Krüger Marta Silveira da Mota, Casarin Renata Picanço, Gonçalves Letycia Barros, Pappen Fernanda Geraldo, Bello-Correa Fernanda Oliveira, Romano Ana Regina
Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil.
Int J Dent. 2017;2017:3534048. doi: 10.1155/2017/3534048. Epub 2017 Mar 29.
The aims of this study were to evaluate the periodontal health of pregnant women and to investigate the association of periodontal status with demographic and socioeconomic characteristics, as well as medical and dental history. A total of 311 pregnant women were interviewed to obtain sociodemographic data along with medical and dental histories. Clinical examinations were performed to record the presence of visible plaque, gingival bleeding, and caries activity. The periodontal condition was evaluated by Community Periodontal Index of Treatment Needs (CPITN) in one tooth of each sextant (16, 11, 26, 36, 31, and 46). After the adjustment analysis, the presence of visible plaque remained the main determinant of gingival bleeding (OR = 2.91, CI = 1.91-4.48). First-trimester pregnancy status was also a predictor, with a lower prevalence of gingival bleeding observed in the second (OR = 0.87, CI = 0.77-0.99) and third (OR = 0.82, CI = 0.73-0.93) trimesters. In pregnant women, the presence of dental plaque and first-trimester pregnancy status were the main implicated factors predicting gingival bleeding.
本研究的目的是评估孕妇的牙周健康状况，并调查牙周状况与人口统计学和社会经济特征以及医学和牙科病史之间的关联。共对311名孕妇进行了访谈，以获取社会人口学数据以及医学和牙科病史。进行临床检查以记录可见菌斑、牙龈出血和龋齿活动的情况。采用社区牙周治疗需要指数（CPITN）对每个牙象限中的一颗牙齿（16、11、26、36、31和46）的牙周状况进行评估。经过调整分析，可见菌斑的存在仍然是牙龈出血的主要决定因素（比值比=2.91，可信区间=1.91-4.48）。孕早期状态也是一个预测因素，在孕中期（比值比=0.87，可信区间=0.77-0.99）和孕晚期（比值比=0.82，可信区间=0.73-0.93）观察到牙龈出血的患病率较低。在孕妇中，牙菌斑的存在和孕早期状态是预测牙龈出血的主要相关因素。
