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Gebelikte Ağız-Diş Sağlığı ve Periodontal Hastalıkla İlgili Postpartum Annelerin Bilgi, Farkındalık ve Davranışları

Year 2020, Volume: 17 Issue: 4, 542 - 549, 31.12.2020
https://doi.org/10.38136/jgon.731670

Abstract

Amaç: Gebelikte ağız-diş sağlığı ve periodontal hastalıklarla ilgili kadınların bilgi ve davranışlarını değerlendirmektir.
Gereçler ve Yöntem: Bu tanımlayıcı nitelikteki çalışmada, doğum sonrası rasgele seçilmiş annelere, taburcu olmadan önce, çoktan seçmeli 38 sorudan oluşan anket formu dağıtıldı ve doldurmaları istendi.
Bulgular: Annelerin %2’si yaşı 18'in altındaydı, %11’inin sağlık güvencesi yoktu ve %27’si asgari ücret altında gelire sahipti. Annelerin %94’ü sigaranın kendisi ve bebeği için zararlı olduğu konusunda hemfikirdi. Gebeliği boyunca; sigara kullanan %14, günde en az iki kez diş fırçalayan %38 ve günde en az bir kez yardımcı diş temizlik aracı kullanan %33 idi. Diş veya dişeti şikayeti olmasına rağmen; diş hekimine başvurmayan %56, periodontal tedaviyi riskli bulan %58 ve diş hekimine başvurduğunda diş hekimi tarafından bilgilendirilen sadece %25’ti. Annelerin %55’i gebeliğin diş çürüğünü arttırdığına, %57’si dişlerden kalsiyum kaybedildiğine inanıyordu. %36’sı gebeliği boyunca diş eti kanaması ve şişliğinin arttığını, %22’si daha fazla dişinin çürüdüğünü raporladı. %58’i fırçalayarak ve diş ipi kullanarak diş eti hastalığını önleyebileceğini biliyordu, ancak %16’sı diş plağını doğru tanımlayabildi. Periodontal hastalığının olumsuz gebelik sonuçlarına yol açabileceğini düşünen anneler %10 oranındaydı.
Sonuç: Kadınlar gebelik sırasında periodontal sağlık durumlarında gebelik öncesi döneme göre değişiklikler bildirdiler. Kadınların büyük bir çoğunluğunun periodontal hastalık, gebelik ve doğum sonuçları ile ilgili bilgisi ve farkındalığı yetersizdir. Gebeler ağız hastalıklarının önlenmesi hakkında daha fazla bilgiye ve ağız sağlığı eğitimi programlarına ihtiyaç duymaktadır.

