Open Access
CC BY-NC-ND 4.0 · European Dental Research and Biomaterials Journal
DOI: 10.1055/s-0045-1811248
Review Article

The Role of Oral Health Education and Intervention Programs in Preventing Periodontal Disease and Improving Pregnancy Outcomes

Authors

  • Shiva Nayerain Jazi

    1   Department of Public Health, Rutgers School of Public Health, Piscataway, New Jersey, United States
  • Maxine Strickland

    2   Diagnostic Sciences Department, Rutgers School of Dental Medicine, Newark, New Jersey, United States
  • Amirhossein Fathi

    3   Department of Prosthodontics, Dental Materials Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
  • Sepideh Salehi

    4   Department of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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Abstract

This meta-analysis aims to assess the effectiveness of oral health education and intervention programs in preventing periodontal disease and improving pregnancy outcomes, particularly preterm birth and low birth weight incidences. By synthesizing findings from multiple studies, this analysis endeavors to provide clearer insights into the impact of maternal periodontal health on pregnancy and identify evidence-based interventions that optimize maternal and neonatal outcomes. This study was conducted as a systematic review and meta-analysis of the literature. The protocol was developed per the updated PRISMA 2020 statement guidelines. The inclusion and exclusion criteria were predetermined to ensure a rigorous selection of relevant studies. The study design included randomized controlled trials, cohort studies, and case–control studies. A systematic search was conducted across the following databases: PubMed, Web of Science, Scopus, Embase, Google Scholar, and the Cochrane Library. Grey literature sources and reference lists of included studies were also reviewed. Data were synthesized using a random-effects model to account for heterogeneity among studies. The results suggest a possible trend toward a protective effect for preterm birth. Integrating oral health services into prenatal care represents a promising, cost-effective strategy for improving maternal and neonatal outcomes. This study reinforces the potential role of periodontal therapy in reducing adverse pregnancy outcomes, particularly preterm birth, through its ability to reduce systemic inflammation.



Publikationsverlauf

Artikel online veröffentlicht:
08. September 2025

© 2025. European Dental Research and Biomaterials Journal. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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