Provider and patient perceptions about dental care during pregnancy.
ABSTRACT To compare the opinions of dentists, obstetricians, and patients on dental care in pregnancy: its necessity, accessibility, and safety.
A 35-item questionnaire was distributed within Ohio, to 400 patients and 1000 providers between October 2004 and July 2005. Univariate comparisons between dentists and obstetricians were made by Fisher's exact test. Adjustments for confounding were made through logistic regression models.
Most providers rated prenatal dental screening as important, agreeing that poor dental hygiene related to adverse pregnancy outcomes. Although 84% of patients reported dental visits as safe, only 44% received care; the main limitation was financial. Providers agreed that pregnant patients could undergo dental cleanings, caries treatments, and abscess drainage but disagreed regarding the safety of X-rays, periodontal surgery, amalgam, and narcotic usage. In general, obstetricians were more comfortable than dentists with procedures and medication usage but less often reported recommending routine prenatal dental care.
Different respondent perceptions exist regarding the safety, accessibility, and necessity of prenatal dental treatments. Professional guidelines about oral health screening in pregnancy and the safety of dental procedures would benefit our patients and colleagues.
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ABSTRACT: Background: Poor oral health during pregnancy is a significant public health issue because of its prevalence, impact on women’s and their future children’s oral health, and evidence suggesting oral-systemic links with adverse pregnancy and birth outcomes and chronic health conditions across the lifecourse. Subsequently, both medical and dental associations have endorsed inter-professional guidelines promoting prenatal oral health. The objective was to explore providers’ information, motivation and practice behaviors related to oral health during pregnancy. Methods: Twenty-two in-depth interviews were conducted with prenatal (PPs) and oral health providers (OHPs) based on the Information-Motivation-Behavioral Skills Model. Data were analyzed using the constant comparative method in NVivo 10. Results: Providers held variable knowledge with regards to identified oral-systemic connections and implications. Most providers were unaware of the guidelines; however, some OHPs reported avoiding specific treatment behaviors during this period. Motivation to address prenatal oral-systemic health included: prevention; healthy pregnancy/birth outcomes; patient’s complaint/question as cue to action; comprehensive care; ethical duty; and professional boards. OHPs reported assessing, educating, and communicating with patients about oral health issues; whereas PPs rarely addressed oral health but reported signing approval forms for patients to receive care from OHPs. OHPs often highlighted lifecourse implications and the need for family-centered care when addressing oral health among pregnant patients. Conclusions: Findings suggest gaps in oral health prevention information and behaviors among providers. Future efforts should examine effective dissemination and implementation strategies that translate evidence-based guidelines into clinical practice, with the ultimate goal of improving oral-systemic health among women and their offspring.11/2014
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ABSTRACT: BACKGROUND: Globally, the oral health care for pregnant women is inadequate relating to education and health promotion sectors along with disparities in socio-economy and ethnicity. Neglected oral care often has long-term effects on our overall health, including the health of the baby during pregnancy. Serious problems like gingivitis and periodontal disease may also occur during this period as a result of neglected oral hygiene. OBJECTIVE: This descriptive type of cross sectional study was carried out to assess the pattern of common oral and dental diseases among pregnant women. MATERIALS AND METHODS: A total 147 pregnant women attended at the selected hospital and healthcare centre of Dhaka city for routine checkup over a period of five months from September 2013 to January 2014 fulfilled the eligibility criteria were selected consecutively. Pre-tested semi structured interviewer administrated questionnaires were used to collect the information. RESULTS: The study shows that most of the pregnant women (72%) age ranged from 20-24 years. Also, majority (88%) of them were housewives while only 11% were service holders with monthly family income of BDT≤10000 of more than half of the respondents (52%). Oral complaints found from the study were bleeding gums (78%), sensitive tooth (52%) and cavities (35%) respectively. In addition, 63% never access to their dentists throughout their whole life and only 6% visited their dentists at the time of pregnancy. Lastly, the frequency of oral diseases South American Journal of Medicine, Volume-2, Issue-2, 2014 166 revealed in this study was gingivitis (100%), dental caries (54%), dental erosion (52%), periodontitis (27%) and apthous ulcer (16%) respectively. CONCLUSION: It can be said from the study that educational and occupational statuses of pregnant women in Bangladesh were not satisfactory. An extensive number of pregnant women did not seek oral health care during pregnancy. There is a need for further study on oral health status of the pregnant women to formulate appropriate oral health guidelines for better oral and dental health outcome.South American Journal of Medicine. 10/2014; 02(02):165-177.
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ABSTRACT: Background: The aim of this study was to identify and evaluate factors affecting utilization of dental services during pregnancy. Methods: Participants in this cross-sectional study were mothers visiting a community health center for their infants/toddlers' immunization. Data were collected through a questionnaire about demographics, oral health (OH) knowledge, attitude, and practices as well as barriers to dental visits during pregnancy. Means (SD) and frequencies were used for data description. Different factors were analyzed as predictors for utilization of dental services using multiple logistic regression analysis. Results: In total, 423 mothers completed the study. Mean age at delivery was 29.5 (±5.3) years. Almost all participants brushed their teeth at least once a day with toothpaste. During pregnancy, 19.2% of mothers reported difficulties with brushing and 25% had dental/periodontal problems. Half of the participants had a dental visit during pregnancy, of which 93% was for dental check-up, 80.5% received preventive care, and 28.8% received dental/ periodontal treatments. Canadian-born women were 48% more likely to visit the dentist during pregnancy compared to non-Canadian counterparts (p=0.048). Level of education, dental insurance, and household income were also positively associated with the usage (p<0.001). Mothers with more knowledge about possible connections between OH and pregnancy and those who visited the dentist every 6 months had better odds of visiting the dentist during pregnancy (p<0.001). Conclusions: Three major factors predicting the utilization of dental services during pregnancy were perceived need, habit of regular dental visits, and access to dental services.Journal of Periodontology 12/2014; 85(12):1712-21. · 2.57 Impact Factor