Does Periodontal treatment prevent the occurrence of Preeclampsia and Still Birth in Pregnant women?

There will be two groups of pregnant females,a total of 100 participants, who fulfill the inclusion criteria. The 'experimental' group (n = 50) will first be provided with oral health education. This would include detailed instructions on how and when to brush their teeth. The instructions would be given orally with tooth brushing demonstration provided on a dental teeth model. Thereafter, the participants of the 'experimental' group will be receiving the periodontal treatment including oral hygiene instructions and a non surgical scaling and polishing of the teeth,with the help of ultrasonic scaler tips and ultrasonic brushes respectively. As an incentive, the participants of the 'experimental group' will also be provided with a free tooth brush and a toothpaste. Once the treatment is provided, a dental checkup will be performed after 12 weeks of the treatment to evaluate the periodontal health status of the patients. The dental checkup would include an assessment of the periodontal status of the patient using the British Periodontal Examination (BPE) index. This is a validated and reliable instrument for the purpose of measuring the periodontal status of individuals.The Prophylactic treatment will be provided one time initially but if the patient requires further treatment at the followup,it must be provided. Other than periodontal treatment, the participants of both groups would be provided with necessary oral health care e.g restorations, endodontic treatment, if required, and this being assessed through complete oral examination, DMFT charting that will carried out at the initial assessment of the patient. The treatment will be provided by the house officers,in the supervision of trained dentists in the periodontology department of Fauji Foundation Hospital, Rawalpindi. a dental checkup will be performed after 12 weeks of the treatment to evaluate the periodontal health status of the patients. The dental checkup would include an assessment of the periodontal status of the patient using the British Periodontal Examination (BPE) index. This is a validated and reliable instrument for the purpose of measuring the periodontal status of individuals.The Prophylactic treatment will be provided one time initially but if the patient requires further treatment at the followup,it must be provided. Other than periodontal treatment, the participants of both groups would be provided with necessary oral health care e.g restorations, endodontic treatment, if required, and this being assessed through complete oral examination, DMFT charting that will carried out at the initial assessment of the patient. The treatment will be provided by the house officers,in the supervision of trained dentists in the periodontology department of Fauji Foundation Hospital, Rawalpindi. At the 12 weeks checkup, the blood pressure of the patient would be measured using a mercurial sphygmomanometer and urine analysis will be done to check for proteinurea. This analysis will be done to assess the preeclampsia status of the patients.