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Periodontal Treatment for Preventing Adverse Pregnancy Outcomes: A Meta- and Trial Sequential Analysis

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  • Falk Schwendicke
  • Nadeem Karimbux
  • Veerasathpurush Allareddy
  • Christian Gluud

Abstract

Objectives: Periodontal treatment might reduce adverse pregnancy outcomes. The efficacy of periodontal treatment to prevent preterm birth, low birth weight, and perinatal mortality was evaluated using meta-analysis and trial sequential analysis. Methods: An existing systematic review was updated and meta-analyses performed. Risk of bias, heterogeneity, and publication bias were evaluated, and meta-regression performed. Subgroup analysis was used to compare different studies with low and high risk of bias and different populations, i.e., risk groups. Trial sequential analysis was used to assess risk of random errors. Results: Thirteen randomized clinical trials evaluating 6283 pregnant women were meta-analyzed. Four and nine trials had low and high risk of bias, respectively. Overall, periodontal treatment had no significant effect on preterm birth (odds ratio [95% confidence interval] 0.79 [0.57-1.10]) or low birth weight (0.69 [0.43-1.13]). Trial sequential analysis demonstrated that futility was not reached for any of the outcomes. For populations with moderate occurrence (

Suggested Citation

  • Falk Schwendicke & Nadeem Karimbux & Veerasathpurush Allareddy & Christian Gluud, 2015. "Periodontal Treatment for Preventing Adverse Pregnancy Outcomes: A Meta- and Trial Sequential Analysis," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-12, June.
  • Handle: RePEc:plo:pone00:0129060
    DOI: 10.1371/journal.pone.0129060
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    References listed on IDEAS

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    1. The PLoS Medicine Editors, 2008. "Making Sense of Non-Financial Competing Interests," PLOS Medicine, Public Library of Science, vol. 5(9), pages 1-3, September.
    2. Sue Duval & Richard Tweedie, 2000. "Trim and Fill: A Simple Funnel-Plot–Based Method of Testing and Adjusting for Publication Bias in Meta-Analysis," Biometrics, The International Biometric Society, vol. 56(2), pages 455-463, June.
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    1. Vanessa Machado & João Botelho & Luís Proença & José João Mendes, 2020. "Comparisons of Periodontal Status between Females Referenced for Fertility Treatment and Fertile Counterparts: A Pilot Case–Control Study," IJERPH, MDPI, vol. 17(15), pages 1-11, July.

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