Title: A Study on Effect of Oral Hygiene Measures during Pregnancy

Authors: Dr Tanveer Akhter, Dr Mohd Anwar, Dr Usma Jabeen,  Dr Mohammed Israr Ul Khaliq

 DOI:  https://dx.doi.org/10.18535/jmscr/v4i11.45

Abstract

Introduction: The assessment of potential effect of intensive oral hygiene regimens and periodontal therapy during pregnancy on oral health is not done routinely.

Aims and Objectives: To assess the effects of a preventive program on dental and oral health of pregnant female.

Materials and methods: A clinical study was conducted on 100 pregnant women aged 18 to 36 years, at 16 to 24 weeks of gestation. Each participant presented with clinical evidence of various common periodonatal problems and odontogenic infections. Oral hygiene products were provided, together with instructions for an intensive daily regimen of hygiene practices. Non-surgical therapy was provided at baseline. Oral examinations were completed at baseline and again at 3 and 6 weeks.

Results: Preventive programs starting during pregnancy may improve health behavior. Caries, periodontitis, and dietary complications in mother and child can be avoided by improving maternal oral health and by a tooth-friendly diet. The rate of preterm births (<37 weeks of gestation) was 6.7% (P = 0.113) and low birth weight (<2,500 g) was 10.2% (P = 1.00).

Conclusion: An oral health care promotion starting during pregnancy may cause a sustained and long-term improvement of the oral health of  pregnant females.

Keywords: Early oral health care,Caries,  gingivitis, inflammation, oral hygiene, pregnancy.

References

 1.      Offenbacher S, Katz V, Fertik G, et al. Periodontal infection as a possible risk factor for preterm low birth weight. J Periodontol. 1996;67(Suppl. 10):1103–1113.

2.      Goepfert AR, Jeffcoat MK, Andrews WW, et al. Periodontal disease and upper genital tract inflammation in early spontaneous preterm birth. Obstet Gynecol. 2004;104:777–783.

3.      López NJ, Smith PC, Gutierrez J. Higher risk of preterm birth and low birth weight in women with periodontal disease. J Dent Res. 2002;81:58–63.

4.      Khader YS, Ta’ani Q. Periodontal diseases and the risk of preterm birth and low birth weight: A meta-analysis. J Periodontol. 2005;76:161–165.

5.      Wasylko L, Matsui D, Dykxhoorn SM, Rieder MJ, Weinberg S. A review of common dental treatments during pregnancy: implications for patients and dental personnel. J Can Dent Assoc. 1998;64(6):434–439.

6.      Piriz RL, Angulair L, Gimenez MJ. Management of odontogenic infection of pulpal and periodontal origin. Med Oral Patol Oral Cir Bucal 2007; 12: 154-9.

7.      Neal D. Futran MD, DMD  Peterson's Principles of Oral and Maxillo Facial Surgery.  2nd edition by Michael Miloro, B.C. Decker, Inc., Hamilton, 2004, 1500  

8.      Rahman ZA, Hamimah H, Bunyarit SS. Clinical patterns of orofacial infections. Annal Dent Univ Malaya 2005; 12: 18-23.

9.      Sills ES, Zegarelli DJ, Hoschander MM, Strider WE. Clinical diagnosis and management of hormonally responsive oral pregnancy tumor (pyogenic granul-oma). J Reprod Med. 1996; 41(7):467-470.

10.  American Dental Association Council on Access, Prevention and Interprofessional Relations. Women’s oral health issues. American Dental Association, 2006. http://www.ada.org/prof/resources/topics/healthcare_ womens.pdf. Accessed August 1, 2007.

11.  American Academy of Periodontology. Periodontal (gum) diseases. http://www.perio.org/consumer/2a.html. Accessed August 1, 2007.

12.  Goepfert AR, Jeffcoat MK, Andrews WW, et al. Periodontal disease and upper genital tract inflammation in early spontaneous preterm birth. Obstet Gynecol. 2004;104(4):777–783.

13.  Offenbacher S, Lieff S, Boggess KA, et al. Maternal periodontitis and prematurity. Part I: obstetric outcome of prematurity and growth restriction. Ann Periodontol. 2001;6(1):164–174.

14.  Help reduce cost: the economic costs. March of Dimes. http://www.marchofdi-mes.com/prematurity/21198_10734.asp. Accessed July 1, 2007.

15.  Michalowicz BS, Hodges JS, DiAngelis AJ, et al. Treatment of periodontal disease and the risk of preterm birth. N Engl J Med. 2006;355(18):1885–1894.

16.  Livingston HM, Dellinger TM, Holder R. Considerations in the management of the pregnant patient. Spec Care Dentist. 1998;18(5):183–188.

17.  National Collaborative Perinatal Project. 1959–1974, Record Group 443, National Institutes of Health. http://www.moth-erisk.org. Accessed July 1, 2007.

18.  López NJ, Da Silva I, Ipinza J, Gutiérrez J. Periodontal therapy reduces the rate of preterm low birth weight in women with pregnancy-associated gingivitis. J Periodontol. 2005;76(Suppl. 11):2144–2153.

19.  Goldenberg RL, Andrews WW, Hauth JC. Choriodecidual infection and preterm birth. Nutr Rev. 2002;60:S19–S25.]

20.  Yokoyama M, Hinode D, Masuda K, Yoshioka M, Grenier D. Effect of female sex hormones on Campylobacter rectus and human gingival fibroblasts. Oral Microbiol Immunol. 2005;20:239–243.

Corresponding Author

Dr Mohammed Israr Ul Khaliq

Post Graduate Scholar. Dept of Oral and Maxillofacial Surgery,

Govt. Dental College & Hospital, Srinagar

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