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孕期激素和生活方式对口腔健康的影响:一项基于前瞻性观察回归的研究。

Impact of Hormones and Lifestyle on Oral Health During Pregnancy: A Prospective Observational Regression-Based Study.

机构信息

Preclinics Department, Faculty of Medicine, Apollonia University, 700511 Iasi, Romania.

Preclinics Department, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania.

出版信息

Medicina (Kaunas). 2024 Oct 30;60(11):1773. doi: 10.3390/medicina60111773.

Abstract

: This study explores the impact of hormonal fluctuations during pregnancy and lifestyle factors on stomatognathic system (SS) health. The aim is to determine how pregnancy-related hormonal changes and oral hygiene behaviors affect the onset of stomatognathic issues, such as gingival inflammation (GI) and dental erosion (DE). A prospective, observational study was conducted with 100 pregnant women, divided into two groups: Group A (60 women with significant stomatognathic alterations) and Group B (40 women without such alterations). Multiple regression analysis was used to evaluate the influence of hormonal levels, oral hygiene habits, and vomiting episodes on stomatognathic health. Age and socioeconomic status showed no significant association with stomatognathic health ( > 0.05). In contrast, elevated levels of estrogen ( = 0.001) and progesterone ( = 0.003) were significantly linked to the severity of stomatognathic changes. Oral hygiene habits also had a statistically significant impact ( = 0.02), while vomiting frequency was not an important factor ( > 0.05). Hormonal changes during pregnancy, particularly increased estrogen and progesterone levels, are key predictors of stomatognathic health. These findings suggest that while oral hygiene is important, hormonal fluctuations play a dominant role in influencing stomatognathic system (SS) health during pregnancy.

摘要

: 本研究旨在探讨孕期荷尔蒙波动和生活方式因素对口腔颌系统(SS)健康的影响。目的是确定与妊娠相关的荷尔蒙变化和口腔卫生行为如何影响口腔颌问题的发生,如牙龈炎症(GI)和牙齿侵蚀(DE)。采用前瞻性观察研究方法,纳入 100 名孕妇,分为两组:A 组(60 名有明显口腔颌改变的孕妇)和 B 组(40 名无此类改变的孕妇)。采用多元回归分析评估荷尔蒙水平、口腔卫生习惯和呕吐发作对口腔颌健康的影响。年龄和社会经济地位与口腔颌健康无显著相关性(>0.05)。相反,雌激素(=0.001)和孕激素(=0.003)水平升高与口腔颌改变的严重程度显著相关。口腔卫生习惯也有统计学意义(=0.02),而呕吐频率不是一个重要因素(>0.05)。孕期荷尔蒙变化,特别是雌激素和孕激素水平的升高,是口腔颌健康的重要预测因素。这些发现表明,虽然口腔卫生很重要,但荷尔蒙波动在怀孕期间影响口腔颌系统(SS)健康方面起着主导作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fcd/11596282/3355e69b7f5b/medicina-60-01773-g001.jpg

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