School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.
Int J Environ Res Public Health. 2020 Oct 8;17(19):7337. doi: 10.3390/ijerph17197337.
The integration of oral health into primary health care denotes the important role of medical counterparts as the front liners in antenatal care to help screen mothers for oral symptoms and refer them to dentists accordingly. However, the validity of self-perceived oral health status is inconclusive. This study determined the association between self-perceived oral symptoms and the presence of clinically diagnosed oral diseases in a sample of pregnant women. A total of 192 pregnant women participated in this cross-sectional study. Clinical oral examinations were performed to record dental caries experience, gingival health and periodontal health. The women were also asked about their oral symptoms. Most women had at least one oral symptom (84.9%): cavitated tooth (62.0%), bad breath (38.5%), bleeding gums (28.6%), and toothache (22.9%). About half of the women had untreated dental caries (58.9%), and the odds were significantly higher in women who complained of having cavitated tooth. About half of the women had moderate to severe gingivitis (53.7%), and the odds were significantly higher in women who complained of bleeding gums. About half had periodontal pockets (46.3%), and the odds were higher in women who complained of bleeding gums and bad breath although lower in women who complained of swollen gums. In conclusion, the prevalence of dental caries and periodontal disease among pregnant women in this study were relatively high. The presence of untreated dental caries, moderate and severe gingivitis, and periodontal pockets were significantly associated with their corresponding oral symptoms.
将口腔健康纳入初级卫生保健，意味着医疗对口单位在产前保健中扮演着重要角色，可以帮助筛查产妇的口腔症状，并相应地将其转介给牙医。然而，自我感知的口腔健康状况的有效性尚不确定。本研究旨在确定孕妇样本中自我感知的口腔症状与临床诊断的口腔疾病之间的关联。共有 192 名孕妇参与了这项横断面研究。进行了临床口腔检查，以记录龋齿经历、牙龈健康和牙周健康。还询问了这些女性有关她们的口腔症状。大多数女性至少有一种口腔症状（84.9%）：龋齿（62.0%）、口臭（38.5%）、牙龈出血（28.6%）和牙痛（22.9%）。大约一半的女性有未经治疗的龋齿（58.9%），抱怨有龋齿的女性的几率明显更高。大约一半的女性患有中度至重度牙龈炎（53.7%），抱怨牙龈出血的女性的几率明显更高。大约一半的女性有牙周袋（46.3%），抱怨牙龈出血和口臭的女性的几率更高，而抱怨牙龈肿胀的女性的几率则较低。总之，本研究中孕妇的龋齿和牙周病患病率相对较高。未经治疗的龋齿、中度和重度牙龈炎以及牙周袋的存在与他们相应的口腔症状显著相关。