References

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  • 3. Azofeifa A, Yeung LF, Alverson CJ, Beltrán-Aguilar E. Oral Health Conditions and Dental Visits Among Pregnant and Nonpregnant Women of Childbearing Age in the United States, National Health and Nutrition Examination Survey, 1999–2004. Prev Chronic Dis. 2014;11:E163.
  • 4. Leine MA. Effect of pregnancy and dental health. Actaodontol Scand 2002; 60:257–64.
  • 5. Taani DQ. Periodontal awareness and knowledge, and pattern of dental attendance among adults in Jordan. Int Dent J 2002; 52: 94–8.
  • 6. G€ursoy M, Pajukanta R, Sorsa T, K€on€onen E. Clinical changes in periodontium during pregnancy and post-partum. J Clin Periodontol 2008; 35: 576–83.
  • 7. Massoni RSS, Aranha AMF, Matos FZ, Guedes OA, Borges ÁH, Miotto M et al. Correlation of periodontal and microbiological evaluations, with serum levels of estradiol and progesterone, during different trimesters of gestation. Sci Rep. 2019; 13;9:11762.
  • 8. Wu M, Chen SW, Jiang SY. Relationship between gingival inflammation and pregnancy. Mediators Inflamm. 2015;2015:623427.
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  • 10. Offenbacher S, Kats V, Fertik G. Periodontal disease as a possible risk factor for preterm low birth weight. J Periodontal 1996; 67:1103–13.
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  • 15. Offenbacher S, Lieff S, Bogges KA, Murtha AP, Madianos PN, Champagne CM et al. Maternal periodontitis and prematurity: part 1 – obstetric outcome of prematurity and growth restriction. Ann Periodontol 2002; 7: 90–94.
  • 16. Toygar H, Seydaoglu G, Kurklu S, Guzeldemir E, Arpak N. Periodontal health and adverse pregnancy outcome in 3,576 Turkish women. J Periodontol 2007; 78:2081-94.
  • 17. Ceylantekin Y, Alikaya C, Köken GN. Ağız ve Diş Hijyeninin Erken Doğumla İlişkisinin Değerlendirilmesi. Turkiye Klinikleri J Gynecol Obst 2011; 21:184-9.
  • 18. Carillo-de-Albbornoz A, Figuero E, Herrera D, Cuesta P, Bascones- Martinez A. Gingival changes during pregnancy: III. Impact of clinical, microbiological, immunological and socio-demographic factors on gingival inflammation. J Clin Periodontol 2012; 39:272–83.
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  • 20. Geisinger ML, Geurs NC, Bain JL, Kaur M, Vassilopoulos PJ, Cliver SP et al. Oral health education and therapy reduces gingivitis during pregnancy. J Clin Periodontol 2014; 41:141–8.
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  • 22. Kaydırak, MM; Şahin, NH; Can, MM; Koray, M. Gebelerin Ağız ve Diş Sağlığına İlişkin Bilgi ve Görüşleri. SDÜ Saglik Bilimleri Dergisi. 2018; 9:11-6.
  • 23. Zhu L, Petersen PE, Wang H, Bian J, Zhang B. Oral health knowledge, attitudes and behaviour of adults in China. International Dental Journal. 2005; 55:231–41.
  • 24. Stelmakh V, Slot DE, van der Weijden GA. Self-reported periodontal conditions among Dutch women during pregnancy. Int J Dent Hyg. 2017;15:e9-e15.
  • 25. Visser RS, Heling GW, Burgersdijk RC, van‘t Hof MA, Kalsbeek H, Truin GJ. Dental self care of the dentate Dutch population: oral hygiene. Ned Tijdschr Tandheelkd 1991;97: 227-9.
  • 26. Christensen LB, Jeppe-Jensen D, Petersen PE. Self-reported gingival conditions and self-care in the oral health of Danish women during pregnancy. J Clin Periodontol 2003; 30:949–53.
  • 27. Hashim R. Self-reported oral health, oral hygiene habits and dental service utilization among pregnant women in United Arab Emirates. Int J Dent Hyg 2012; 10:142–6.
  • 28. Claas BM, Ellison-Loschmann L, Jeffreys M. Self-reported oral health care and access to oral health information among pregnant women in Wellington, New Zealand. N Z Med J 2011; 124:37–50.
  • 29. european-perinatal-health-report-2010. Erişim Tarihi: 2.05.2020. Available from: http://www.europeristat.com/reports/.html.
  • 30. R€ais€anen S, Sankilampi U, Gissler M, Kramer MR, Hakulinen-Viitanen T, Saari J et al. Smoking cessation in the first trimester reduces most obstetric risks, but not the risks of major congenital anomalies and admission to neonatal care: a population- based cohort study of 1,164,953 singleton pregnancies in Finland. J Epidemiol Community Health 2014; 68:159–64.
  • 31. Öcek ZA, Eden E, Türk M, Çakır N. Mid-term assessment of a programme conducted in Izmir for improving oral health in pregnant women and reducing caries in children: changes in the level of knowledge of the mothers.Türkiye Halk Sağlığı Dergisi 2016; 14:68-80.
  • 32. Honkala S, Al-Ansari J. Self-reported oral health, oral hygiene habits, and dental attendance of pregnant women in Kuwait. J Clin Periodontol 2005; 32:809–14.
  • 33. Maria P. Women’s health. In: Darby M, Walsh M, eds. Dental Hygiene Theory and Practice, 2nd edn. W.B. Saunders Co. Philadelphia. 2003: 935–8.
  • 34. Thomas NJ, Middleton PF, Crowther CA. Oral and dental health care practices in pregnant women in Australia: a postnatal survey. BMC Pregnancy and Childbirth. 2008; 8:13 .
  • 35. Hullah E, Turok Y, Nauta M, Yoong W. Self-reported oral hygiene habits, dental attendance and attitudes to dentistry during pregnancy in a sample of immigrant women in North London. Arch Gynecol Obstet 2008; 277:405–9.
  • 36. Blicher B, Joshipura K, Eke P. Validation of self-reported periodontal disease: a systematic review. J Dent Res 2005; 84:881–90.
  • 37. Taylor GW, Borgnakke WS. Self-reported periodontal disease: validation in an epidemiological survey. J Periodontol 2007; 78:1407– 20.
  • 38. Airila-M_ansson S, Bjurshammar N, Yakob M, S€oder B. Selfreported oral problems, compared with clinical assessment in an epidemiological study. Int J Dent Hyg 2007; 5:82-6.
  • 39. Eke PI, Dye BA, Wei L, Slade GD, Thornton-Evans GO et al. Self-reported measures for surveillance of periodontitis. J Dent Res 2013; 92:1041–47.
  • 40. Giglio JA, Lanni SM, Laskin DM, Giglio NW. Oral health care for the pregnant patient. J Can Dent Assoc 2009; 75:43-8.
Year 2020, Volume: 17 Issue: 4, 542 - 549, 31.12.2020
https://doi.org/10.38136/jgon.731670

