Importance of Oral Health in Pregnancy: A Mini-symposium

2019 ◽  
Vol 15 (3) ◽  
pp. 156-158
Author(s):  
Aditi Priyamvara ◽  
Amit K. Dey ◽  
Antara Bagchi ◽  
Raveena Kelkar ◽  
Rajaram Sharma

Background: It is known that hormonal imbalances during pregnancy make women more susceptible to dental problems. High levels of progesterone and estrogen during pregnancy, lead to an increased inflammatory response to dental plaque thus causing predisposing to gum diseases such as gingivitis. If untreated, gingivitis leads to chronic periodontitis which may manifest systemically in form of cardiovascular, endocrine or even respiratory disorders. Also, hyperacidity in the oral cavity due to gastric reflux and vomiting leads to decreased pH thus damaging the tooth enamel making the oral cavity more prone to tooth decay and tooth loss. Studies also show that periodontal disease can also lead to adverse pregnancy outcomes such as pre-term and low birth weight babies. Objectives: We sought to understand the role of oral health in pregnancy. Methods: We identified major articles of interest in the field of oral health in pregnancy and drafted a mini-symposium based on relevant information. Conclusion: Regular dental visits and cognizant efforts to sustain a healthy oral environment can help women in the prevention and treatment of dental issues during pregnancy. The paper highlights the common oral manifestations during pregnancy and their local and systemic impact on the body during pregnancy. Furthermore, it also emphasizes the importance of good oral health practices to counteract the oral complications and the significance of oral health awareness in pregnant women.

2011 ◽  
Vol 2011 ◽  
pp. 1-12 ◽  
Author(s):  
Hiten D. Mistry ◽  
Paula J. Williams

Pregnancy places increased demands on the mother to provide adequate nutrition to the growing conceptus. A number of micronutrients function as essential cofactors for or themselves acting as antioxidants. Oxidative stress is generated during normal placental development; however, when supply of antioxidant micronutrients is limited, exaggerated oxidative stress within both the placenta and maternal circulation occurs, resulting in adverse pregnancy outcomes. The present paper summarises the current understanding of selected micronutrient antioxidants selenium, copper, zinc, manganese, and vitamins C and E in pregnancy. To summarise antioxidant activity of selenium is via its incorporation into the glutathione peroxidase enzymes, levels of which have been shown to be reduced in miscarriage and preeclampsia. Copper, zinc, and manganese are all essential cofactors for superoxide dismutases, which has reduced activity in pathological pregnancy. Larger intervention trials are required to reinforce or refute a beneficial role of micronutrient supplementation in disorders of pregnancies.


1992 ◽  
Vol 4 (1) ◽  
pp. 15-36 ◽  
Author(s):  
L Myatt

Pregnancy results in profound physiological changes in the cardiovascular system, yet these changes are completely reversible. It is apparent that vaso-active factors, some as yet probably unidentified, which act as humoral or local autocrine or paracrine regulators of vasular resistance, play a major role in these cardio-vascular changes. This role may be heightened in pregnancy when there has to be a large increase in blood flow to the uterus and placenta while maintaining adequate flow to other vascular beds. Our knowledge of the mechanisms of action of these vaso-active factors and their interactions with each other still remains incomplete. Alterations in synthesis and action of these vaso-active factors may occur in pregnancies associated with pregnancy-induced hypertension, pre-eclampsia or intra-uterine growth retardation. Investigation of such alterations may help to elucidate the roles of vaso-active factors in both normal and pathological situations. The gestational hormones oestrogen and progesterone, are obviously prime candidates as overall regulators of the cardiovascular changes of pregnancy and as agents which alter the synthesis or action of other vaso-active factors. Currently, much attention is being focused on the role of local autocrine or paracrine vaso-active factors which may be produced by the endothelium or by the underlying vascular smooth muscle cells and alterations in their production or action in the hyptertensive disorders of pregnancy. The endothelium forms the largest endocrine organ within the body and so its importance in the mediation of vascular events should not be under-estimated. The principal objective of this review is to examine the roles of these many autocrine and paracrine vaso-active factors during pregnancy and their relation with the overall regulation of the vascular system. Changes which may occur and be involved in the aetiology of pre-eclampsia and growth retardation will also be examined.


