Volume 8, Issue 2 (4-2023)                   J Res Dent Maxillofac Sci 2023, 8(2): 79-87 | Back to browse issues page

Ethics code: IR.KMU.REC.1395.529


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Hosseini B, Malekmohammadi T, Naderi T, Bakhtiary M, Hosseini Dastnaei P, Mafi S. Oral and Dental Health Status of Pregnant Women Referred to Perinatal Clinics in Southeastern Iran. J Res Dent Maxillofac Sci 2023; 8 (2) :79-87
URL: http://jrdms.dentaliau.ac.ir/article-1-413-en.html
1- Endodontology Research Center, Ker-man University of Medical Sciences, Kerman, Iran
2- Social Determinants of Health Research Center, Department of Dental Public Health, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran
3- Department of Obstetrics and Gynecology, Kerman University of Medical Sciences, Kerman, Iran
4- Private Dentistry Practice, Kerman, Iran
5- Private Dentistry Practice, Isfahan, Iran
6- Department of Oral Medicine, School of Dentistry, Kermanshah, Iran , Sahar.mafi86@gmail.com
Abstract:   (990 Views)
Background and Aim: As maternal periodontal disease can increase the risk of preterm birth and low birth weight, this study aimed to investigate the oral health status of pregnant women considering the circumstances during pregnancy and the necessity to keep the mother and baby healthy.  
Materials and Methods: This cross-sectional study was conducted on 200 pregnant women referred to perinatal clinics in Kerman city. The participants’ oral health behavior, decayed, missing, and filled teeth (DMFT) score, plaque index (PI) and community periodontal index (CPI) were assessed. Data were analyzed by the Chi-square test and multivariate linear regression model using SPSS 21.
Results: Of all, 39.5% had dental problems during pregnancy. Only 5.4% of them presented to a dentist. The participants’ concerns regarding the risks of dental procedures during pregnancy was the most common reason for not seeking dental treatment. The mean PI and DMFT were 0.75±0.48 and 11.29±3.88, respectively.
Multivariate analysis showed that the DMFT index score had a significant correlation with age (P=0.001) and educational level (P=0.03). The CPI and gestational age (in weeks) were also significantly correlated (P=0.005
).
Conclusion: Due to poor oral health of pregnant women, healthcare planners should provide inter-professional, community-based, and preventive oral health interventions before and during pregnancy.
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Type of Study: Original article | Subject: Oral medicine

References
1. Johnson M, George A, Dahlen H, Ajwani S, Bhole S, Blinkhorn A, Ellis S, Yeo A. The midwifery initiated oral health-dental service protocol: an intervention to improve oral health outcomes for pregnant women. BMC Oral Health. 2015 Jan 15;15:2. [DOI:10.1186/1472-6831-15-2] [PMID] [PMCID]
2. Musskopf ML, Milanesi FC, Rocha JMD, Fiorini T, Moreira CHC, Susin C, Rösing CK, Weidlich P, Oppermann RV. Oral health relat-ed quality of life among pregnant women: arandomized controlled trial. Braz Oral Res. 2018;32:e002. [DOI:10.1590/1807-3107bor-2018.vol32.0002]
3. Karem Hassan B, Jabbar Ali B, Mahmood Alwan A, Badeia RA. Self-Reported Oral Health Attitudes and Behaviors, and Gingival Status of Dental Students. Clin Cosmet Investig Dent. 2020 Jun 25;12:225-32. [DOI:10.2147/CCIDE.S249708] [PMID] [PMCID]
4. Suwargiani AA, Arief EM, Aripin D, Widyaputra S, Susilawati S. Oral health care practice of women with pregnancy experience. Padjadjaran Journal of Dentistry. 2020;32(3):197-206. [DOI:10.24198/pjd.vol32no3.30312]
