Ostrovskaya Liudmyla I
Ukrainian Medical Stomatological Academy, Poltava, Ukraine.
Wiad Lek. 2019;72(1):89-94.
Introduction: In the modern literature, a variety of treatment regimens for periodontal diseases in pregnant women have been suggested and recommended for use in practical public health. And yet the concept of "dental diseases prevention in pregnancy" does not fully reflect the essence of the necessary measures to maintain the dental health of women during this period. The aim: The aim of the present paper is to study the scientific literature on the issue of preventing periodontal diseases in pregnancy.
Materials and methods: The subject under discussion was considered on the basis of 59 sources on this issue, using the method of content analysis, comparative and contrastive, analytical and biblio-semantic methods.
Review and conclusions: The analysis of scientific literature justifies the need for an integrated approach to treatment and prophylactic measures during the entire pregnancy period. Furthermore, the review of literature sources allows us to advocate the need to improve the existing approaches and to develop new individual programs for primary and secondary prevention of periodontal diseases in pregnant women, taking into account pathogenesis and the peculiarity of their course. Diagnosis of dental status in pregnant women with assessment of early and long-term clinical observations provides a prognostic model of the course and outcome of dental diseases. Meanwhile, the introduction of the follow-up observation for the maternity leave group enhances the dental health of pregnant women and prevents multiple pathological conditions of the unborn child.
引言：现代文献中已提出多种针对孕妇牙周疾病的治疗方案，并推荐用于实际公共卫生。然而，“孕期预防牙科疾病”这一概念并未充分反映在此期间维持女性牙齿健康所需措施的本质。目的：本文旨在研究关于孕期预防牙周疾病问题的科学文献。
材料与方法：基于59篇关于此问题的文献来源，采用内容分析、比较与对比、分析与文献语义分析方法来探讨该主题。
综述与结论：对科学文献的分析证明在整个孕期需要采取综合治疗和预防措施。此外，对文献来源的综述使我们主张有必要改进现有方法，并制定针对孕妇牙周疾病一级和二级预防的新的个性化方案，同时考虑发病机制及其病程特点。对孕妇牙齿状况进行诊断并评估早期和长期临床观察结果，可提供牙科疾病病程和结局的预测模型。与此同时，对产假群体引入随访观察可增强孕妇牙齿健康，并预防未出生胎儿的多种病理状况。
