Interdisciplinary Community-Based Oral Health Program for Women and Children at WIC

Gold, Jaana; Tomar, Scott L.

doi:10.1007/s10995-018-2557-3

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…Xiao et al reported that more than 80% of underserved US pregnant women have at least one untreated decayed tooth, and average number of decayed teeth is 3.9 45 . Similar data indicates that more than 70% of underserved pregnant women in Florida have unmet oral health needs 113 .…”

Section: Are Oral Microorganisms Harbinger For Adverse Birth Outcome?mentioning

confidence: 75%

Oral microflora and pregnancy: a systematic review and meta-analysis

Jang

Patoine

et al. 2021

Sci Rep

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Understanding changes in oral flora during pregnancy, its association to maternal health, and its implications to birth outcomes is essential. We searched PubMed, Embase, Web of Science, and Cochrane Library in May 2020 (updated search in April and June 2021), and conducted a systematic review and meta-analyses to assess the followings: (1) oral microflora changes throughout pregnancy, (2) association between oral microorganisms during pregnancy and maternal oral/systemic conditions, and (3) implications of oral microorganisms during pregnancy on birth outcomes. From 3983 records, 78 studies were included for qualitative assessment, and 13 studies were included in meta-analysis. The oral microflora remains relatively stable during pregnancy; however, pregnancy was associated with distinct composition/abundance of oral microorganisms when compared to postpartum/non-pregnant status. Oral microflora during pregnancy appears to be influenced by oral and systemic conditions (e.g. gestational diabetes mellitus, pre-eclampsia, etc.). Prenatal dental care reduced the carriage of oral pathogens (e.g. Streptococcus mutans). The Porphyromonas gingivalis in subgingival plaque was more abundant in women with preterm birth. Given the results from meta-analyses were inconclusive since limited studies reported outcomes on the same measuring scale, more future studies are needed to elucidate the association between pregnancy oral microbiota and maternal oral/systemic health and birth outcomes.

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Section: Are Oral Microorganisms Harbinger For Adverse Birth Outcome?mentioning

confidence: 75%

Oral microflora and pregnancy: a systematic review and meta-analysis

Jang

Patoine

et al. 2021

Sci Rep

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“…Untreated oral diseases among pregnant women with low socioeconomic status have been identified in the other states of the US as well. An interdisciplinary community-based oral health program in Florida US reviewed the dental encounter records of 180 underserved pregnant women in a Women, Infant, Children (WIC) program, and found 71.2% of the pregnant women had unmet dental care needs [47].…”

Section: Discussionmentioning

confidence: 99%

Oral health and Candida carriage in socioeconomically disadvantaged US pregnant women

Xiao

Fogarty

et al. 2019

BMC Pregnancy Childbirth

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BackgroundDespite the well-documented associations between poor maternal oral health and increased risk for adverse birth outcomes and dental caries in children after birth, prenatal oral health care is under-utilized, especially among the underserved population. In addition, oral Candida has recently been suggested as a potential culprit for children’s dental caries, with evident maternal contributions. Therefore, this study aimed to obtain epidemiological data on the oral health and oral Candida carriage in a cohort of underserved US pregnant women, and reveal factors associated with their oral Candida carriage.MethodsDemographic-medical-oral hygiene practice data were collected. Comprehensive oral examination was conducted. Caries status and plaque index were recorded. Oral samples (saliva, plaque and swab) were processed to identify Candida species and Streptococcus mutans by culturing-dependent and -independent methods. Multiple logistic regression analyses were used to identify factors associated with oral Candida carriage and caries severity.ResultsEighty-two socioeconomically disadvantaged women (48 pregnant and 34 non-pregnant) were enrolled. More pregnant women (79.1%) had > = 1 untreated decayed tooth when compared to their non-pregnant counterparts (47.1%) (p = 0.01). The average number of decayed teeth in pregnant and non-pregnant women was 3.9 and 3.1 (p > 0.05). Caries severity was positively associated with race (African American vs. white), plaque index and salivary Candida albicans level. C. albicans was the most predominant/abundant Candida strain, with cheek and tonsil as the most common colonized sites. The detection of C. albicans was 56%/56% in saliva and 40%/47% in plaque of the pregnant and non-pregnant groups, respectively. Study women’s oral Candida carriage is positively associated with hypertension [p = 0.03, odds ratio = 14.47(1.28, 163.51)], decayed teeth number [p = 0.04, odds ratio = 1.31 (1.01,1.69)] and salivary S. mutans level [p = 0.03, odds ratio = 4.80 (1.18–19.43)].ConclusionsSocioeconomically disadvantaged US women are in need of improved prenatal oral health, a large proportion of them have untreated decayed teeth and high carriage of oral Candida. Due to the observed significant association between the decayed teeth number and oral Candida carriage, providing oral health care during pregnancy (including limiting decayed teeth) will not only improve women’s oral health, but also present as a promising approach to reduce oral Candida carriage in women.

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“…Children depend on parents for guidance on basic day to day oral hygiene maintenance. However, while it is helpful for parents to guide children, parents with low level of education, language barriers or lack of time due to their occupation may be unable to provide proper oral health guidance to their children [43]. Practicing healthy behaviors early in life can have a positive impact on children's overall health.…”

Section: Discussionmentioning

confidence: 99%

Active Participation in Oral Health Education Improves Knowledge Among Children 3-5 Years of Age

Shanmugham

2022

MADOHC

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Objectives: This study evaluates the effectiveness of active participation on improving oral health knowledge among preschool children aged 3-5 years, using age-appropriate materials and multiple learning modalities.Methods: Children aged 3-5 years were randomly assigned to either the test group, where children actively participated in oral health education (provided in English and Spanish), or the control group, where children viewed videos not related to oral health. Two educational sessions were used as part of the training: Lesson 1 focused on educating children about healthy versus unhealthy foods (n = 136); and Lesson 2 focused on oral hygiene habits (n = 132). Blinded post-testing was conducted and oral health knowledge before and after the education was evaluated to analyze the effectiveness of active participation. Results:The test groups (English and Spanish taught) scored significantly higher on the post-test than the control groups. The knowledge of sticky foods and reasons for foods being sticky (p<0.0001), and the awareness on maintaining oral hygiene (p<0.0001) was significantly higher among the children in the test groups following the oral health education. When using a song to encourage children to participate and sing along to understand brushing methods, both English and Spanish test groups significantly improved in the post-test (p<0.0001). Conclusion:The findings in our study suggest that the use of interactive child-friendly tools combined with multiple learning modalities (visual, auditory, kinesthetic, and manipulative) among 3-5 years old preschool children can significantly improve their oral health knowledge.

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Interdisciplinary Community-Based Oral Health Program for Women and Children at WIC

Cited by 3 publications

References 20 publications

Oral microflora and pregnancy: a systematic review and meta-analysis

Oral microflora and pregnancy: a systematic review and meta-analysis

Oral health and Candida carriage in socioeconomically disadvantaged US pregnant women

Active Participation in Oral Health Education Improves Knowledge Among Children 3-5 Years of Age

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