Author(s):  
Munifah Abdat ◽  
Dewi Ismail

Abstrak Masa kehamilan merupakan masa perubahan fisiologis dan fisik tubuh termasuk rongga mulut, sementara pengetahuan ibu hamil terhadap pemeliharaan kesehatan gigi dan mulut masih relatif rendah. Perubahan rongga mulut pada ibu hamil antara lain meningkatnya resiko karies gigi, gingivitis dan penyakit periodontal, masih kurang diperhatikan. Tujuan penelitian ini adalah untuk mengetahui tingkat pengetahuan tentang kesehatan gigi dan mulut serta karies dentis pada ibu hamil di Posyandu. Pengambilan subyek penelitian dilakukan dengan teknik purposive sampling yang memenuhi kriteria inklusi dan eksklusi yaitu ibu hamil tanpa adanya riwayat penyakit sistemik dan berada di posyandu wilayah Baiturrahman kota Banda Aceh ketika dilakukan pengumpulan data. Teknik pengumpulan data dilakukan dengan pembagian kuisioner disertai pemeriksaan kondisi gigi menggunakan indeks DMF-T pada subyek penelitian. Hasil penelitian ini menunjukkan tingkat pengetahuan ibu hamil tentang pentingnya kesehatan gigi dan mulut masih kurang, hasil pemeriksaan DMF-T menunjukkan skor 6,9 (kategori sangat tinggi) dengan ditemukan karies gigi (decay) pada seluruh ibu hamil. Sejumlah 65% subyek penelitian mengaku tidak mendapat edukasi dari dokter kandungannya tentang kesehatan rongga mulut dan hubungannya dengan kehamilan. Berdasarkan uji korelasi menggunakan Pearson test disimpulkan bahwa terdapat hubungan signifikan negatif (p=0,001) antara tingkat pengetahuan dan status karies pada ibu hamil, makin rendah pengetahuan ibu hamil maka makin tinggi status karies pada ibu hamil. Kata kunci: ibu hamil, pengetahuan, karies dentis Abstract Pregnancy is a period of physiological and physical changes in the body including oral cavity, while knowledge of pregnant women about maintaining dental and oral health is still relatively low. Changes in the oral cavity in pregnant women include increases risk of dental caries, gingivitis and periodontal diseases that are less noticed. Purpose of study was to determine level of knowledge about oral health and dental caries of pregnant women at integrated Service Post. Subject of research was taken by purposive sampling technique that met the inclusion and exclusion criteria, namely pregnant women without a history of systemic disease and was in the posyandu in the Baiturrahman area of Banda Aceh city when data collection was carried out. Data collection techniques were carried out by distributing questionnaires along with examination of dental conditions using index DMF-T in the subjects. Results of this study indicate level of knowledge of pregnant women about the importance of dental and oral health is still lacking, results of DMF-T examination which is 6.9 (very high category) found dental caries (decay) in all subjects. 65% of subjects said that they did not get education from their obstetricians about the health of the oral cavity and its relationship to pregnancy. Based on the correlation test using Pearson test concluded there was a significant negative relationship (p = 0.001) between knowledge levels and caries status in pregnant women, the lower knowledge of pregnant women had low knowledge, in fact their caries status was high. Keywords: pregnant women, knowledge, dental caries


Author(s):  
Филипп Сергеевич Соколов ◽  
Константин Георгиевич Гуревич ◽  
Дмитрий Анатольевич Пустовалов ◽  
Олег Петрович Каражелясков ◽  
Нателла Ильинична Крихели

