Paneer Silambarasan, Muthusamy Narasimman, Manickavel Rathinavel Pandian, Venkatakrishnan Cakku Jalliah, Rathnavelu Pradeep, Jayaram Muthuvignesh
Department of Prosthodontics and Crown and Bridge, Tagore Dental College and Hospital, Chennai, Tamil Nadu, India.
Department of Prosthodontics and Crown and Bridge, KSR Institute of Dental Sciences and Research, Tiruchengode, Tamil Nadu, India.
J Pharm Bioallied Sci. 2019 May;11(Suppl 2):S331-S334. doi: 10.4103/JPBS.JPBS_24_19.
BACKGROUND/OBJECTIVES: A cross-sectional study was conducted to evaluate the knowledge and practiced behaviors of gynecologists regarding oral health during pregnancy and association of periodontal disease with adverse pregnancy outcomes.
This study was conducted among 200 gynecologists. A self-structured, close-ended questionnaire containing 22 questions was prepared. The principal investigator approached the gynecologists personally and distributed the questionnaire after obtaining their informed consent.
Of the 200 gynecologists approached, 200 filled the questionnaire, yielding a response rate of 100%. The majority (87%) acknowledged a connection between oral health and pregnancy and 63% agreed that periodontal disease can affect the outcome of pregnancy. However, only 60% gynecologists advise major/minor surgery during pregnancy, and many of them (74%) said that second trimester is the safe period for dental treatment. Almost three-quarters of the participants (79%) regarded dental radiograph and more than half (74%) considered administration of local anesthesia to be unsafe during pregnancy.
This study demonstrated that gynecologists have a relatively certain level of knowledge regarding oral health status during pregnancy and the relationship of periodontal disease to pregnancy outcomes. However, there clearly exist misconceptions regarding the provision of dental treatment during pregnancy. To provide better oral health care, more knowledge needs to be made available to the pregnant women and medical community, mainly to the gynecologists who are primary health-care providers for pregnant women, and misconception regarding the types of dental treatments during pregnancy should be clarified.
背景/目的：开展了一项横断面研究，以评估妇科医生关于孕期口腔健康的知识和实践行为，以及牙周疾病与不良妊娠结局的关联。
本研究在200名妇科医生中进行。编制了一份包含22个问题的自拟封闭式问卷。主要研究者亲自联系妇科医生，并在获得他们的知情同意后发放问卷。
在联系的200名妇科医生中，200人填写了问卷，回复率为100%。大多数（87%）承认口腔健康与妊娠之间存在关联，63%同意牙周疾病会影响妊娠结局。然而，只有60%的妇科医生建议在孕期进行大/小手术，其中许多人（74%）表示孕中期是牙科治疗的安全期。近四分之三的参与者（79%）认为牙科X光检查不安全，超过一半（74%）认为孕期局部麻醉不安全。
本研究表明，妇科医生对孕期口腔健康状况以及牙周疾病与妊娠结局的关系有一定程度的了解。然而，在孕期提供牙科治疗方面显然存在误解。为了提供更好的口腔保健，需要向孕妇和医学界，主要是向作为孕妇初级保健提供者的妇科医生提供更多知识，并应澄清关于孕期牙科治疗类型的误解。
