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Research to
Policy and Practice: Periodontal Health and Birth Outcomes
On December
11-12, 2006, the Health
Resources and
Services Administration's (HRSA's), Maternal and
Child Health Bureau (MCHB) convened a forum in Washington,
DC, to address the
relationship between periodontal health and birth outcomes. The
forum was planned in collaboration with representatives of the
Agency for
Healthcare
Research and Quality, the Centers for Disease Control and
Prevention, the National Institute of Dental and Craniofacial Research,
the National Institute of Child Health and Human Development, the
Office of the Surgeon General, and HRSA’s Office
of Women’s Health.
Meeting
Objectives
- Review current evidence-based research on
the relationship between periodontal disease in pregnant
women and birth outcomes
- Review current policies, programs, and practices
in the public and private sectors addressing the oral health
needs of pregnant women, as related to improving birth
outcomes and women’s overall health
- Offer public and private health leaders
the opportunity to discuss future directions in research,
policy, programs, and practice related to women’s
periodontal health and birth outcomes
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Summary
Report 
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Agenda
Overview of Forum
Highlighted Sessions
- Review
of Scientific Evidence Related to Periodontal Health and
Birth Outcomes
This session presented findings of a white paper developed
for the forum. The paper reviews and assesses the current
state of the science regarding the relationship between periodontal
disease in pregnant women and birth outcomes.
Presenters
Xu Xiong, MD, DrPH
Associate Professor, Department of Epidemiology
School of Public Health and Tropical Medicine, Tulane University
Sotirios Vastardis, DDS, MS
Assistant Professor, Department of Periodontics
School of Dentistry, Louisiana State University Health
Sciences Center
- Overview
of Periodontal Health for Women of Reproductive Age
This session provided an overview of periodontal health issues,
especially during the reproductive years, as they affect
women's overall health.
Presenter
Marjorie Jeffcoat,
DMD
Dean, School of Dental Medicine
University of Pennsylvania
- Policies,
Programs and Practices Addressing the Oral Health Needs
of Pregnant Women
This session presented the findings of a second white paper
developed for the forum on policies, programs, and practices
in the public and private sectors. The paper addresses
the oral health needs of pregnant women. Strategies for improving
birth outcomes as well as for improving women’s overall
health were discussed.
Presenters
Burton Edelstein,
DDS, MPH
Professor of Dentistry and Health Policy and Management
School of Dental and Oral Surgery, Columbia University
Karen
VanLandeghem, MPH
Health Policy and Program Consultant
VanLandeghem, Inc.
- The Gray Zone
of Evidence-Based Research — Benefit or Harm?
This session presented the challenges of applying evidence-based
methods to assess new and emerging research issues, and
the importance of separating out questions of science from
other important considerations involving
values in setting policy.
Presenter
David Atkins, MD, MPH
Chief Medical Officer, Center for Outcomes and Evidence
Agency for Healthcare Research and Quality
- New
Findings from Federally-Funded Clinical Research
This session presented an overview of NIDCR-funded research
and the findings from a major NIDCR-funded clinical
trial that assessed the effects of periodontal therapy
on preterm
birth.
Presenter
Bryan Michalowicz,
DDS, MS
Principal Investigator, Effects of Periodontal Therapy
on Preterm Birth
Associate Professor, Division of Periodontology
University of Minnesota School of Dentistry
- Published
Paper
Michalowicz BS, Hodges JS, DiAngelis AJ, Lupo
VR, Novak MJ, Ferguson JE, Buchanan W, Bofill
J, Papapanou PN, Mitchell DA, Matseoane S, Tschida
PA. 2006. Treatment
of periodontal disease and
the risk of preterm birth.
New England Journal of Medicine 355(18):1885–1894
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