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牙周病的相关风险因素及其对孕妇生活质量的影响。

Risk factors associated with periodontal disease and its impact on quality of life among pregnant women.

机构信息

Department of Periodontics, Chang Gung Memorial Hospital, Linko Medical Center, Taoyuan, Taiwan.

Department of Nursing, Mackay Medical College, New Taipei City, Taiwan.

出版信息

J Obstet Gynaecol. 2023 Dec;43(2):2264382. doi: 10.1080/01443615.2023.2264382. Epub 2023 Oct 13.

DOI:10.1080/01443615.2023.2264382
PMID:37830210
Abstract

BACKGROUND

Periodontal disease during pregnancy affects maternal oral health and increases the risk of adverse pregnancy outcomes. However, studies on the risk factors for periodontal disease and its impact on oral health-related quality of life in pregnant women in Taiwan are lacking. This present study aimed to identify the risk factors associated with periodontal disease during pregnancy and examine the relationship of periodontal disease with oral health-related quality of life among pregnant women.

METHODS

This study was conducted in a large medical centre in northern Taiwan. Eighty-four participants completed a periodontal examination by dentists as well as structured questionnaires, including the Oral Health Impact Profile-14, demographics, obstetric history, dietary habits, and oral hygiene behaviours. Multivariate logistic regression was used to determine the risk factors associated with periodontal disease and a t-test was used to compare the difference in oral health-related quality of life between pregnant women with and without periodontal disease.

RESULTS

Fifty participants (59.5%) had periodontal diseases. Risk factors for periodontal disease included eating out for lunch, consuming beverages, brushing less than three times per day, and not receiving regular professional dental cleanings. The oral health-related quality of life was significantly poorer in pregnant women with periodontal disease than in those without.

CONCLUSIONS

The risk factors for periodontal disease, including eating out for lunch, drinking beverages, brushing teeth less, and not regular dental cleaning, provide convincing evidence for pregnant women to maintain good oral hygiene to prevent periodontal disease and improve oral health-related quality of life.

摘要

背景

孕期牙周病会影响产妇口腔健康,并增加不良妊娠结局的风险。然而,针对台湾地区孕妇牙周病的危险因素及其对口腔健康相关生活质量的影响的研究尚不多见。本研究旨在确定与孕期牙周病相关的危险因素,并探讨牙周病与孕妇口腔健康相关生活质量之间的关系。

方法

本研究在台湾北部的一家大型医疗中心进行。84 名参与者由牙医进行牙周检查,并填写了结构问卷,包括口腔健康影响简表-14、人口统计学、产科史、饮食习惯和口腔卫生行为。采用多变量逻辑回归确定与牙周病相关的危险因素,并采用 t 检验比较患有和不患有牙周病的孕妇之间口腔健康相关生活质量的差异。

结果

50 名参与者(59.5%)患有牙周病。牙周病的危险因素包括午餐外出就餐、饮用饮料、每天刷牙少于三次以及未定期接受专业洁牙。患有牙周病的孕妇口腔健康相关生活质量明显较差。

结论

包括午餐外出就餐、饮用饮料、刷牙次数少和不规律洁牙等牙周病的危险因素,为孕妇提供了有力的证据,建议她们保持良好的口腔卫生,以预防牙周病并改善口腔健康相关生活质量。

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