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Periodontal Conditions and Pathogens Associated with Pre-Eclampsia: A Scoping Review

Author

Listed:
  • Jocelyne Gare

    (Laboratory P2S (Health Systemic Process), UR4129, University Claude Bernard of Lyon 1, University of Lyon, Lyon, France
    Public Health Laboratory (LASAP), ED2S Doctoral School of Sciences and Health, University Joseph Ki Zerbo, Ouagadougou 7021, Burkina Faso
    These authors contributed equally to this work.)

  • Aida Kanoute

    (Public Health Service, Department of Dentistry, Faculty of Medicine, Pharmacy and Dentistry, University Cheikh Anta Diop, Dakar 10700, Senegal
    These authors contributed equally to this work.)

  • Nicolas Meda

    (Public Health Laboratory (LASAP), ED2S Doctoral School of Sciences and Health, University Joseph Ki Zerbo, Ouagadougou 7021, Burkina Faso)

  • Stephane Viennot

    (Laboratory P2S (Health Systemic Process), UR4129, University Claude Bernard of Lyon 1, University of Lyon, Lyon, France)

  • Denis Bourgeois

    (Laboratory P2S (Health Systemic Process), UR4129, University Claude Bernard of Lyon 1, University of Lyon, Lyon, France
    These authors contributed equally to this work.)

  • Florence Carrouel

    (Laboratory P2S (Health Systemic Process), UR4129, University Claude Bernard of Lyon 1, University of Lyon, Lyon, France
    These authors contributed equally to this work.)

Abstract

Background: Pre-eclampsia, the second most frequent direct source of maternal mortality, is a multisystem gestational disorder characterized by proteinuria and maternal hypertension after the 20th gestational week. Although the causes of pre-eclampsia are still discussed, research has suggested that the placenta has a central place in the pathogenesis of this disease. Moreover, current surveys indicated that periodontal disorders observed during the pregnancy and more particularly, periodontal pathogens could be link to the risk of pre-eclampsia. Objectives: This article aims to review recent studies focusing on periodontal conditions and pathogens associated with pre-eclampsia. Methods: The process followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Results: Metabolic conditions, immunological changes, fluctuating progesterone and estrogen levels of the pregnant woman induce a dysbiosis of the oral microbiota and contribute to increase inflammation of periodontal tissues. Periodontal pathogens could diffuse through the bloodstream inducing a placenta inflammatory response as well as inflammatory molecules produced in response to periodontopathogens could migrate through the bloodstream leading to a placenta inflammatory response. Also, periodontopathogens can colonize the vaginal microbiota through the gastrointestinal tract or during oro-genital contacts. Conclusion: A cumulative bi-directional relationship between periodontal conditions, pathogens and the pre-eclampsia exists.

Suggested Citation

  • Jocelyne Gare & Aida Kanoute & Nicolas Meda & Stephane Viennot & Denis Bourgeois & Florence Carrouel, 2021. "Periodontal Conditions and Pathogens Associated with Pre-Eclampsia: A Scoping Review," IJERPH, MDPI, vol. 18(13), pages 1-16, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:13:p:7194-:d:588807
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    Cited by:

    1. Florence Carrouel & Denis Bourgeois & Céline Clément & Delphine Tardivo & Prescilla Martinon & Sébastien Guiral & Romain Lan & Stéphane Viennot & Claude Dussart & Laurie Fraticelli, 2022. "Oral-Hygiene-Related Mobile Apps in the French App Stores: Assessment of Functionality and Quality," IJERPH, MDPI, vol. 19(12), pages 1-14, June.

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