Multiple factors analysis of periodontal status in pregnant women in Shanghai

Abstract

Abstract: PURPOSE: To assess the periodontal health status of pregnant women in Shanghai, and to investigate the factors that may influence the periodontal health status of pregnant women, in order to provide theoretical evidence for the pointed oral health education and public health strategies in future. METHODS: A cross-sectional study was carried out to recruit pregnant women (0 to 40 weeks) randomly selected from primary Maternal and Child Care Service Centers in Shanghai. The data collection included the questionnaire survey and clinical periodontal examination. Visible plaque index (VPI), bleeding on probing (BOP), probing depth (PD), and clinical attachment level (CAL) were assessed during the clinical examination. Chi-square test and logistic regression analysis were performed to analyze the data by SPSS 18.0 software package. RESULTS: A total of 561 pregnant women were surveyed. The mean age was (27.5±4.0) years. The mean gestational age was (18.9±8.1) weeks, ranged from 5 to 40 weeks. The prevalence of periodontal disease during pregnancy was 49.6%, of which the prevalence of gingivitis and periodontitis were 42.8% and 6.8%, respectively. The results of multiple logistic regression showed that pregnant women who were in the second and third trimesters, and whose place of residence was rural were significantly more likely to suffer periodontal disease. CONCLUSIONS: Gestational age and place of residence are the factors that are associated with the prevalence of periodontal disease among pregnant women in Shanghai. More oral health education and promotion should be targeted on these pregnant women at high-risk.

Key words: Pregnancy, Periodontal disease, Epidemiological survey

CLC Number:

R780.1

CHEN Lin, LU Hai-xia, WEI Tian-you, FENG Xi-ping. Multiple factors analysis of periodontal status in pregnant women in Shanghai[J]. Shanghai Journal of Stomatology, 2014, 23(4): 452-456.

References

[1] Carrillo-de-Albornoz A, Figuero E, Herrera D, et al. Gingival changes during pregnancy: II. Influence of hormonal variations on the subgingival biofilm [J]. J Clin Periodontol, 2010, 37(3): 230-240.
[2] Vogt M, Sallum AW , Cecatti J G , et al. Factors associated with the prevalence of periodontal disease in low-risk pregnant women [J]. Reprod Health, 2012, 9: 3.
[3] 王伟健, 刘宝盈, 蔻艳松, 等. 北京两地区孕妇口腔健康状况及相关因素分析 [J]. 现代口腔医学杂志, 2007, 21(1): 75-77.
[4] 谢慧兰, 杨莉, 江汉, 等. 武汉市1009名孕妇牙周状况调查 [J]. 牙体牙髓牙周病学杂志, 2008, 28(10): 584-587.
[5] 吴胜, 胡飚, 劳文茵, 等. 广州市海珠区育龄妇女口腔健康状况和口腔保健意识行为调查 [J]. 牙体牙髓牙周病学杂志,2011, 21(6): 340.
[6] 王新民, 张敏, 万兰, 等. 3129名孕妇口腔健康状况的调查和分析[J].临床口腔医学杂志, 2000, 16(3): 180.
[7] 张娜, 宋方, 范永峰. 太原市城区孕妇口腔健康状况及口腔保健行为分析 [J]. 山西医药杂志, 2011, 42(2): 138-140.
[8] Tilakaratne A, Soory M , Ranasinghe AW, et al. Periodontal disease status during pregnancy and 3 months post-partum, in a rural population of Sri-Lankan women [J]. J Clin Periodontol, 2000, 27(10): 787-792.
[9] Yalcin F, Eskinazi E, Soydinc M, et al. The effect of sociocultural status on periodontal conditions in pregnancy [J]. J Periodontol, 2002, 73(2): 178-182.
[10] Taani DQ, Habashneh R, Hammad MM, et al. The periodontal status of pregnant women and its relationship with socio-demographic and clinical variables[J]. J Oral Rehabil,2003,30(4): 440-445.
[11] Gursoy M, Pajukanta R, Sorsa T, et al. Clinical changes in periodontium during pregnancy and post-partum [J]. J Clin Periodontol, 2008, 35(7): 576-583.
[12] Villa A, Abati S, Pileri P, et al. Oral health and oral diseases in pregnancy: a multicentre survey of Italian postpartum women [J]. Aust Dent J, 2013, 58(2): 224-229.
[13] Martinez-Beneyto Y, Vera-Delgado MV, Pérez L, et al. Self-Reported oral health and hygiene habits, dental decay, and periodontal condition among pregnant European women [J]. Int J Gynaecol Obstet, 2011,114(1): 18-22.
[14] Wu YM, Liu J, Sun WL , et al. Periodontal status and associated risk factors among childbearing age women in Cixi city of China[J]. J Zhejiang Univ Sci B, 2013, 14(3): 231-239.
[15] Hullah E, Turok Y, Nauta M, et al. Self-reported oral hygiene habits, dental attendance and attitudes to dentistry during pregnancy in a sample of immigrant women in North London [J]. Arch Gynecol Obstet, 2008, 277(5): 405-409.
[16] Moss KL, Beck JD, Offenbacher S. Clinical risk factors associated with incidence and progression of periodontal conditions in pregnant women [J]. J Clin Periodontol, 2005, 32(5): 492-498.
[17] Piscoya MD, Ximenes RA, Silva GM, et al. Periodontitis-associated risk factors in pregnant women [J]. Clinics (Sao Paulo), 2012, 67(1): 27-33.