Abstract

References

  • 1. Petersen PE (2003) The World Oral Health Report 2003: continuous improvement of oral health in the 21st century—the approach of the WHO Global Oral Health Programme. Commun Dent Oral Epidemiol 31(Suppl 1):3–23.
  • 2. Berkowitz RJ. Mutans streptococci: acquisition and transmission. Pediatr Dent 2006; 28:106–9.
  • 3. Azofeifa A, Yeung LF, Alverson CJ, Beltrán-Aguilar E. Oral Health Conditions and Dental Visits Among Pregnant and Nonpregnant Women of Childbearing Age in the United States, National Health and Nutrition Examination Survey, 1999–2004. Prev Chronic Dis. 2014;11:E163.
  • 4. Leine MA. Effect of pregnancy and dental health. Actaodontol Scand 2002; 60:257–64.
  • 5. Taani DQ. Periodontal awareness and knowledge, and pattern of dental attendance among adults in Jordan. Int Dent J 2002; 52: 94–8.
  • 6. G€ursoy M, Pajukanta R, Sorsa T, K€on€onen E. Clinical changes in periodontium during pregnancy and post-partum. J Clin Periodontol 2008; 35: 576–83.
  • 7. Massoni RSS, Aranha AMF, Matos FZ, Guedes OA, Borges ÁH, Miotto M et al. Correlation of periodontal and microbiological evaluations, with serum levels of estradiol and progesterone, during different trimesters of gestation. Sci Rep. 2019; 13;9:11762.
  • 8. Wu M, Chen SW, Jiang SY. Relationship between gingival inflammation and pregnancy. Mediators Inflamm. 2015;2015:623427.
  • 9. Taani DQ, Habashna R, Hammad MM, Butieha A. The periodontal status of pregnant women and its relationship with socio-demographic and clinical variables. J Oral Rehab 2003; 30: 440–5.
  • 10. Offenbacher S, Kats V, Fertik G. Periodontal disease as a possible risk factor for preterm low birth weight. J Periodontal 1996; 67:1103–13.
  • 11. Lopez NJ, Smith PC, Gutierrez J. Periodontal therapy may reduce the risk of preterm low birth weight in women with periodontal disease: a randomized controlled trial. J Periodontol. 2002; 73:911-24.
  • 12. Michalowicz BS, Hodges JS, DiAngelis AJ, Lupo VR, Novak MJ, Ferguson JE et al. Treatment of periodontal disease and the risk of preterm birth. N Engl J Med. 2006; 2;355:1885-94.
  • 13. Thomas NJ, Middleton PF, Crowther CA. Oral and dental health care practices in pregnant women in Australia: a postnatal survey. BMC Pregnancy and Childbirth. 2008; 8:13.
  • 14. Adeniyi A, Agbaje O, Braimoh M, Ogunbanjo OS, Olubumi M, Olubunmi OA, et al. Survey of the Oral Health, Knowledge and Practices of Pregnant Women in a Nigerian Teaching Hospital. African Journal of Reproductive Health. 2011; 15:14-9.
  • 15. Offenbacher S, Lieff S, Bogges KA, Murtha AP, Madianos PN, Champagne CM et al. Maternal periodontitis and prematurity: part 1 – obstetric outcome of prematurity and growth restriction. Ann Periodontol 2002; 7: 90–94.
  • 16. Toygar H, Seydaoglu G, Kurklu S, Guzeldemir E, Arpak N. Periodontal health and adverse pregnancy outcome in 3,576 Turkish women. J Periodontol 2007; 78:2081-94.
  • 17. Ceylantekin Y, Alikaya C, Köken GN. Ağız ve Diş Hijyeninin Erken Doğumla İlişkisinin Değerlendirilmesi. Turkiye Klinikleri J Gynecol Obst 2011; 21:184-9.
  • 18. Carillo-de-Albbornoz A, Figuero E, Herrera D, Cuesta P, Bascones- Martinez A. Gingival changes during pregnancy: III. Impact of clinical, microbiological, immunological and socio-demographic factors on gingival inflammation. J Clin Periodontol 2012; 39:272–83.
  • 19. Figuero E, Carillo-de-Albornoz A, Herrera D, Bascones-Mart_ınez A. Gingival changes during pregnancy: I. Influence of hormonal variations on clinical and immunological parameters. J Clin Periodontol 2010; 37:220–9.
  • 20. Geisinger ML, Geurs NC, Bain JL, Kaur M, Vassilopoulos PJ, Cliver SP et al. Oral health education and therapy reduces gingivitis during pregnancy. J Clin Periodontol 2014; 41:141–8.
  • 21. Alwaeli HA, Al-Jundi SH. Periodontal disease awareness among pregnant women and its relationship with socio-demographic variables. Int J Dent Hyg. 2005; 3:74-82.
