Abstract
Periodontitis in pregnancy may be associated with several determinants of health and knowing these determinants makes possible an integral approach of the patients. The aim of this study was to evaluate the determinants of health and periodontitis-related quality of life in pregnant women. Sample was composed by 128 patients divided into two groups: pregnant women with periodontitis (GP = 64) and without periodontitis (GWP = 64) during the third trimester of pregnancy. They were evaluated regarding: a) socioeconomic level; b) anthropometric parameters; c) systemic conditions - presence of arterial hypertension and diabetes mellitus; d) behaviors regarding oral hygiene; and e) oral health impact profile (OHIP-14). T-test, Mann-Whitney U-test, chi-square and logistic regression were applied, considering a significance level of 5%. GP showed low socioeconomic level (P = 0.0008), high maternal body mass index (BMI) (P = 0.0002) and excessive gestational weight gain (P = 0.008). No intergroup differences were observed in systemic conditions. Patients with periodontitis presented low daily dental floss use (P = 0.021) and strong impact on quality of life for all evaluated dimensions (P < 0.05). Periodontitis in pregnancy was associated with high BMI, excessive gestational weight gain, low socioeconomic level, poor oral hygiene behaviors and negative impact on quality of life.
Highlights
Periodontitis is characterized by loss of periodontal attachment due to a microbial‐associated, host‐mediated inflammation (Tonetti, Greenwell & Kornman, 2018), which is initiated in the gingival tissues upon bacterial biofilm formation
The initiation and progression of periodontitis depend on microbiome changes resulted by tissue breakdown products, and on anti‐bacterial mechanisms that effort to contain the bacteriological challenge in gingival tissue (Tonetti, Greenwell & Kornman, 2018)
Considering that periodontitis in pregnancy can negatively impact the maternal and newborn health and well-being, and considering the absence of studies that have evaluated the quality of life of pregnant women with and without periodontitis and the several associated risk factors, this study aimed to evaluate the factors associated with periodontitis and their association with oral health-related quality of life in women during pregnancy
Summary
Periodontitis is characterized by loss of periodontal attachment due to a microbial‐associated, host‐mediated inflammation (Tonetti, Greenwell & Kornman, 2018), which is initiated in the gingival tissues upon bacterial biofilm formation. The initiation and progression of periodontitis depend on microbiome changes resulted by tissue breakdown products, and on anti‐bacterial mechanisms that effort to contain the bacteriological challenge in gingival tissue (Tonetti, Greenwell & Kornman, 2018). Current evidence supports that smoking, among other multifactorial diseases, can cause some alterations on the multiple immunoinflammatory responses and interfere on the severity periodontitis for some patients (Tonetti, Greenwell & Kornman, 2018). Due to several metabolic and physiological changes that are noticed during pregnancy, oral changes can be perceived during gestation (Silva de Araujo Figueiredo, et al, 2017). The third trimester of gestation is a critical period, and pregnant women should be instructed to improve their oral hygiene, especially through regular tooth brushing and use of dental floss
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