5. Chambrone L, Pannuti CM, Guglielmetti MR, Chambrone LA. Evidence grade associating periodontitis with preterm birth and/or low birth weight: II: a systematic review of randomized trials evaluating the effects of periodontal treatment. J Clin Peri-odontol. 2011 Oct;38(10):902-14. [DOI:10.1111/j.1600-051X.2011.01761.x] [PMID]
6. Leong PM, Gussy MG, Barrow SY, de Silva-Sanigorski A, Wa-ters E. A systematic review of risk factors during first year of life for early childhood caries. Int J Paediatr Dent. 2013 Jul;23(4):235-50. [DOI:10.1111/j.1365-263X.2012.01260.x] [PMID]
7. Togoo RA, Al-Almai B, Al-Hamdi F, Huaylah SH, Althobati M, Alqarni S. Knowledge of Pregnant Women about Pregnancy Gingivitis and Children Oral Health. Eur J Dent. 2019 May;13(2):261-70. [DOI:10.1055/s-0039-1693236] [PMID] [PMCID]
8. Abdat M, Ramayana I. Relationship between mother's knowledge and behaviour with oral health status of early child-hood. Padjadjaran Journal of Dentistry. 2020;32(3): 166-73. [DOI:10.24198/pjd.vol32no2.24734]
9. Aguilar-Cordero MJ, Leon-Rios XA, Rivero-Blanco T, Rodriguez-Blanque R, Expósito-Ruiz M & Gil-Montoya JA. Quali-ty of life during pregnancy and its influence on oral health: a systematic review. J Oral Res 2019; 8(1):74-81. [DOI:10.17126/joralres.2019.011]
10. Gharehghani MAM, Bayani A, Bayat AH, Hemmat M, Karimy M, Ahounbar E, Armoon B, Fakhri Y, Schroth RJ. Poor oral health-related quality of life among pregnant women: A systematic review and meta-analysis. Int J Dent Hyg. 2021 Feb;19(1):39-49. [DOI:10.1111/idh.12465] [PMID]
11. Gaszyńska E, Klepacz-Szewczyk J, Trafalska E, Garus-Pakowska A, Szatko F. Dental awareness and oral health of pregnant women in Poland. Int J Occup Med Environ Health. 2015;28(3):603-11. [DOI:10.13075/ijomeh.1896.00183] [PMID]
12. Jackson JT, Quinonez RB, Kerns AK, Chuang A, Eidson RS, Boggess KA, Weintraub JA. Implementing a prenatal oral health program through interprofessional collaboration. J Dent Educ. 2015 Mar;79(3):241-8. [DOI:10.1002/j.0022-0337.2015.79.3.tb05878.x] [PMID]
13. Malek Mohammadi T, Malek Mohammadi M. Knowledge, attitude and practice of gynecologists and midwifes toward oral health in pregnant women in Kerman (2016).The Iranian Journal of Obstetrics, Gynecology and Infertility. 2017;20(4):9-18.
14. Byrd MG, Quinonez RB, Rozier RG, Phillips C, Mehegan M, Martinez L, Divaris K. Prenatal Oral Health Counseling by Prima-ry Care Physicians: Results of a National Survey. Matern Child Health J. 2018 Jul;22(7):1033-41. [DOI:10.1007/s10995-018-2483-4] [PMID]
15. Lydon-Rochelle MT, Krakowiak P, Hujoel PP, Peters RM. Dental care use and self-reported dental problems in relation to pregnancy. Am J Public Health. 2004 May;94(5):765-71. [DOI:10.2105/AJPH.94.5.765] [PMID] [PMCID]
16. George A, Dahlen HG, Blinkhorn A, Ajwani S, Bhole S, Ellis S, Yeo A, Elcombe E, Sadozai A, Johnson M. Measuring oral health during pregnancy: sensitivity and specificity of a maternal oral screening (MOS) tool. BMC Pregnancy Childbirth. 2016 Nov 9;16(1):347. [DOI:10.1186/s12884-016-1140-4] [PMID] [PMCID]
17. Odermatt T, Schötzau A, Hoesli I. Orale Gesundheit und Schwangerschaft - Patientinnenbefragung anhand eines Fragebogens [Oral Health and Pregnancy - Patient Survey using a Questionnaire]. Z Geburtshilfe Neonatol. 2017 Aug;221(4):180-6. [DOI:10.1055/s-0043-108762] [PMID]
18. Kateeb E. Palestinian women's oral health status, knowledge, practices, and access to dental care during pregnancy: a cross-sectional study. Lancet. 2018;391:S10. [DOI:10.1016/S0140-6736(18)30335-0]
19. Práger N, Kiss G, Orvos H, Novák T, Virág K, Gorzó I, Radnai M. Change in the Caries Status of Pregnant Women in Southeast Hungary and Its Background. Oral Health Prev Dent. 2018;16(2):137-43.
