Ganganna Aruna, Devishree G
Department of Periodontology, JSS Dental College and Hospital, Mysore, Karnataka, India.
Department of Implantology, JSS Dental College and Hospital, Mysore, Karnataka, India.
J Indian Soc Pedod Prev Dent. 2017 Jan-Mar;35(1):47-50. doi: 10.4103/0970-4388.199231.
Periodontal diseases are known to set an inflammatory response at the systemic level which can adversely affect the pregnancy outcomes, and many patients are unaware of this association. Health-care providers play a vital role in educating patients toward maintaining good oral health; hence, our study was planned to evaluate the knowledge, attitude, and practices of dentists' and gynecologists' concerning this link. In addition, referral to the dentists' during the preconception period was also emphasized.
This was a cross-sectional questionnaire survey conducted among dentists and gynecologists' in the city of Mysore. The participants were divided into two groups and were asked specific questions about the association between oral health and preterm low birth weight (PTLB). Group I constituted the dentists possessing both graduate and postgraduate degree and Group II were the gynecologists'.
Seventy-nine percent of the total participants agreed about the link between periodontal health and PTLB. Dentists were more aware of the periodontal changes during pregnancy and stressed on frequent dental checkup during pregnancy. Preconception care was a neglected part of the protocol by the gynecologists', and only 12% of them referred patients to a dentist in the preconception period. Factors significantly associated with knowledge in logistic regression analyses were older age, dentists and the years of experience (>5 years).
Knowledge about oral health is important, to maintain good general health; hence, health workers should not miss opportunities to contribute to this health promotion. An integrated work by the dentists and gynecologists may reduce the adverse pregnancy outcomes associated with periodontal diseases.
已知牙周疾病会引发全身性炎症反应，这可能对妊娠结局产生不利影响，而许多患者并不知晓这种关联。医疗保健提供者在教育患者保持良好口腔健康方面发挥着至关重要的作用；因此，我们开展这项研究旨在评估牙医和妇科医生关于这种关联的知识、态度及实践情况。此外，还强调了在孕前阶段转诊至牙医处的重要性。
这是一项在迈索尔市的牙医和妇科医生中进行的横断面问卷调查。参与者被分为两组，并被问及有关口腔健康与早产低体重（PTLB）之间关联的具体问题。第一组由拥有本科和研究生学位的牙医组成，第二组为妇科医生。
79%的参与者认同牙周健康与PTLB之间的关联。牙医更了解孕期的牙周变化，并强调孕期要经常进行牙科检查。孕前护理是妇科医生诊疗方案中被忽视的部分，只有12%的妇科医生在孕前阶段将患者转诊至牙医处。在逻辑回归分析中，与知识水平显著相关的因素包括年龄较大、职业为牙医以及工作经验超过5年。
了解口腔健康对于保持良好的整体健康很重要；因此，卫生工作者不应错过促进这种健康的机会。牙医和妇科医生的协同工作可能会减少与牙周疾病相关的不良妊娠结局。
