Dental Anxiety Amongst Pregnant Women: Relationship With Dental Attendance and Sociodemographic Factors

AlRatroot, Soha; Alotaibi, Gadah; AlBishi, Fai; Khan, Shahd; Nazir, Muhammad Ashraf

doi:10.1016/j.identj.2021.05.007

Cited by 10 publications

(13 citation statements)

References 24 publications

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“…There may be many factors behind this pattern, but most of the time, it is due to a previous negative experience or a lack of education regarding oral hygiene. Since there is a strong correlation between poor dental status and pregnancy outcomes, raising awareness of oral health is indispensable [ 20 ]. Preventive dental and periodontal care, especially before and, if necessary, during pregnancy, is fundamental to maintaining both mothers’ and newborns’ health, and, for this exact reason, effective collaboration between obstetricians and dentists is essential [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

Maternal Periodontal Status as a Factor Influencing Obstetrical Outcomes

et al. 2023

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Background and Objectives: Preterm birth as a complex phenomenon is influenced by numerous endogenic and exogenic factors, although its exact cause often remains obscure. According to epidemiological studies, maternal periodontal diseases, in addition to affecting general health, can also cause adverse pregnancy outcomes. Nonetheless, the existing results in the literature regarding this topic remain controversial. Consequently, our study aimed to determine the connection between poor maternal periodontal status and neonatal birth weight. Materials and Methods: A total of 111 primigravida–primiparous pregnant, healthy women underwent a periodontal examination in the second trimester of their pregnancies. Probing depth (PD) and bleeding on probing (BOP) were determined, and based on these diagnostic measurements, the patients were divided into three subgroups according to their dental status: healthy (H, n = 17), gingivitis (G, n = 67), and periodontitis (P, n = 27). Results: Considering that poor maternal oral status is an influencing factor for obstetrical outcomes, the presence of PD and BOP (characterized by the sulcus bleeding index, SBI) was evaluated. In the case of P, defined as PD ≥ 4 mm in at least one site and BOP ≥ 50% of the teeth, a significant correlation between BOP and a low neonatal birth weight at delivery (p = 0.001) was found. An analysis of the relationship between SBI and gestational age (GA) at the time of the periodontal examination in the different dental status groups showed a significant correlation between these parameters in the G group (p = 0.04). Conclusions: Our results suggest that a worse periodontal status during pregnancy may negatively affect obstetrical outcomes, especially the prematurity rate and newborn weight. Therefore, the importance of periodontal screening to prevent these complications is undeniable.

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Section: Discussionmentioning

confidence: 99%

Maternal Periodontal Status as a Factor Influencing Obstetrical Outcomes

et al. 2023

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“…This clinical condition corresponds to an exacerbated response to the presence of bacterial plaque and its prevalence varies between 35 and 100% of pregnant women. Furthermore, it may disappear a few months after delivery, as long as the local irritants are eliminated by removing the bacterial biofilm, through good oral hygiene or professional prophylaxis [4][5][6][7].…”

Section: Complications In Gingival and Periodontal Tissues During Pre...mentioning

confidence: 99%

“…Recent studies show the importance of the dental professional during pregnancy, a period in which numerous physiological changes occur. Most dental procedures, provided they are correctly performed, do not harm the fetus, especially when performed during the ideal gestational period [5,6].…”

Section: Introductionmentioning

confidence: 99%

“…Due to the historical scarcity of well-controlled drug studies in human pregnancy, several initiatives emerged in the 1990s. Currently, many of these projects are starting to show results from a simple followup of exposures to a given drug, or study groups of therapeutic classes that have been studied in their entirety, sponsored by consortia of financing companies [1,6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Hyperemia, edema, and gingival bleeding are related to factors such as nutritional deficiencies, high hormone levels, the presence of bacterial plaque, as well as the transient state of immunosuppression. It is imperative that the future mother knows and understands the harm that cariogenic and periodontal-pathogenic bacteria can bring to her and her baby [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Major considerations of dental care and treatments for pregnant and breast-feeding women: a concise systematic review

Lopes¹,

Faria²,

Garcia³

et al. 2023

MedNEXT

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Introduction: Dental treatment for pregnant women is still a source of insecurity for many professionals, including those in the dental field. Among the changes present is the increase in the rate of dental caries, acid enamel erosion, and, of paramount importance, a greater predisposition to periodontal disease. Objective: It was to present the main considerations of dental care and treatment in pregnant and lactating women through a concise systematic review. Methods: The systematic review rules of the PRISMA Platform were followed. The search was carried out from December 2022 to February 2023 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases, using articles from 2014 to 2022. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 120 articles were found, 29 articles were evaluated in full and 16 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 20 studies with a high risk of bias and 32 studies that did not meet GRADE. Drug therapy in pregnant and breastfeeding women, as well as any form of surgical intervention, always requires a careful assessment of the risks potentially involved in this practice. In this way, the dental surgeon must prescribe rationally and responsibly, to avoid the undesirable effects that may be caused by the use of medications. It is of paramount importance, the constantly updating of the professional, through the search for recent information in updated references or specialized centers, about the drugs and their possible harmful effects on the mother and the child.

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