scholarly journals Dental Treatment Consideration in Pregnant Women

2019 ◽  
Vol 6 (2) ◽  
pp. 118-125
Author(s):  
I Komang Evan Wijaksana
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Dental Treatment ◽  
Routine Care ◽  
Hormonal Changes ◽  
Second Trimester ◽  
Expectant Mother ◽  
Health Agencies ◽  
Dental Radiographs ◽  
Search For Information

Pregnancy is a unique time in a woman’s life, accompanied by a variety of physiologic, anatomic and hormonal changes that can affect how oral health care is provided. Good oral health during pregnancy is important to the overall health of both the expectant mother and her baby. Unfortunately, there may be times when pregnant women and family, obstetricians and on occasion dentists are skeptical of dental care during pregnancy owing to prejudices about the safety of dental treatment, resulting in delay of the dental treatment. This article aims to review general considerations of pregnant patients’ dental treatment, and possible dental complications of pregnancy and their management. Search for information through google scholar with the keyword’s “pregnancy” and “dental treatment". With proper technique, dental treatment, dental radiographs and drug use in dental treatment do not place the fetus at risk and should be taken if they are of potential benefit. Preventive care should be delivered throughout pregnancy, and elective routine care is best delivered during the second trimester. Dentists and health agencies should provide and distribute information to women about the importance of maintaining oral health during pregnancy.

scholarly journals Dental Phobia among Pregnant Women: Considerations for Healthcare Professionals

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Muhammad Nazir ◽  
Muhanad Alhareky
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Healthcare Professionals ◽  
Health Knowledge ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
First Trimester ◽  
Considerable Proportion ◽  
Cross Sectional ◽  
Dental Phobia

Objective. To report the prevalence of dental phobia and associated factors among pregnant women. Materials and Methods. This cross-sectional study included pregnant women visiting hospitals in Dhahran, Khobar, and Dammam in Saudi Arabia. The Modified Dental Anxiety Scale (MDAS) was used to assess dental anxiety and phobia. The score of MDAS ranges from 5 to 25, and a cutoff value of 19 was used to identify participants with dental phobia. Results. The study analyzed data of 825 participants with mean age of 29.08 ± 5.18 years. The prevalence of dental phobia was 16.1%. About 46.9% of the sample believed that dental treatment should be avoided during pregnancy, and the importance of regular dental checkup was recognized by 16.4% of the participants. Dental phobia was associated with the perception of the health of teeth (P 0.004) and gums (P 0.016). Multiple logistic regression showed that being under the age of 30 years (OR 0.63, P 0.019) and updating knowledge about oral health (OR 0.49, P 0.006) were significantly associated with reduced likelihood of dental phobia. However, having bad dental experience (OR 2.13, P 0.001) and being in first trimester of pregnancy (OR 1.57, P 0.033) were significantly associated with increased odds of dental phobia. Conclusions. A considerable proportion of pregnant women reported dental phobia. The bad dental experience was associated with increased dental phobia. However, reduced likelihood of dental phobia was associated with updating oral health knowledge. Healthcare professionals may consider these factors to reduce dental phobia and improve oral health of pregnant women.

scholarly journals A Cross-Sectional Analysis of Dental Care Utilization Among Pregnant Women in Saudi Arabia

2019 ◽  
Vol 7 (23) ◽  
pp. 4131-4136
Author(s):  
Zainab Albasry ◽  
Bayan Alhaddad ◽  
Mashael Abdullah Benrashed ◽  
Asim Al-Ansari ◽  
Muhammad Ashraf Nazir
Keyword(s):  
Saudi Arabia ◽  
Oral Health ◽  
Pregnant Women ◽  
Dental Care ◽  
Dental Treatment ◽  
Care Utilization ◽  
Eastern Province ◽  
Cross Sectional ◽  
Dental Visits ◽  
Dental Problem

BACKGROUND: Oral and systemic problems are common among pregnant women. Routine dental visits are important for the maintenance of optimal oral health which is linked with systemic health. AIM: To evaluate dental care utilization and related factors among pregnant women in the Eastern province of Saudi Arabia. METHODS: This cross-sectional study was conducted in hospitals and healthcare centers in the cities of Khobar, Dammam, and Qatif in the Eastern province of Saudi Arabia. A piloted tested self-administered questionnaire available in Arabic and English languages was distributed among a calculated sample of 341 pregnant women. Pearson's chi-square test and multiple logistic regression analyses were performed. RESULTS: In the study, 270 questionnaires were analyzed giving a response rate of 79.2%. Mean age of the participants was 29 ± 5.9 years. There were 43.7% pregnant women who received dental treatment when they have a dental problem and only 13.7% performed routine dental visit. Half the sample (52.6%) avoided dental visits during pregnancy and dental treatment being unsafe was the most common reason for avoiding dental visits. After adjustment, routine dental visits during pregnancy were 7.38 times higher among Saudis compared with non-Saudis women (p 0.05). The participants who had a negative perception about the safety of dental treatment had significantly lower odds (OR 0.31, p 0.036) of dental attendance for routine dental visits. CONCLUSION: Routine dental visits were low among pregnant women and many visited dentists when they had a dental problem. Negative perception about the safety of dental treatment was associated with reduced regular dental visits during pregnancy. Pregnant women should be educated about the importance of receiving dental care for the maintenance of optimal oral health.

