{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T23:02:59Z","timestamp":1776726179167,"version":"3.51.2"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,2,1]],"date-time":"2013-02-01T00:00:00Z","timestamp":1359676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["R21 DE018642"],"award-info":[{"award-number":["R21 DE018642"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["T32 HD040672"],"award-info":[{"award-number":["T32 HD040672"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Maternal periodontal disease diagnosed by a detailed oral health examination is associated with preeclampsia. Our objective was to measure the association between maternal self\u2010report of oral symptoms\/problems, oral hygiene practices, and\/or dental service use before or during pregnancy and severe preeclampsia.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A written questionnaire was administered to pregnant females at the time of prenatal ultrasound and outcomes were ascertained by chart abstraction. The \u03c7<jats:sup>2<\/jats:sup> test compared maternal oral symptoms\/problems, hygiene practices, and dental service use between females with severe preeclampsia versus normotensive females. Multivariable logistic regression was used to calculate adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for severe preeclampsia.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> A total of 48 (10%) of 470 females reported \u22652 oral symptoms\/problems in the 6 months before pregnancy and 77 (16%) since pregnancy. Fifty\u2010one (11%) reported previous periodontal treatment. Twenty\u2010eight (6%) of 470 developed severe preeclampsia. Females with a history of periodontal treatment were more likely to develop severe preeclampsia (aOR = 3.71; 95% CI = 1.40 to 9.83) than females without a history of periodontal treatment. Self\u2010reported oral health symptoms\/problems, oral hygiene practices, or dental service use before or during pregnancy were not associated with severe preeclampsia when considered in the context of other maternal risk factors.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Maternal self\u2010report of previous periodontal treatment before pregnancy is associated with severe preeclampsia.<\/jats:p>","DOI":"10.1902\/jop.2012.120079","type":"journal-article","created":{"date-parts":[[2012,4,17]],"date-time":"2012-04-17T17:00:50Z","timestamp":1334682050000},"page":"143-151","source":"Crossref","is-referenced-by-count":20,"title":["Severe Preeclampsia and Maternal Self\u2010Report of Oral Health, Hygiene, and Dental Care"],"prefix":"10.1002","volume":"84","author":[{"given":"Kim A.","family":"Boggess","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica K.","family":"Berggren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viktoria","family":"Koskenoja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Urlaub","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol","family":"Lorenz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,2]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"U.S. Department of Health and Human Services. 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