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Background. The present study evaluated the prevalence of severe periodontitis (SP) and determined the possible relevant risk factors among patients referred to the Periodontology Department at the Dental Care Center of the Odontostomatology Training and Research Unit of Abidjan, in Côte d'Ivoire. Methods. This retrospective observational study was based on 1087 patients data aged 18-80 years, who were treated in the periodontology department from December 2008 to December 2018. Severe periodontitis (stages III or IV) was defined as interdental clinical attachment loss (CAL)>5 mm at two non-adjacent teeth. Two groups were considered: patients with severe periodontitis (test) or without severe periodontitis (control). Differences between the two groups were tested using the chi-squared test and ANOVA. Furthermore, logistic regression analysis was used to model the relationship between the severity of periodontitis and covariables as potential risk indicators. Results.43.4% of patients had severe periodontitis with a mean CAL of 6.89 mm. SP was associated with age (P=0.004), socioeconomic status (P=0.005), smoking habits (P=0.000), brushing frequency (P=0.000), the number of mobile teeth (P<0.001), and the number of lost teeth (P<0.001). Logistic regression analysis showed that having at least five mobile teeth (OR= 4.11, 95% CI: 2.95-5.73) and/or five missing teeth (OR=2.60, 95% CI: 1.85-3.66) were independent risk indicators for severe periodontal disease. Conclusion. This Ivorian sample presented a high prevalence of severe periodontal diseases. Therefore, proper public health measures would allow early detection, with targeted and effective treatment of the Ivorian population. [ABSTRACT FROM AUTHOR]

Purpose: Several studies have established a significant association between periodontal diseases and adverse pregnancy outcomes, such as preterm birth, low birth weight and preeclampsia. Despite this, awareness among pregnant women, particularly in developing countries, remains insufficient, potentially impeding the adoption of preventive measures. This study aimed to evaluate the knowledge of pregnant women in Ivory Coast regarding the association between periodontal diseases and adverse pregnancy outcomes., Materials and Methods: This cross-sectional study included pregnant women attending antenatal clinics in the gynecology-obstetrics department of the Cocody University Hospital in Ivory Coast. A questionnaire was distributed to assess sociodemographic characteristics and knowledge about the relationship between periodontal diseases and pregnancy complications. Data were analysed using the chi-squared test, with the level of significance set at p 0.05., Results: The study sample included 338 pregnant women with an average age of 30.78 years (± 5.90). Of these, 24.26% were aware that periodontal disease could induce complications in pregnant women and newborns. The knowledge of pregnant women is correlated with their educational level (p = 0.023) and their profession (p = 0.009)., Conclusion: Knowledge among pregnant women about the association between periodontal diseases and adverse pregnancy outcomes remains insufficient in Ivory Coast. These results highlight the necessity for continuous improvement of educational programs targeting pregnant women and healthcare providers on this topic.

Purpose: The aim of this study was to investigate the possible association between periodontitis and preterm birth in Ivory Coast., Materials and Methods: A cohort study including 446 volunteers (pregnant women) aged 15-50 years was performed in the Gynecology-Obstetrics Department of the University Hospital Center of Cocody-Abidjan in Ivory Coast. Socioeconomic and periodontal status was obtained during pregnancy. After delivery, obstetric data was collected. Periodontitis was diagnosed according to the new 2018 EFP/AAP classification of Periodontal and Peri-Implant Diseases and Conditions, as follows: a subject presenting with interdental CAL at two non-adjacent teeth or buccal/oral CAL ≥ 3 mm with pocketing > 3 mm was diagnosed with periodontitis. Any birth before the 37th week was considered a preterm birth (PTB)., Results: The prevalence of periodontitis and preterm birth were 59.47% and 18.34%, respectively. Periodontitis was mainly stage 1. PTB was statistically significantly higher in pregnant women with periodontitis compared to women without periodontitis (p = 0.0002). Multivariate analysis showed that periodontitis was associated with PTB (p = 0.0002). Logistic regression showed that periodontitis is a risk factor for preterm birth (OR = 3.62; 95% CI: 1.80-7.31; p = 0.0003)., Conclusion: The results of this study suggest that periodontitis is an additional risk factor for preterm birth in Ivory Coast.