scholarly journals Immunologic Studies of Hemoglobins

Blood ◽  
1955 ◽  
Vol 10 (11) ◽  
pp. 1092-1099 ◽  
Author(s):  
DONALD L. RUCKNAGEL ◽  
AMOZ I. CHERNOFF
Keyword(s):  
Pregnant Women ◽  
Post Partum ◽  
Fetal Hemoglobin ◽  
Maternal Blood ◽  
Hormonal Changes ◽  
Placental Barrier ◽  
Second Trimester ◽  
Fetal Blood ◽  
In Pregnancy

Abstract Changes in the concentration of fetal hemoglobin in maternal blood during pregnancy and after delivery were studied in 91 pregnant women. Significant elevations of fetal hemoglobin were detected in the blood of ten women during the second trimester of pregnancy; these values fell toward normal during the ensuing pregnancy and post partum periods. In no instance could a rise in fetal hemoglobin be detected after delivery. The significance of these observations is discussed; it is suggested that acute hormonal changes early in pregnancy may be responsible for the reactivation of a fetal erythropoietic anlage with the resultant production by the mother of erythrocytes containing fetal hemoglobin. The method used was not sensitive enough, however, to detect minute amounts of fetal blood which may have crossed the placental barrier.

scholarly journals Barriers To Utilization Of Oral Health Care Services Among Antenatal Mothers In Kuantan, Pahang

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Zurainie Abllah ◽  
Karimah Hanim Abdul Aziz ◽  
Nurjasmine Aida Jamani
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Care Services ◽  
Dental Treatment ◽  
Dental Pain ◽  
Oral Health Care ◽  
Cross Sectional Study ◽  
Hormonal Changes ◽  
Cross Sectional ◽  
Care Services

Introduction: During pregnancy, increased acidity in the mouth increases the risk of antenatal mother to get dental caries. It is worsen if antenatal mother has morning sickness like vomiting during pregnancy. It can aggravate the problem by exposing the teeth to more gastric acid. In addition, antenatal mothers have hormonal changes that they are more susceptible to periodontal problems. Therefore, it is important for antenatal mother to get dental treatment and use oral health service. This study aim is to describe barriers to utilisation of oral health care services among antenatal mothers attending the Klinik Kesihatan Ibu dan Anak around Kuantan. Materials and Methods: A cross sectional study which was conducted among purposely selected 296 antenatal mothers aged 18-45 years from Kuantan, Pahang in 18 months duration. Study used validated selfadministered questionnaire to obtain information on the variables of interest. Results: Common barriers to utilization of services among antenatal mothers are fear to dental pain (45.6%), time constraints- busy at workplace (36.5%) and feeling of not having any dental problems (36.1%). Meanwhile the least barrier to oral health care services among antenatal mothers is attitude of the dentist (0.7%), followed by attitude of the staff (1.4%) and condition of treatment room (1.7%) Conclusion(s): Fear of dental pain is the main barrier to utilization of service among antenatal mothers and dissatisfaction of the service provided is the least barrier among other factors.

scholarly journals A review on safety Endodontic Management in Pregnancy

2020 ◽  
Vol 11 (4) ◽  
pp. 5192-5197
Author(s):  
Chanchal Rathi ◽  
Manoj Chandak ◽  
Madhulika Chandak ◽  
Pavan Bajaj ◽  
Pooja Chandak
Keyword(s):  
Pregnant Women ◽  
Dental Treatment ◽  
Dental Health ◽  
Pregnant Patient ◽  
Hormonal Changes ◽  
Dental Procedure ◽  
Dental Health Care ◽  
Drug Of Choice ◽  
Anaesthetic Agents ◽  
In Pregnancy

