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高危妊娠住院女性的全身状况和牙周状况:一项横断面研究。

Systemic Profile and Periodontal Condition of Hospitalized Women with High-Risk Pregnancy: A Cross-Sectional Study.

机构信息

Pelotas Dental School, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.

Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.

出版信息

Matern Child Health J. 2023 Jul;27(7):1264-1271. doi: 10.1007/s10995-023-03659-8. Epub 2023 Apr 1.

Abstract

INTRODUCTION

The physiological changes in mother-infant pairs during pregnancy increase the susceptibility to a series of infections, including those of the oral cavity. Therefore, the oral and systemic health of pregnant women is related to adverse pregnancy outcomes.

OBJECTIVE

This cross-sectional study aimed to evaluate the systemic profile and periodontal status of women with a high-risk pregnancy.

METHODS

Eighty-nine pregnant women at risk of preterm labor admitted to a hospital in southern Brazil were interviewed and received a periodontal examination. Data related to obstetric complications during pregnancy (pre-eclampsia, infections, medication use, and gestational diabetes) and systemic diseases were collected from medical records. The periodontal parameters of probing pocket depth, bleeding on probing, and clinical attachment level were evaluated. The data were tabulated, and statistical analysis was performed (p < 0.05).

RESULTS

The mean age of participants was 24 years (SD = 5.62). Gingival bleeding was recorded in 91% of the participants. The prevalence of gingivitis was 31.46%, and periodontitis was 29.21%. No association between systemic conditions and periodontal disease was observed.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

Periodontal inflammation was not associated with the systemic profile during pregnancy. However, women with high-risk pregnancies showed higher levels of gingival inflammation, emphasizing the importance of dental care during pregnancy.

摘要

简介

妊娠期间母婴双方的生理变化增加了一系列感染的易感性,包括口腔感染。因此,孕妇的口腔和全身健康与不良妊娠结局有关。

目的

本横断面研究旨在评估高危妊娠妇女的系统状况和牙周状况。

方法

对巴西南部一家医院收治的 89 名有早产风险的孕妇进行了访谈和牙周检查。从病历中收集了与妊娠期间的产科并发症(子痫前期、感染、药物使用和妊娠期糖尿病)和系统性疾病相关的数据。评估了探诊袋深度、探诊出血和临床附着水平等牙周参数。对数据进行制表,并进行了统计分析(p<0.05)。

结果

参与者的平均年龄为 24 岁(SD=5.62)。91%的参与者记录有牙龈出血。牙龈炎的患病率为 31.46%,牙周炎为 29.21%。未观察到系统性疾病与牙周疾病之间存在关联。

结论和对实践的影响

牙周炎与妊娠期间的系统状况无关。然而,高危妊娠妇女的牙龈炎症水平较高,这强调了妊娠期间进行口腔护理的重要性。

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