  • 22. Kaydırak, MM; Şahin, NH; Can, MM; Koray, M. Gebelerin Ağız ve Diş Sağlığına İlişkin Bilgi ve Görüşleri. SDÜ Saglik Bilimleri Dergisi. 2018; 9:11-6.
  • 23. Zhu L, Petersen PE, Wang H, Bian J, Zhang B. Oral health knowledge, attitudes and behaviour of adults in China. International Dental Journal. 2005; 55:231–41.
  • 24. Stelmakh V, Slot DE, van der Weijden GA. Self-reported periodontal conditions among Dutch women during pregnancy. Int J Dent Hyg. 2017;15:e9-e15.
  • 25. Visser RS, Heling GW, Burgersdijk RC, van‘t Hof MA, Kalsbeek H, Truin GJ. Dental self care of the dentate Dutch population: oral hygiene. Ned Tijdschr Tandheelkd 1991;97: 227-9.
  • 26. Christensen LB, Jeppe-Jensen D, Petersen PE. Self-reported gingival conditions and self-care in the oral health of Danish women during pregnancy. J Clin Periodontol 2003; 30:949–53.
  • 27. Hashim R. Self-reported oral health, oral hygiene habits and dental service utilization among pregnant women in United Arab Emirates. Int J Dent Hyg 2012; 10:142–6.
  • 28. Claas BM, Ellison-Loschmann L, Jeffreys M. Self-reported oral health care and access to oral health information among pregnant women in Wellington, New Zealand. N Z Med J 2011; 124:37–50.
  • 29. european-perinatal-health-report-2010. Erişim Tarihi: 2.05.2020. Available from: http://www.europeristat.com/reports/.html.
  • 30. R€ais€anen S, Sankilampi U, Gissler M, Kramer MR, Hakulinen-Viitanen T, Saari J et al. Smoking cessation in the first trimester reduces most obstetric risks, but not the risks of major congenital anomalies and admission to neonatal care: a population- based cohort study of 1,164,953 singleton pregnancies in Finland. J Epidemiol Community Health 2014; 68:159–64.
  • 31. Öcek ZA, Eden E, Türk M, Çakır N. Mid-term assessment of a programme conducted in Izmir for improving oral health in pregnant women and reducing caries in children: changes in the level of knowledge of the mothers.Türkiye Halk Sağlığı Dergisi 2016; 14:68-80.
  • 32. Honkala S, Al-Ansari J. Self-reported oral health, oral hygiene habits, and dental attendance of pregnant women in Kuwait. J Clin Periodontol 2005; 32:809–14.
  • 33. Maria P. Women’s health. In: Darby M, Walsh M, eds. Dental Hygiene Theory and Practice, 2nd edn. W.B. Saunders Co. Philadelphia. 2003: 935–8.
  • 34. Thomas NJ, Middleton PF, Crowther CA. Oral and dental health care practices in pregnant women in Australia: a postnatal survey. BMC Pregnancy and Childbirth. 2008; 8:13 .
  • 35. Hullah E, Turok Y, Nauta M, Yoong W. Self-reported oral hygiene habits, dental attendance and attitudes to dentistry during pregnancy in a sample of immigrant women in North London. Arch Gynecol Obstet 2008; 277:405–9.
  • 36. Blicher B, Joshipura K, Eke P. Validation of self-reported periodontal disease: a systematic review. J Dent Res 2005; 84:881–90.
  • 37. Taylor GW, Borgnakke WS. Self-reported periodontal disease: validation in an epidemiological survey. J Periodontol 2007; 78:1407– 20.
  • 38. Airila-M_ansson S, Bjurshammar N, Yakob M, S€oder B. Selfreported oral problems, compared with clinical assessment in an epidemiological study. Int J Dent Hyg 2007; 5:82-6.
  • 39. Eke PI, Dye BA, Wei L, Slade GD, Thornton-Evans GO et al. Self-reported measures for surveillance of periodontitis. J Dent Res 2013; 92:1041–47.
  • 40. Giglio JA, Lanni SM, Laskin DM, Giglio NW. Oral health care for the pregnant patient. J Can Dent Assoc 2009; 75:43-8.
There are 40 citations in total.

Details

Primary Language Turkish
Subjects Obstetrics and Gynaecology
Journal Section Research Articles
Authors

Mahmure Ayşe 0000-0001-8924-6725

Ümit Yasemin Sert 0000-0003-0862-4793

Publication Date December 31, 2020
Submission Date May 9, 2020
Acceptance Date August 19, 2020
Published in Issue Year 2020 Volume: 17 Issue: 4

Cite

Vancouver Ayşe M, Sert ÜY. Gebelikte Ağız-Diş Sağlığı ve Periodontal Hastalıkla İlgili Postpartum Annelerin Bilgi, Farkındalık ve Davranışları. JGON. 2020;17(4):542-9.