Banca de QUALIFICAÇÃO: Sarah dos Santos Conceição

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : Sarah dos Santos Conceição
DATE: 07/12/2022
TIME: 09:00
LOCAL: Plataforma Teams
TITLE:

MATERNAL PERIODONTITIS: CRITERIA FOR DIAGNOSIS

KEY WORDS:

Periodontitis, pregnant women, data accuracy

PAGES: 100
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

The periodontal condition of pregnant women has been the focus of several studies carried out in Periodontal Medicine, due to some scientific evidence that points to a probable association between periodontitis and gestational outcomes. However, there is still no consensus for the diagnosis of periodontitis, making the reliability and comparability of epidemiological studies difficult. OBJECTIVE: To assess the accuracy of diagnostic criteria for periodontitis in pregnant women. METHOD: Had two parts. In the first one, a Systematic Review was carried out with studies of the accuracy of the different criteria for the diagnosis of periodontitis in pregnant women. Indexed articles that met the eligibility criteria in the main health literature databases were selected. The descriptors used in the search strategies were pregnant women, data accuracy, sensitivity, specificity, and validation studies. There was no language or publication date limitation. Verification of the existence bias inherent to the accuracy studies and assessment of the quality of evidence were performed. The second part comprised a validation study carried out with pregnant women who underwent prenatal care and sought care at three public hospitals in northeastern states: Bahia and Pernambuco. Participants were classified according to the presence and severity of periodontitis, according to proposed criteria, namely: 1) Page and Eke, 2007/2012, 2) Gomes-Filho et al., 2018, 3) Albandar et al., 2007, 4) Bassani et al., 2007, 5) López et al., 2002 and 6) Nesse et al., 2008. Taking the following criterion as the gold standard: 1) Gomes-Filho et al, 2018. Comparing the others criteria the diagnostic values were estimated: sensitivity, specificity, predictive values, likelihood ratio and their respective confidence intervals. RESULTS: They are presented in the form of 2 articles: 2) Systematic review, which included 4 articles and concluded that there is no standardization regarding the criteria used for the clinical diagnosis of periodontitis in pregnant women, with a wide variation in the prevalence of the disease according to each criterion adopted. 2) Original research article entitled “Different criteria for the clinical diagnosis of periodontitis in pregnant women: a precision study” with 1639 pregnant women. The results identified diagnostic criteria that can be recommended for screening and diagnosis of the disease, which should be chosen according to the research objectives and the characteristics of the population. CONCLUSIONS: In view of the panorama surrounding the specific characteristics of maternal periodontitis and the non-consensual criteria existing in the literature for the diagnosis of this disease, the importance of standardizing the methods of diagnosing the disease is ratified, to contribute to the implementation of measures focused on the health of the pregnant woman and, therefore, of the newborn."

BANKING MEMBERS:
Externa à Instituição - SIMONE SEIXAS DA CRUZ - UFRB
Externa à Instituição - JOHELLE DE SANTANA PASSOS SOARES - UFBA
Externa à Instituição - JULITA MARIA FREITAS COELHO - UEFS
Presidente - 004.876.431-00 - MAURICIO GOMES PEREIRA - COLUMBIA