Заболевания полости рта являются одними из наиболее распространенных заболеваний, с которыми сталкивается здравоохранение во всем мире. Эта проблема затрагивает людей всех возрастных групп. Анализ литературных данных позволяет выделить множество факторов риска развития кариеса и его осложнений, которые могут касаться военнослужащих помимо несбалансированного питания, курения, неудовлетворительной гигиены полости рта и нерегулярного посещения стоматолога. Множество международных исследований демонстрируют актуальность проблемы стоматологических заболеваний среди военнослужащих, указывая на отсутствие своевременной диспансеризации, низкую мотивацию к регулярному посещению стоматолога и тщательному проведению самостоятельной гигиены полости рта. Кроме этого, стоит учитывать специфику выполняемых военными задач за весь период службы, во время которых они оказываются под воздействием множества неблагоприятных факторов, которые в свою очередь, влияют на микроэлементный состав организма, что непосредственно влияет на общее состояние здоровья. Необходимость применения в армии РФ более актуальных по своему составу витаминно-минеральных комплексов (ВМК) уже неоднократно описана в современных исследованиях. Но до настоящего времени не проводилось работ по изучению взаимосвязи между микроэлементным статусом организма и состоянием твердых тканей зубов и пародонта Diseases of the oral cavity are one of the most common diseases that public health has worldwide. This problem affects people of all age groups. An analysis of literature data allows us to identify many risk factors for the development of caries and its complications, which may concern military personnel in addition to unbalanced nutrition, smoking, poor oral hygiene and irregular visits to the dentist. Many international studies demonstrate the urgency of the problem of dental diseases among military personnel, indicating the lack of timely medical examination, low motivation for regular visits to the dentist and thorough self-hygiene of the oral cavity. In addition, it is worth considering the specifics of the military tasks performed for the entire period of service, during which they are influenced by many unfavorable factors, which in turn affect the microelement composition of the body, which directly affects the overall health. The need to use in the army of the Russian Federation more relevant in its composition vitamin-mineral complexes (VMC) has been repeatedly described in modern studies. But so far no work has been done to study the relationship between the microelement status of the body and the state of hard tissues of teeth and periodontium


Author(s):  
Zhi Li ◽  
Jing Li ◽  
Guokai Wang ◽  
Yaotian Tao ◽  
Xiangwei Chang ◽  
...  

: Propolis is a natural product made from the mixture of plant resin, saliva and wax collected by bees. It has been studied and concerned because of its high medicinal value and broad application prospects. Propolis has complex components, which can act on the body through multi-pathways and multi-targets to play the role of antibacterial, anti-inflammatory, anti-tumor and so on, and can be used as an important resource for the prevention and treatment of oral diseases. In this review, we mainly reviewed components of propolis and their physiological activities against oral diseases, as well as the new dosage forms and applications of propolis in oral treatment. The purpose of this review is to explore the advantages of propolis in the treatment of oral diseases and the wide application of propolis in the field of oral health.


Microbiology ◽  
2021 ◽  
Vol 167 (8) ◽  
Author(s):  
Yu-Hsuan How ◽  
Siok-Koon Yeo

In recent years, oral probiotics have been researched on their effectiveness in reducing and preventing oral diseases. Oral probiotics could be introduced into the oral cavity to keep the equilibrium of the microbiome. Hence, the delivery carrier for oral probiotics plays an important factor to ensure a high number of oral probiotics were delivered and released into the oral cavity. This review presents a brief overview of oral microbiota and the role of oral probiotics in reducing oral diseases. Moreover, important aspects of the oral probiotic product such as viability, adherence ability, health effects, safety, and delivery site were discussed. Besides that, the importance of utilizing indigenous oral probiotics was also emphasized. Oral probiotics are commonly found in the market in the form of chewing tablets, lozenges, and capsules. Hence, the oral probiotic carriers currently used in the market and research were reviewed. Furthermore, this review introduces new potential oral probiotic delivery carriers such as oral strip, bucco-adhesive gel, and mouthwash. Their effectiveness in delivering oral probiotics for oral health was also explored.


Author(s):  
Hannah Blakey ◽  
Kate Bramham

There is an increased incidence of chronic kidney disease (CKD) in patients with underlying rheumatic disease. For a proportion of patients, CKD is diagnosed for the first time in pregnancy through routine antenatal blood and urine testing. Pregnancy places increased physiological demand on the kidneys, and women with CKD have increased risks of adverse pregnancy outcomes, including pre-eclampsia (PET), pre-term delivery, and low birth weight babies. These risks increase incrementally with declining baseline renal function. Thorough pre-conception counselling and regular antenatal review by teams specializing in the care of renal and/or rheumatological conditions is recommended to mitigate these risks and optimize outcome for mother and baby. This chapter describes, through case-based discussion, the investigation and management of abnormal renal function presenting in pregnancy, pre-pregnancy counselling for women with CKD, and the principles of antenatal care for women with impaired renal function.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Tarique Hussain ◽  
Ghulam Murtaza ◽  
Elsayed Metwally ◽  
Dildar Hussain Kalhoro ◽  
Muhammad Saleem Kalhoro ◽  
...  

