{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:28:27Z","timestamp":1787023707551,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,6,1]],"date-time":"2013-06-01T00:00:00Z","timestamp":1370044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    This study explored whether there is any change of periodontal disease status during and after pregnancy. We also examined whether the change is different between females with a history of gestational diabetes mellitus (GDM) and females without GDM during pregnancy.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    A follow\u2010up study was conducted at Woman's Hospital, Baton Rouge, Louisiana. Thirty\u2010nine females who were previously enrolled in a case\u2010control study during pregnancy were followed an average of 22 months postpartum. Periodontal status was assessed through dental examinations performed both during and after pregnancy. Clinical periodontal parameters included bleeding on probing (BOP), mean probing depth (PD), and mean clinical attachment level (CAL). Periodontitis was defined as the presence of \u22651 sites exhibiting PD \u22654 mm or CAL \u22654 mm. We used generalized estimating equation analysis to examine the change of periodontal status.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Mean number and percentage of sites with BOP decreased from 10.7 \u00b1 11.6 (mean \u00b1 SD) and 6.5% \u00b1 7.0% during pregnancy to 7.1 \u00b1 8.8 and 4.3% \u00b1 5.3% at 22 months postpartum (\n                    <jats:italic>P<\/jats:italic>\n                    &lt;0.05), respectively. Mean levels of PD and CAL decreased from 1.8 \u00b1 0.4 mm and 1.9 \u00b1 0.3 mm to 1.6 \u00b1 0.3 mm and 1.6 \u00b1 0.3 mm (\n                    <jats:italic>P<\/jats:italic>\n                    &lt;0.01), respectively. The prevalence of periodontitis decreased from 66.7% to 33.3% (\n                    <jats:italic>P<\/jats:italic>\n                    &lt;0.01, adjusted risk ratio = 2.1, 95% confidence interval = 1.3 to 3.4). There was no difference in the change of periodontal status between females with GDM and females without GDM during pregnancy.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Pregnancy may be associated with an increased risk of periodontal disease. The association is not different between females with GDM and females without GDM during pregnancy.\n                  <\/jats:p>","DOI":"10.1902\/jop.2012.120235","type":"journal-article","created":{"date-parts":[[2012,8,8]],"date-time":"2012-08-08T15:36:48Z","timestamp":1344440208000},"page":"725-731","source":"Crossref","is-referenced-by-count":30,"title":["Change of Periodontal Disease Status During and After Pregnancy"],"prefix":"10.1002","volume":"84","author":[{"given":"Yiqiong","family":"Xie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen E.","family":"Elkind\u2010Hirsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Pridjian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja","family":"Maney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert L.","family":"Delarosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Buekens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0757.2001.22250102.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.1998.3.1.127"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(99)70293-0"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-051x.2000.027004267.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.06.035"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.090250"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-0825.2011.01805.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200109000-00037"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00827.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2011.01761.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c7017"},{"key":"e_1_2_6_13_1","first-page":"34","article-title":"Pregnancy and periodontal tissues","volume":"32","author":"Straka M","year":"2011","journal-title":"Neuroendocrinol Lett"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080012"},{"key":"e_1_2_6_15_1","first-page":"49","article-title":"Connective tissue alterations in gingivae of rats treated with estrogen and progesterone. A histologic and autoradiographic study","volume":"24","author":"Lundgren D","year":"1973","journal-title":"Odontol Revy"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016350260248210"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1991.tb00425.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1994.tb01172.x"},{"key":"e_1_2_6_19_1","first-page":"224","article-title":"Pregnancy gingivitis (in Hebrew)","volume":"58","author":"Hasson E","year":"1960","journal-title":"Harefuah"},{"key":"e_1_2_6_20_1","first-page":"81","article-title":"Incidence of gingivitis in pregnancy","volume":"8","author":"Chaikin BS","year":"1977","journal-title":"Quintessence Int Dent Dig"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016356309011240"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(82)90349-0"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh090"},{"key":"e_1_2_6_24_1","doi-asserted-by":"crossref","unstructured":"ZouGY DonnerA. Extension of the modified Poisson regression model to prospective studies with correlated binary data [published online ahead of print November 8 2011].Stat Methods Med Resdoi:10.1177\/0962280211427759.","DOI":"10.1177\/0962280211427759"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-051x.2000.027010787.x"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2004.75.1.116"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01222.x"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01236.x"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2005.00703.x"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2007.060163"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.090575"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(98)00044-4"},{"key":"e_1_2_6_33_1","unstructured":"JL Kelsey AS Whittemore AS Evans WD Thompson 1996"}],"container-title":["Journal of Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1902\/jop.2012.120235","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:41:36Z","timestamp":1760863296000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1902\/jop.2012.120235"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6]]},"references-count":32,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2013,6]]}},"alternative-id":["10.1902\/jop.2012.120235"],"URL":"https:\/\/doi.org\/10.1902\/jop.2012.120235","archive":["Portico"],"relation":{},"ISSN":["0022-3492","1943-3670"],"issn-type":[{"value":"0022-3492","type":"print"},{"value":"1943-3670","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6]]}}}