Dental Clinic, Department of Health Sciences, University of Milan, Italy.
Aust Dent J. 2013 Jun;58(2):224-9. doi: 10.1111/adj.12058. Epub 2013 May 5.
The aim of this study was to explore the oral hygiene practices and oral health status of Italian postpartum women.
A self-administered questionnaire assessed socio-demographic information, oral hygiene habits and frequency of dental visits. All women received a thorough oral examination within five days after delivery. Logistic regression models were used to estimate odds ratios and 95% confidence intervals for exposures of interest and the presence of 'severe' periodontitis.
Seven hundred and fifty women participated in the study; 99.1% brushed their teeth everyday and 59.9% visited the dentist annually. The mean frequency of sites with bleeding on probing was 16.1% and the median clinical attachment level was 2.1 mm. The mean caries experience score (DMFT) was 8. Severe periodontal disease was present in 21.9% of individuals. Patients who reported visiting a dentist only when in pain and women with three dental caries or more were significantly more likely to have periodontitis (OR: 1.6; 95% CI: 1.1-2.2; p < 0.05 and OR: 2.3; 95% CI: 1.5-3.5; p < 0.01, respectively).
Given the possible association between maternal and infant oral health, and between periodontal infection and general health, antenatal care providers should collaborate with dentists to encourage all pregnant women to comply with the oral health professionals' recommendations regarding appropriate dental brushing techniques and the importance of dental visits.
本研究旨在探讨意大利产后女性的口腔卫生习惯和口腔健康状况。
通过自填问卷评估社会人口学信息、口腔卫生习惯和看牙医的频率。所有女性在产后五天内接受了全面的口腔检查。使用逻辑回归模型估计感兴趣的暴露因素和“严重”牙周炎的存在的比值比和 95%置信区间。
750 名女性参与了这项研究；99.1%的人每天刷牙，59.9%的人每年看一次牙医。探诊出血的平均位点频率为 16.1%，临床附着丧失的中位数为 2.1 毫米。平均龋齿经历评分（DMFT）为 8.严重牙周病在 21.9%的个体中存在。报告仅在疼痛时看牙医的患者和有三个以上龋齿的女性发生牙周炎的可能性显著更高（OR：1.6；95%CI：1.1-2.2；p<0.05 和 OR：2.3；95%CI：1.5-3.5；p<0.01）。
鉴于母婴口腔健康之间以及牙周感染与一般健康之间可能存在关联，产前保健提供者应与牙医合作，鼓励所有孕妇遵守口腔卫生专业人员关于适当刷牙技术和看牙医重要性的建议。