It has been widely known that oxidative stress disrupts the balance between reactive oxygen species (ROS) and the antioxidant system in the body. During pregnancy, the physiological generation of ROS is involved in a variety of developmental processes ranging from oocyte maturation to luteolysis and embryo implantation. While abnormal overproduction of ROS disrupts these processes resulting in reproductive failure. In addition, excessive oxidative stress impairs maternal and placental functions and eventually results in fetal loss, IUGR, and gestational diabetes mellitus. Although some oxidative stress is inevitable during pregnancy, a balancing act between oxidant and antioxidant production is necessary at different stages of the pregnancy. The review aims to highlight the importance of maintaining oxidative and antioxidant balance throughout pregnancy. Furthermore, we highlight the role of oxidative stress in pregnancy-related diseases.


Author(s):  
R Ananthalakshmi ◽  
M Priya ◽  
Nadeem Jeddy ◽  
LJ Sailakshmi

The human body contains about 1014 bacteria which usually colonise different parts of the body. The bacterial flora is important for a person’s health as well as normal functioning of tissue and organ systems. Bacteria are single celled organisms and are found on almost all surfaces of human body. They act in synergy with host immune mechanism and provide protection against various undesirable foreign invasions, especially in the oral cavity, where they exist in a diversified form which survive in a symbiotic relationship with the host. When there is a disturbance in this equilibrium due to various factors like trauma or tobacco smoking, betel nut chewing and alcohol intake, which makes the mucous membrane more permeable to invading microorganisms, these commensal bacterial species can become virulent and give rise to oral diseases ranging from dental caries to oral carcinoma. The effects of these bacteria can be either direct or indirect initiation of chronic inflammation, formation of procarcinogens that contribute to the development of oral carcinoma. This article focuses on the role of oral bacterial flora in initiation and progression of oral carcinogenesis. Various bacterial and fungal species associated with oral carcinoma and predominant bacterial species in oral cavity and oropharyngeal region along with measures to prevent their adverse effects are described.


2018 ◽  
pp. 32-34 ◽  
Author(s):  
T.A. Petrushanko ◽  
N.N. Ilenko

In the structure of modern diseases, there are 50-75% of psychosomatic diseases. To understand the role of the emotional factor in the onset and progression of somatic disorders, as well as the opposite process – the emergence of psychological and emotional disorders as a response to an acute or chronic disease of internal organs – acquires a particular importance and relevance at the present stage of the causality of the disease. Individual features of the response of the human body to social, biological factors have common mechanisms of combined damage to the mucous membrane of the oral cavity and periodontal tissue. The severity of the damage to these organs and tissues is also determined by the psychological characteristics of individuals. These points are important not only for understanding the causality of the combined pathology of the periodontal and oral mucosa, but also for choosing the optimal tactics for treating such dental patients. The aim of the work was to analyze the role of psychosomatic correlations in the occurrence and development of the combined pathology of the periodontal and oral mucosa, determining the tactics of their treatment. 32 patients were involved in the examination with pathological changes of periodontal and oral mucosa. The essential role of the emotional component in the genesis of diseases was confirmed. Taking into account the psychosomatic nature of the pathology in the experimental group of patients, recommendations were given on diet therapy, psychotherapy, autogenic training. General medical treatment for internists and dentists was maximally individualized, taking into account the psychological characteristics of the response to the disease, differentiated according to the nature of the existing diseases, severity, pathology. After 6 months of follow-up, a stable, reliable positive clinical result was obtained in all patients in the experimental group and in 64% in the control group. Accounting for the state of psychosomatic relationships in the mechanisms of origin, development, treatment of diseases is extremely important. This approach in the supervision of dental patients who have combined changes in periodontal tissues, the oral mucosa allows achieving positive results of treatment, both in relation to the condition of the oral cavity, and for the body as a whole.


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