The dental practitioner provides dental treatment to pregnant women to maintain their oral health. This is known as Intrauterine Dentistry. Dental treatment neither is cancelled nor be obstructed after confirming the pregnancy. Precautions should be taken while performing a dental procedure. During pregnancy number of physiologic and hormonal changes are taking place. Due to this, the oral cavity is more prone to infection. Also, increased consumption of carbohydrates leads to more acid formation. Also, vomiting and saliva are reduced. Also, pregnant women are always at high risk for caries than non-pregnant women. So proper dental health care of a pregnant patient is utmost necessary. Endodontic treatment comprises the use of radiographs, local anaesthetic agents, intracanal irrigants, intra-canal medicaments, and drugs. While performing an endodontic procedure, a radiograph should be taken with minimal exposure and only when it is required. Also, local anaesthesia has been chosen depending upon its effects on the baby and pregnant women. Antibiotics like amoxicillin and cephalosporin are considered to be safe in pregnancy. Also, it is stated that the second trimester is the safest period for performing any dental treatment. Analgesics are also used when a patient is in pain condition. Whenever analgesia is required paracetamol is always used safely in pregnancy. It is the drug of choice for pain relief. Only plain paracetamol is indicated. So this review discusses endodontic consideration and possible risk while performing a dental treatment.

The perceived oral health status, practices, knowledge and periodontal status of pregnant women in a maternity hospital in Trinidad

2019 ◽  
Author(s):  
Reisha Rafeek ◽  
Visha Ramroop ◽  
Ramaa Balkaran ◽  
Anne Kowlessar ◽  
Arlana Bissoon ◽  
...  
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Pregnant Women ◽  
Dental Care ◽  
Health Knowledge ◽  
Dental Treatment ◽  
Maternity Hospital ◽  
Oral Health Status ◽  
Oral Health Knowledge ◽  
Periodontal Status

Abstract Background The effects of physiological changes that occur during pregnancy on oral tissues have been well documented. The oral health status, practices, knowledge and periodontal status of pregnant women has not been studied before in Trinidad. The aim of this study is to report that of pregnant women in a maternity hospital in Trinidad.Methods A descriptive oral health survey involving a self-administered questionnaire was undertaken from a convenience sample of pregnant women who attended a maternity hospital in Trinidad. A simple oral health examination took place at the School of Dentistry clinic. Data included education and employment status, medical and dental history, frequency and reason for dental attendance, and the patients’ perceived oral health status, knowledge and practices. Examination included the Basic Periodontal Examination (BPE). Data were analyzed using SPSS version 24.0 and ethical approval was obtained by the University of the West Indies Campus Ethics Committee.Results One hundred and sixty one pregnant women participated and 79.5% were between the ages 26 to 45. Fifty seven per cent attended high school and 58.1% were employed. Nearly 60% rated their oral health as average or good. The majority of women (91.9%) did not attend the dentist routinely. Almost half (46.0%) of the participants said safety concerns with dental treatment during pregnancy would prevent them from seeking care. 54.7% said the cost of dental treatment would act as a barrier to care. The majority had good oral health knowledge for flossing (97.5%) however 37.3% thought that dental care should be avoided during pregnancy unless it was an emergency. Nearly 60% had some form of periodontitis mild (34.2%) or moderate to severe (25.2%). Significant associations found between level of education and brushing, and also between age and smoking, use of mouthwash and BPE.Conclusions Although oral health knowledge in areas of tooth brushing, flossing and need for attending the dentist was good, in other areas there were serious misconceptions such as dental care should be avoided during pregnancy. Understanding oral health needs of pregnant women can guide oral health promotion and delivery of preventive care and potentially improve pregnancy outcomes.

scholarly journals ORAL HEALTH OF PREGNANT WOMEN;

2013 ◽  
Vol 20 (03) ◽  
pp. 365-373
Author(s):  
BYANAKU A K ◽  
RWAKATEMA D S
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Health Knowledge ◽  
Dental Treatment ◽  
P Value ◽  
Health Practice ◽  
Framework Analysis ◽  
Cross Sectional ◽  
Care Clinic ◽  
Oral Health Knowledge

Objective: To assess level of knowledge, attitude and practice on oral health mong pregnant women attending antenatalcare clinic in Morogoro Municipal, Tanzania. Design: A cross sectional study. Setting: Morogoro Municipality, Morogoro Region,Tanzania. Subjects and Methods: Pre tested questionnaires were administered randomly to 216 participants attending antenatal careclinic seeking to find out quantitative data on their specific socio-demographic characteristics, oral health knowledge, attitude andpractice in 2012. A sample of 26 par ticipants was involved in focus group discussions (FGD's). Questionnaire data were analyzed byStata Version 12.1 programme. Chi-square test and Logistic regression models were used. A p-value <0.05 was considered significant.FGD's qualitative data analysis was done manually using thematic framework analysis. Results: Majority (73%) of the participants hadadequate oral health knowledge. About 76% of the respondents agreed to the positive statements towards oral health. Focus GroupDiscussions revealed negative attitude towards dental treatment during pregnancy. Adequate oral health practice was found in majority ofthe participants (72%). Levels of education and marital status of the participants were found to be strongly associated with oral healthpractice (p-value < 0.05). Conclusions: Majority of the participants had overall adequate knowledge, practice and positive attitudetowards oral health. However, unsatisfactory knowledge on possible connections between bleeding gums and pregnancy and negativeattitude towards dental visits were noted. Level of education was significantly associated with oral health practice and attitude. Dentalvisits from the first stages of pregnancy should be part of antenatal care clinic in this community.

