE

  • Periodontal diseases can affect the conception as well as severe obesity
  • there is a connection between periodontitis and male infertility, e.g. sperm motility
  • poor periodontal status prior to in vitro fertilisation (IVF) can reduce the success rate
  • Moderate periodontitis can increase the risk of premature birth by a factor of 7.5 (alcohol consumption only 3 times)
  • the risk of an underweight premature baby is up to 7 times higher in pregnant women with severe periodontal disease

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