State University of Ponta Grossa, Ponta Grossa, Brazil.
Caries Res. 2018;52(1-2):139-152. doi: 10.1159/000481407. Epub 2018 Jan 10.
Despite the fact that dental care attendance during pregnancy has been recommended by guidelines and institutions, the demand for dental services is still low among pregnant women. The aim of this study was to identify and analyze the determinants of dental care attendance during pregnancy. We performed a systematic literature search in the electronic databases PubMed, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature, Brazilian Library in Dentistry, Cumulative Index to Nursing and Allied Health Literature, and Medline using relevant keywords. Studies were filtered by publication year (2000-2016) and language (English, Portuguese, Spanish, and French). The included studies were assessed for quality. Their characteristics and statistically significant factors were reported. Fourteen papers were included in the review. The prevalence of dental service usage during pregnancy ranged from 16 to 83%. Demographic factors included women's age, marital status, parity, and nationality. The socioeconomic factors were income, educational level, and type of health insurance. Many psychological and behavioral factors played a role, including oral health practices, oral health and pregnancy beliefs, and health care maintenance. Referred symptoms of gingivitis, dental pain, or dental problems were perceived need. Demographic, socioeconomic, psychological, behavioral factors and perceived need were associated with the utilization of dental services during pregnancy. More well-designed studies with reliable outcomes are required to confirm the framework described in this review.
尽管指南和机构都建议孕妇进行口腔护理，但孕妇对口腔服务的需求仍然较低。本研究旨在确定和分析孕期口腔护理就诊的决定因素。我们使用相关关键词在电子数据库 PubMed、Scopus、Web of Science、拉丁美洲和加勒比健康科学文献、巴西牙科图书馆、护理和联合健康文献累积索引以及 Medline 中进行了系统的文献检索。通过出版年份（2000-2016 年）和语言（英语、葡萄牙语、西班牙语和法语）对研究进行了筛选。对纳入的研究进行了质量评估。报告了它们的特征和具有统计学意义的因素。综述纳入了 14 篇论文。孕期口腔服务使用的患病率范围从 16%到 83%不等。人口统计学因素包括女性的年龄、婚姻状况、生育次数和国籍。社会经济因素包括收入、教育水平和医疗保险类型。许多心理和行为因素也发挥了作用，包括口腔健康习惯、口腔健康和怀孕信念以及医疗保健维护。被认为与牙龈炎、牙痛或牙齿问题有关的症状是需要关注的问题。人口统计学、社会经济学、心理、行为因素和感知需求与孕期口腔服务的利用有关。需要更多设计良好且具有可靠结果的研究来证实本综述中描述的框架。
