Algorithm of action of dentist dentistry during pregnancy

Yakubova, Inessa I; Kuz'mina, V. A.

doi:10.33295/1992-576x-2019-1-55-58

Cited by 1 publication

(4 citation statements)

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“…The obtained results of examination of women with physiological course of pregnancy at the initial visit to the dentist confirmed the opinion of many authors [4,8,9,10,11,13,14] that pregnancy is a risk factor for women's dental health, in particular, the most common diseases -dental caries and gingivitis.…”

Section: Resultssupporting

confidence: 85%

“…The oral cavity diseases were treated in the shortest and most optimal time of pregnancy. It is better to treat and extract the decayed teeth before pregnancy, if this did not happen for the planned treatment of the oral cavity of the pregnant woman, a time period between 15 and 22 weeks of gestation was chosen [9]. In these terms, the organogenesis of the fetus has already completed, the placenta has formed, the fetoplacental circulation is functioning, hemodynamics has stabilized to a certain extent, and the indicators of the mother's immunological status has improved [11].…”

Section: Resultsmentioning

confidence: 99%

“…The 18-20th week of gestation is characterized by intense mineralization of the deciduous teeth, start of the formation of the rudiments of the first permanent molars. From the 30th week of pregnancy, intensive mineralization of the crowns of the temporary teeth of the fetus continues [6,9].…”

Section: Resultsmentioning

confidence: 99%

“…In pregnant women the dental caries intensity increases, the periodontal status deteriorates: the intensity and prevalence of periodontal diseases enhance, various forms of gingivitis and periodontitis occur, or the course of already existing periodontal diseases exacerbates [2,9,13,14]. These changes are caused by temporary physiological endocrine disharmony and neurohumoral shifts in the woman's body during pregnancy [4,8].…”

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confidence: 99%

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Optimization of prevention of dental diseases in pregnant women

Гаджула

O.L.

2022

Med. perspekt.

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Effective prevention of dental diseases during pregnancy, as well as the correct tactics of a dentist and obstetrician-gynecologist is important factors in improving the level of dental health in pregnant women. The aim of research was to increase the effectiveness of the prevention of dental caries and periodontal diseases by introducing a complex of prophylactic and therapeutic measures in pregnant women. The implementation of the prophylaxis scheme is performed in 136 women aged 18-35 years. In the main group (70 women) prophylaxis was carried out using the complex of prophylactic and therapeutic measures developed by us, which includes: professional oral hygiene, oral health treatment, nutrition correction, prescribing the medicines of systemic and local action, training in proper teeth brushing, active sanitary and educational work. In the control group (66 women), the generally accepted prophylaxis scheme was used. Evaluation of the effectiveness of prophylactic and therapeutic measures was determined by indicators of caries incidence during pregnancy, reduction of caries, the dynamics of Papillary-Marginal-Attached Index and Papillary Bleeding Index. The effectiveness of the proposed algorithm of dental diseases prevention for pregnant women was confirmed by 3.45 times lower incidence of dental caries in women of the main group compared to the control group (0.44±0.06 versus 1.52±0.13 tooth, respectively); significant decrease (p<0.001) of Papillary-Marginal-Attached Index values (14.01±1.17 versus 49.25±1.86%), as well as bleeding indices (0.32±0.08 versus 1.82±0.13) and Green-Vermilion (0.89±0.08 versus 1.71±0.12 scores). Regular prophylactic and therapeutic examinations of pregnant women by a dentist, hygienic education and training of expectant mothers, active motivation of women to carry out individual oral hygiene with a constant monitoring of its implementation, correction of nutrition and mineral metabolism, influence on cariogenic and periodontal microbiota of the oral cavity, improvement of physiological enamel mineralization and increasing of hard tooth tissues resistance contributed to the reduction of caries incidence by 71.05±5.42% and the effectiveness of periodontal diseases treatment by 88.46±3.81% in the main group versus 36.84±5.94% in the control group (p<0.001).

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Section: Resultssupporting

confidence: 85%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

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