Prenatal nutrition intervention to reduce mutans streptococci among low‐income women

Reisine, Susan; Douglass, Joanna M.; Aseltine, Robert H.; Shanley, Ellen; Thompson, C.A.; Thibodeau, Edward A.

doi:10.1111/j.1752-7325.2011.00286.x

Cited by 4 publications

(7 citation statements)

References 17 publications

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“…Other prenatal educational oral health interventions have resulted in improved knowledge, care utilization, or oral hygiene, 20–22 and decreased mutans streptococci following a nutrition education intervention. 22 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…A review of prenatal oral health interventions found that very few focused on the woman, compared to the infant . A few educational interventions resulted in higher rates of prenatal dental care utilization, tooth brushing and flossing improvements, and reduced sugar intake . One study showed decreased mutans streptococci through a nutritional education intervention .…”

Section: Introductionmentioning

confidence: 99%

“…19 A few educational interventions resulted in higher rates of prenatal dental care utilization, 20 tooth brushing and flossing improvements, 21 and reduced sugar intake. 22 One study showed decreased mutans streptococci through a nutritional education intervention. 22 Only studies including a professionally applied dental treatment component assessed clinical oral health status and showed improvements.…”

Section: Introductionmentioning

confidence: 99%

“…22 One study showed decreased mutans streptococci through a nutritional education intervention. 22 Only studies including a professionally applied dental treatment component assessed clinical oral health status and showed improvements. 23,24 The present study, a nonrandomized controlled pilot trial, was conducted to test a skills-building oral health educational intervention, CenteringPregnancy Oral Health Promotion, delivered by trained CenteringPregnancy facilitators (certified nurse-midwives) and integrated into routine CenteringPregnancy prenatal sessions.…”

Section: Introductionmentioning

confidence: 99%

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Integrating a Nurse‐Midwife‐Led Oral Health Intervention Into CenteringPregnancy Prenatal Care: Results of a Pilot Study

Adams¹,

Gregorich²,

Rising³

et al. 2017

J Midwife Womens Health

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Introduction National and professional organizations recommend oral health promotion in prenatal care to improve women’s oral health. However, few prenatal programs include education about oral health promotion. The objective of this study was to determine if women receiving a brief, low cost, and sustainable educational intervention entitled CenteringPregnancy Oral Health Promotion, had clinically improved oral health compared to women receiving standard CenteringPregnancy care. Methods Women (n=101) attending CenteringPregnancy, a group prenatal care model, at four health centers in the San Francisco Bay Area, participated in this non-randomized controlled pilot study in 2010–2011. The intervention arm (n=49) received the CenteringPregnancy Oral Health Promotion intervention consisting of two 15-minute skills-based educational modules addressing maternal and infant oral health, each module presented in a separate CenteringPregnancy prenatal care session. The present analysis focused on the maternal module that included facilitated discussions and skills-building activities including proper tooth brushing. The control arm (n=52) received standard CenteringPregnancy prenatal care. Dental examinations and questionnaires were administered prior to and approximately 9 weeks post intervention. Primary outcomes included the Plaque Index, percent bleeding on probing, and percent of gingival pocket depths 4mm or greater. Secondary outcomes were self-reported oral health knowledge, attitudes (importance and self-efficacy), and behaviors (tooth brushing and flossing). Regression models tested whether pre- to post-changes in outcomes differed between the intervention-versus the control-arms. Results The control and intervention arms did not vary significantly at baseline. Significant pre- to post-differences were noted between the arms with significant improvements in the intervention arm for the Plaque Index, bleeding on probing, and pocket depths 4mm or greater. Discussion Providing brief oral health education and skills-building activities within prenatal care may be effective in improving women’s oral health during pregnancy. These findings provide support for developing a full-scale randomized clinical trial of the CenteringPregnancy Oral Health Promotion intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Integrating a Nurse‐Midwife‐Led Oral Health Intervention Into CenteringPregnancy Prenatal Care: Results of a Pilot Study

Adams¹,

Gregorich²,

Rising³

et al. 2017

J Midwife Womens Health

View full text Add to dashboard Cite

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Position of the Academy of Nutrition and Dietetics: Oral Health and Nutrition

Touger‐Decker¹,

Mobley²

2013

Journal of the Academy of Nutrition and Dietetics

110

129

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Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis

et al. 2019

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Despite the advancement of early childhood caries (ECC) prediction and treatment, ECC remains a significant public health burden in need of more effective preventive strategies. Pregnancy is an ideal period to promote ECC prevention given the profound influence of maternal oral health and behaviors on children’s oral health. However, studies have shown debatable results with respect to the effectiveness of ECC prevention by means of prenatal intervention. Therefore, this study systematically reviewed the scientific evidence relating to the association between prenatal oral health care, ECC incidence, and Streptococcus mutans carriage in children. Five studies (3 randomized control trials, 1 prospective cohort study, and 1 nested case-control study) were included for qualitative assessment. Tested prenatal oral health care included providing fluoride supplements, oral examinations/cleanings, oral health education, dental treatment referrals, and xylitol gum chewing. Four studies that assessed ECC incidence reduction were included in meta-analysis using an unconditional generalized linear mixed effects model with random study effects and age as a covariate. The estimated odds ratio and 95% confidence intervals suggested a protective effect of prenatal oral health care against ECC onset before 4 years of age: 0.12 (0.02, 0.77) at 1 year of age, 0.18 (0.05, 0.63) at 2 years of age, 0.25 (0.09, 0.64) at 3 years of age, and 0.35 (0.12, 1.00) at 4 years of age. Children’s S. mutans carriage was also significantly reduced in the intervention group. Future studies should consider testing strategies that restore an expectant mother’s oral health to a disease-free state during pregnancy.

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Prenatal nutrition intervention to reduce mutans streptococci among low‐income women

Cited by 4 publications

References 17 publications

Integrating a Nurse‐Midwife‐Led Oral Health Intervention Into CenteringPregnancy Prenatal Care: Results of a Pilot Study

Integrating a Nurse‐Midwife‐Led Oral Health Intervention Into CenteringPregnancy Prenatal Care: Results of a Pilot Study

Position of the Academy of Nutrition and Dietetics: Oral Health and Nutrition

Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis

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