scholarly journals Prevalence and Risk Factors of Periodontal Disease among Pregnant Women in a Rural Area of China

2020 ◽  
Author(s):  
Mengqi Chen ◽  
Yi Su ◽  
Xu Xiong ◽  
Jinxiang Peng ◽  
Xiaoling Zhu ◽  
...  

Abstract BackgroundPeriodontal disease is one of the most important common oral diseases contributing to the global burden of chronic disease. Systematic reviews have demonstrated that poor periodontal condition during pregnancy was significantly associated with adverse pregnancy outcomes such as preterm birth, low birth weight, preeclampsia, etc. Oral health care is often a neglected area in low- and middle- income countries, particularly in rural areas due to the limited health human resources and poor infrastructures resources. Very few studies have explored the risk factors of periodontal disease among pregnant women in rural areas of China.MethodsA cross-sectional study was conducted among 648 women between 2 and 28 weeks of gestation at an antenatal clinic in Maternal and Child Health Hospital of Leping, Jiangxi Province, China. Periodontal Screening & Recording (PSR) was used to determine periodontal disease. Data on respondents’ demographic characteristics, gestational age, regular oral health habits, and mental health condition were collected using a self-administered questionnaire. ResultsThe prevalence of periodontal disease in pregnant women was 79.78% (95% CI: 76.7%~82.7%). Periodontal disease was significantly associated with increased maternal age (aOR =1.13, 95%CI: 1.06~1.21, P<0.001) and gum bleeding during tooth brushing (aOR =3.76, 95%CI: 2.05~7.00, P<0.001). The severity of periodontal disease advanced with the increased maternal age and gum bleeding during pregnancy. ConclusionsPregnant women with increased maternal age and gum bleeding during tooth brushing were at a higher risk of periodontal disease and needed to have the access to oral health care.

2020 ◽  
Vol 3 (1) ◽  
pp. 47
Author(s):  
Abdul Gani Soulissa

The world’s elderly population is growing faster than other age groups. The World Health Organization states that in 2020, Indonesia’s elderly population will reach 11.34% of the total population, or around 28.8 million people. The increasing number of elderly people can be a challenge for clinicians due to the degenerative changes caused by chronic diseases, treatment of chronic diseases, systemic conditions, and oral health care accessibility. The purpose of this study was to analyze the factors that increase the risk of periodontal disease in the elderly. Over the last few years, a lot of research has focused on identifying the relationship between periodontal disease and systemic disease as well as the link between periodontal disease and aging. Increased age relates directly and proportionally with increased prevalence and severity of periodontal disease. Furthermore, an increase in age causes a decrease in motoric function and an increase in comorbidities and their treatments in the elderly. The aging process causes cementum surface irregularities, inhibition of osteoblast activity, and reduction in the number of fibroblasts. Loss of attachment and alveolar bone resorption was affected by frequent exposure to other risk factors. The risk factors that influence the development of periodontal disease in the elderly include systemic diseases, such as diabetes mellitus and osteoporosis, systemic conditions, such as obesity, metabolic syndrome, and stress, treatment of systemic diseases, and limited access to oral health care. Although the potential link between periodontal disease and systemic disease has been established, the extent of this relationship has not yet been clearly explained. Understanding the factors that influence periodontal disease in the elderly is important because it may provide a better understanding of the treatment. The multiple risk factors that cause periodontal disease in elderly patients require special attention involving multidisciplinary teams.


2021 ◽  
pp. 238008442110126
Author(s):  
J.L.P. Protudjer ◽  
C. Billedeau ◽  
K. Hurst ◽  
R. Schroth ◽  
C. Stavropoulou ◽  
...  

Introduction: Rates of periodontal disease and tooth loss are increased in individuals with rheumatoid arthritis (RA). Understanding factors that contribute to the increased burden of periodontal disease in RA is critical to improving oral health and arthritis outcomes. Objectives: To determine the perceptions held by people with RA relating to their oral health, to identify patient-centered priorities for oral health research, and to inform optimal strategies for delivering oral health knowledge. Methods: Semistructured interviews were conducted with patients with RA. Recorded interview transcripts were iteratively reviewed to reveal surface and latent meaning and to code for themes. Constructs were considered saturated when no new themes were identified in subsequent interviews. We report themes with representative quotes. Results: Interviews were conducted with 11 individuals with RA (10 women [91%]; mean age, 68 y), all of whom were taking RA medication. Interviews averaged 19 min (range, 8 to 31 min) and were mostly conducted face-to-face. Three overall themes were identified: 1) knowledge about arthritis and oral health links; 2) oral health care in RA is complicated, both in personal hygiene practices and in professional oral care; and 3) poor oral health is a source of shame. Participants preferred to receive oral health education from their rheumatologists or dentists. Conclusions: People with RA have unique oral health perceptions and experience significant challenges with oral health care due to their arthritis. Adapting oral hygiene recommendations and professional oral care delivery to the needs of those with arthritis are patient priorities and are required to improve satisfaction regarding their oral health. Knowledge Translation Statement: Patients living with long-standing rheumatoid arthritis described poor oral health–related quality of life and multiple challenges with maintaining optimal oral health. Study findings indicate a need for educational materials addressing oral health maintenance for patients with rheumatic diseases and their providers.