scholarly journals GAMBARAN STATUS GINGIVA PADA IBU HAMIL DI PUSKESMAS BAHU MANADO

e-GIGI ◽  
2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Gabrielle Warongan ◽  
Freddy Wagey ◽  
Christy N. Mintjelungan
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Oral Hygiene ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Second Trimester ◽  
Sectional Study ◽  
Third Trimester ◽  
Cross Sectional ◽  
Severe Inflammation

Abstract: Pregnancy is a unique period in a woman's life and is characterized by a complex physiological changes such as nausea and vomiting . These changes can affect oral health during pregnancy due to a change in diet and oral hygiene is lacking. Gingivitis is one that is highly susceptible to periodontal disease occurs when the maintenance of oral health in pregnant women is not properly maintained. The purpose of this study was to describe the gingival status of pregnant women in health centers Bahu Manado. This was a descriptive cross sectional (cross-sectional) study. There were 34 samples obtained by using consecutive sampling and their gingival indexes were measured with Loe and Sillness method. The results showed that among the pregnant women in the second trimester there were 11 (79%) that experienced inflammation. Most pregnant women in the third trimester experienced severe inflammation as many as 16 people (80%). There were 2 pregnant women with mild, 14 moderate, and 18 with severe inflammation. Conclusion: All pregnant women in this study did not have normal gingival status and their inflammation were severe, moderate, and mild respectively. Pregnant women with gestational age third trimester had higher gingival indexes which meant more inflammed status. It is expected that health centers improve the program of oral health care of pregnant women, such as promotional activities on the importance of health and oral hygiene during pregnancy, motivation, and advicing the pregnant women to check to the dentists during pregnancy. Keywords: gingival status, pregnant womenAbstrak: Kehamilan adalah masa yang unik dalam kehidupan seorang wanita dan ditandai oleh perubahan fisiologis yang kompleks seperti mual dan muntah. Perubahan ini dapat memengaruhi kesehatan gigi dan mulut selama kehamilan yang disebabkan adanya perubahan pola makan dan kebersihan mulut yang kurang. Gingivitis merupakan salah satu penyakit periodontal yang sangat rentan terjadi jika pemeliharan kesehatan gigi dan mulut pada ibu hamil tidak terjaga dengan baik.Tujuan penelitian ini untuk mengetahui gambaran status gingiva ibu hamil di Puskesmas Bahu Manado. Penelitian ini merupakan penelitian deskriptif dengan pendekatan potong. Penelitian dilakukan di Puskesmas Bahu Manado dengan subjek penelitian sebanyak 34 orang.Dengan menggunakan metode Convecutive samplingdan diukur dengan indeks gingival menurut Loe and Sillness.Hasil penelitian menunjukkan bahwa ibu hamil pada Trimester II rata-rata mengalami inflamasi sedang berjumlah 11 orang (79%). Terdapat 2 orang dengan inflamasi ringan, 14 orang inflamasi sedang dan 18 orang inflamasi berat. Kebanyakan ibu hamil pada Trimester III mengalami inflamasi berat sebanyak 16 orang (80%). Simpulan: Semua ibu hamil tidak memiliki status gingiva normal, dimana Ibu hamil dengan usia kehamilan Trimester III memiliki indeks gingiva lebih tinggi yang menggambarkan lebih banyak mengalami inflamasi.Bagi Puskesmas diharapkan lebih meningkatkan program pelayanan kesehatan gigi dan mulut ibu hamil seperti kegiatan promotif tentang pentingnya menjaga kesehatan dan kebersihan mulut selama kehamilan, memberi motivasi dan nasehat kepada ibu hamil untuk memeriksakan kesehatan rongga mulutnya ke dokter gigi bersamaan pada saat pemeriksaan kehamilannya.Kata kunci: status gingiva, ibu hamil.

scholarly journals Pregnancy and Oral Health

2013 ◽  
Vol 01 (02) ◽  
pp. 073-076 ◽  
Author(s):  
Mohit Bansal ◽  
Rajesh Gupta
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Hormonal Changes ◽  
Oral Diseases ◽  
Dental Professionals

AbstractPregnancy, the period from conception to birth, is characterised by profound hormonal changes. The tissues supporting the teeth, including the periodontium especially gingiva is affected. There are several reasons why dental professionals should focus on oral health in pregnant women. This article focus light on some of these oral diseases.

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