Oral health status of women with normaland high-risk pregnancies

Česká verzia

Authors: P. Chaloupka ¹; V. Korečko ¹; Jakub Turek ¹ ; V. Merglová ²
Authors place of work: Gynekologicko-porodnická klinika LF UK a FN, Plzeň, přednosta doc. MUDr. Z. Novotný, CSc. ¹; Stomatologická klinika LF UK a FN, Plzeň, přednosta doc. MUDr. A. Zicha, CSc. ²
Published in the journal: Ceska Gynekol 2014; 79(1): 29-33

Summary

Objective:
The aim of this study was to compare the oral health status of women with normal pregnancies and those with high-risk pregnancies.

Method:
A total of 142 women in the third trimester of pregnancy were randomly selected for this study. The pregnant women were divided into two groups: a normal pregnancy group (group F, n = 61) and a high-risk pregnancy group (group R, n = 81). The following variables were recorded for each woman: age, general health status, DMF index, CPITN index, PBI index, amounts of Streptococcus mutans in the saliva and dental treatment needs. The data obtained were analysed statistically. The Mann-Whitney test, Kruskal-Wallis test and chi square test were used, and p-values less than 0.05 were considered statistically significant. The two–sided t-test was used to compare the two cohorts.

Results:
Women with high-risk pregnancies showed increased values in all measured indices and tests, but there were no statistically significant differences between the two groups in the DMF index, CPITN index and amounts of Streptococcus mutans present in the saliva. Statistically significant differences were detected between the two groups for the PBI index and dental treatment needs. In group F, the maximum PBI index value was 2.9 in group F and 3.8 in group R. Significant differences were found also in mean PBI values. Out of the entire study cohort, 94 women (66.2%) required dental treatment, including 52% (n = 32) of the women with normal pregnancies and 77% (n = 62) of the women with high-risk pregnancies.

Conclusions:
This study found that women with complications during pregnancy had severe gingivitis and needed more frequent dental treatment than women with normal pregnancies.

Keywords:
normal pregnancy – high-risk pregnancy – gestational diabetes – dental caries – periodontal disease – Streptococcus mutans

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