2012 ◽  
Vol 36 (4) ◽  
pp. 333 ◽  
Author(s):  
Boo Deok Jo ◽  
Seong Kug Jeong ◽  
Keum Ho Lee ◽  
Ah Hyun Kim ◽  
Byoung Jin Lee ◽  
...  

2017 ◽  
Vol 9 (2) ◽  
pp. 16-22
Author(s):  
Sandya Devi S Patil ◽  
Madhu K ◽  
Rachna Thakur ◽  
Santhosh T Paul ◽  
Mihir Nayak

Pregnancy is characterized by complex physiological changes which may adversely affect the oral health and pregnancy outcomes. This study reports a survey on assessing the knowledge, attitude and practice behaviours of gynaecologists and oral health care professionals towards prenatal oral care and barriers limiting the utilization of prenatal oral care health care to pregnant women. The study population comprised of 3 groups: A- Gynaecologists, B- oral health care professionals and C – Pregnant women, 100 in each group. The prevalidated questionnaire included questions about their knowledge, attitude, beliefs and practices regarding oral health care for pregnant women. The data obtained was subjected to statistical analysis using ANOVA test and Pearson’s correlation test. The response rate was 100%. Regarding the association of periodontal disease and adverse pregnancy outcomes, Group A (75%) have high degree of knowledge than B (61%) and C (36%) but the attitude and practice behaviors were significantly high in Group B as compared to Group A and Group C Two-thirds of respondents in both Group A and B (75%) were interested in receiving continuing dental education (CDE) regarding the care of pregnant women.The self-assessed maternal barriers evaluated in this study were lack of knowledge, lack of perceived need.


2015 ◽  
Vol 39 (2) ◽  
pp. 105-108 ◽  
Author(s):  
C Zhong ◽  
KN Ma ◽  
YS Wong ◽  
Y So ◽  
PC Lee ◽  
...  

Objective: Pregnancy gingivitis and early childhood caries remain prevalent in Hong Kong. The aim of this study was to assess pregnant women's knowledge and beliefs related to pregnancy gingivitis and children's oral health. Study design: An outreach survey was carried out in a clinic that provided antenatal examination. A written oral health questionnaire related to pregnancy gingivitis and early childhood caries was administered to pregnant women. Of the 106 pregnant women who enrolled in the study, 100 completed the questionnaires. Results: Among the 100 subjects, only 39% correctly identified that hormonal changes contribute to pregnancy gingivitis. Only 36% identified red and swollen gums as signs of gingivitis. Furthermore, 53% of the surveyed pregnant women were not sure about the amount of toothpaste to administer to a child aged 18 months to 5 years. Almost 50% assumed that a replanted avulsed tooth would probably not survive within a short extra-alveolar period of less than 60 minutes. Conclusion: Prenatal women generally lack knowledge of a common oral disease that occurs during pregnancy and of what constitutes adequate oral health care for children. Oral health care education should be implemented as part of a prenatal care program.


2018 ◽  
Vol 11 (1) ◽  
pp. 66
Author(s):  
Ni Nengah Arini Murni ◽  
Suwanti Suwanti

Abstract : The study aimed to determine the correlation among knowledge and attitude with the behavior of pregnant women in dental and oral health care during pregnancy. The research was analytic observational and in terms of time used crossectional approach. The population in this study were pregnant women at Narmada Community Health Center whereas the sample obtained by 34 people who came to check Antenatal Care (ANC) in June 2015 taken by accidental sampling technique. Data collection of knowledge, attitude and behavior variables used questionnaire and Statistical analysis was performed by using Chi Square test. The research finding indicated that from 34 respondents, 17 pregnant women (50%) had lack knowledge level about oral and dental health care during pregnancy. The attitude of pregnant women in dental and oral care during pregnancy was 73.5% (poor attitudes), and in terms of respondents’ behaviour was the same like respondents’ attitude by 73.5% (poor attitude). Therefore, it can be concluded that there was a significant correlation between knowledge with pregnant women behavior in dental and oral health care (P value = 0.013) and there was significant correlation between attitude with respondents behaviour in oral and dental care during pregnancy (P value = 0.004). Suggestion: It is expected for Health Care Institutions and health workers need to do an effort of sustainable counselling to communities, especially pregnant women about risk factors that can cause dental caries which can affect the health of both fetus and mother, increasing promotive efforts, for instance the improvement and maintenance of health and preventive efforts for communnities and pregnant women in order to have a good knowledge and attitude in maintaining oral an dental health care during pregnancy can be preserved and further enhanced, hence the sense of responsibility in terms of a behavior in the community or pregnant women concerning dental and oral health increases in line with knowledge improvement and developing attitudes.


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