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Periodontal disease in pregnant patients with rheumatic valvular disease: clinical and microbiological study.

2011; Sociedade Brasileira de Cardiologia (SBC); Volume: 96; Issue: 4 Linguagem: Inglês

10.1590/s0066-782x2011005000034

1678-4170

Walkíria Samuel Ávila, Lilia Timerman, Giuseppe Alexandre Romito, Sílvia Linard Marcelino, Itamara Lúcia Itagiba Neves, Marcelo Zugaib, Max Grinberg,

Oral Health Pathology and Treatment

The periodontal disease during pregnancy of women with rheumatic valve disease imply infective endocarditis risks and higher rate of preterm birth and low birth weight.To study the periodontal disease rate of women with rheumatic valve disease during pregnancy.We studied 140 pregnant women who included 70 patients with rheumatic valve disease and 70 healthy women. The periodontal examination included: 1) periodontal clinical exam regard the follow variables: a) probing depth; b) gingival margin; c) clinical attachment level; d) bleeding on probing; e) plaque index and f) gingival index; and 2) microbiological test was performed in samples serum and gingival crevicular fluid and considered positive controls to Porphyromonas gingivalis, Tannerella forsithia e Aggregobacter actinomycetemcomitans.Age and parity were similar between groups; as single or combined the mitral valve disease was prevalent among the rheumatic valve lesion in 45 (32.1%) e 20 (28.5%) cases, respectively. Among the periodontal variables gingival margin (p=0.01) and plaque index (p=0.04) were different between groups. The periodontal disease was identified in 20 (14,3%) pregnant women, seven (10%) of them were patients with valve rheumatic disease and the remain 13 (18,6%) were healthy women, its percentual was not different between groups (p=0,147). Microbiological analyses of oral samples showed higher percentual of P. gingivalis in healthy pregnant women (p=0.004).The clinical and microbiological study during pregnancy showed comparable incidence of periodontal disease between women with rheumatic valve disease and healthy women.