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上西里西亚后工业化地区孕妇的口腔状况与早产、低出生体重及分娩类型的关系

Oral Status in Pregnant Women from Post-Industrial Areas of Upper Silesia in Reference to Occurrence of: Preterm Labors, Low Birth Weight and Type of Labor.

作者信息

Katarzyńska-Konwa Marta, Obersztyn Izabela, Trzcionka Agata, Mocny-Pachońska Katarzyna, Mosler Bartosz, Tanasiewicz Marta

机构信息

Department of Conservative Dentistry with Endodontics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Plac Akademicki 17, 41-902 Bytom, Poland.

出版信息

Healthcare (Basel). 2020 Dec 1;8(4):528. doi: 10.3390/healthcare8040528.

Abstract

Increased levels of steroid hormones, action of local irritants and the lack of proper hygiene measures are of great importance in the development of dental caries, gingivitis and inflammation of the periodontal area in pregnant women. The aim of the study was to evaluate the state of oral hygiene and the periodontal area is such a population and assess the effectiveness of performed hygiene treatments and analyse changes in hygiene habits after oral hygiene instructions. The study was performed in two parts on a group of 50 pregnant women. The first part took place between the 14th and 17th week of pregnancy. The control study was conducted between the 27th and 30th week of pregnancy. Patients were subjected to a dental examination. Poor oral hygiene was observed among the examined patients. After the first examination, oral hygiene instruction was provided to 25 randomly selected pregnant patients. The effect of periodontal diseases on the time of labor was observed. Oral hygiene instructions significantly affected the state of the periodontal area of pregnant women for whom it was performed. It was confirmed that the advancement of pregnancy influences deterioration of the periodontium and also term of childbirth. Undoubtedly, pregnant women receive insufficient dental care. Priority should be given to dental care education of for pregnant women and alleviating the impact of oral diseases on the organism of a pregnant woman.

摘要

类固醇激素水平升高、局部刺激物的作用以及缺乏适当的卫生措施在孕妇龋齿、牙龈炎和牙周区域炎症的发展中具有重要意义。本研究的目的是评估这类人群的口腔卫生状况和牙周区域情况,评估所进行的卫生治疗的效果,并分析口腔卫生指导后卫生习惯的变化。该研究对一组50名孕妇分两部分进行。第一部分在怀孕第14至17周进行。对照研究在怀孕第27至30周进行。对患者进行了牙科检查。在接受检查的患者中观察到口腔卫生较差。首次检查后,对25名随机挑选的孕妇提供了口腔卫生指导。观察了牙周疾病对分娩时间的影响。口腔卫生指导对接受指导的孕妇的牙周区域状况产生了显著影响。证实怀孕进程会影响牙周组织恶化以及分娩期限。毫无疑问,孕妇接受的牙科护理不足。应优先对孕妇进行牙科护理教育,并减轻口腔疾病对孕妇机体的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c344/7761035/477f7978257d/healthcare-08-00528-g001.jpg

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