20. World Health Organization. Oral health surveys: basic methods. Available from: https://apps.who.int/iris/bitstream/handle/10665/97035/9789241548649_eng.pdf?sequence=1.
21. Bozorgmehr E, Hajizamani A, Malek Mohammadi T. Oral health behavior of parents as a predictor of oral health status of their children. ISRN Dent. 2013 May 8;2013: 741783. [DOI:10.1155/2013/741783] [PMID] [PMCID]
22. Shamsi M, Hidarnia A, Niknami S, Rafiee M, Karimi M. Oral health during pregnancy: A study from women with pregnancy. Dent Res J (Isfahan). 2013 May;10(3):409-10.
23. Elangovan GP, Muthu J, Periyasamy IK, Balu P, Kumar RS. Self-reported prenatal oral health-care practices of preterm low birth weight-delivered women belonging to different socioeco-nomic status: A postnatal survey. J Indian Soc Periodontol. 2017 Nov-Dec;21(6):489-93.
24. George A, Ajwani S, Bhole S, Dahlen HG, Reath J, Korda A, Ng Chok H, Miranda C, Villarosa A, Johnson M. Knowledge, attitude and practises of dentists towards oral health care during preg-nancy: A cross sectional survey in New South Wales, Australia. Aust Dent J. 2017 Sep;62(3):301-10. [DOI:10.1111/adj.12505] [PMID]
25. Deghatipour M, Ghorbani Z, Ghanbari S, Arshi S, Ehdayivand F, Namdari M, et al. Oral health status in relation to socioeconomic and behavioral factors among pregnant women: a community-based cross-sectional study. BMC Oral Health. 2019;19(1):1-10. [DOI:10.1186/s12903-019-0801-x] [PMID] [PMCID]
26. Thakur DV, Thakur DR, Kaur DM, Kaur DJ, Kumar DA, Virdi DD, Jassal DS. Pregnancy & Oral Health and Dental Management in Pregnant Patient. J Current Med Res Opinion . 2020;3(11):724-31. [DOI:10.15520/jcmro.v3i11.360]
27. Kobylińska A, Sochacki-Wójcicka N, Dacyna N, Trzaska M, Zawadzka A, Gozdowski D, Wielgoś M, Olczak-Kowalczyk D. The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy. Ginekol Pol. 2018;89(3):120-4. [DOI:10.5603/GP.a2018.0021] [PMID]
28. Al-Habashneh R, Aljundi SH, Alwaeli HA. Survey of medical doctors' attitudes and knowledge of the association between oral health and pregnancy outcomes. Int J Dent Hyg. 2008 Aug;6(3):214-20. [DOI:10.1111/j.1601-5037.2008.00320.x] [PMID]
29. George A, Dahlen HG, Blinkhorn A, Ajwani S, Bhole S, Ellis S, Yeo A, Elcombe E, Johnson M. Evaluation of a midwifery initiated oral health-dental service program to im-prove oral health and birth outcomes for pregnant women: A multi-centre randomised controlled trial. Int J Nurs Stud. 2018 Jun;82:49-57. [DOI:10.1016/j.ijnurstu.2018.03.006] [PMID]
30. Mehrolhassani MH, Dehnavieh R, Haghdoost AA, Khosravi S. Evaluation of the primary healthcare program in Iran: a systematic review. Aust J Prim Health. 2018 Nov;24 (5):359-67. [DOI:10.1071/PY18008] [PMID]

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