PREVENTIVE PROGRAM IN ORAL HEALTH TO CONTROL RISK FACTORS ASSOCIATED TO DENTAL CARIES AND PERIODONTAL DISEASE IN PREGNANT WOMEN
DOI:
https://doi.org/10.15332/us.v6i1.1801Keywords:
Pregnant women, Periodontal disease, Risk factors, Transmission of mutans StreptococciAbstract
Objective: To design, execute and assess the effectiveness of a preventive program in oral health to control the risk factors for dental decay and periodontal disease in the pregnant women who were affiliated to an “EPS” in Bucaramanga.
Material and methods: Forty pregnant who were in the second and third trimester of pregnancy were divided in experimental (20) and control (20) group. It was provided a questionnaire about the beliefs and practices oral health to both groups. Later, the periodontal index, dental state and oral hygiene index as well as the necessities of treatment were evaluated through a clinical examination before and after a preventive program. The experimental group received mechanical therapy, oral hygiene kits, a conference and a video. The group control received the educative strategy developed by the EPS. In order to compare according by intervention X 2 and Fisher´s exact test were applied by the qualitative variables and t of student or Wilcoxon´s rank test were used by the quantitative variables.
Results: The significant statistically were seen between intervention and control groups only them of intervention by the beliefs (p<0.0001) and healthful practice index (p=0.001); by both index were seen well in the intervention group. In the same way, ICPTN index was shown associated statistical (p<0.001). By ICP index statistical association were seen before and after of intervention.
Conclusion: The evidence seems to demonstrate that this type of programs are efficient and the EPS could implement this action without greater investment and guarantee the benefit of an integral service that adjusts to the necessities of this population.
Downloads
References
Bjelica A, Kapor-Stanulovic N. Pregnancy as a psychological event. Med Pregl 2004; 57: 144 - 148.
Herrera JA. Aplicación de un modelo biopsicosocial para la reducción de la morbilidad y mortalidad materna y perinatal en Colombia. Ministerio de Salud. República de Colombia. 1997.
Suresh L, Radfar L. Pregnancy and lactation. Oral Surg Oral Med Oral Pathol 2004; 97: 672 - 681.
Chacón AF, Gutiérrez ZA, Montañez J, Pieschacón MP, Camargo DM. Factores asociados a caries y enfermedad periodontal en mujeres gestantes, Bucaramanga 2001. Revista Ustasalud 2002; 1: 33 – 39.
Kinnby B, Matsson L, Astedt B. Aggravation of gingival inflammatory symptoms during pregnancy associated with the concentration of plasminogen activator inhibitor type 2 (PAI-2) in gingival fluid. J Periodon Res 1996; 3: 271-277.
Chamoschine FF, Cardoso M, Lindares SR, De Oliveira V. Processo de saúde-doencas peridontal genograma. Associação Brasileira de Odontologia – ABO-DF Escola de Aperfeiçoamento Profissional – DF Pós-Graduação em Saúde Coletiva. Brasília, julho de 2003.
Rodríguez He, López M. El embarazo: Su relación con la salud bucal. Rev Cubana Estomatol. [en línea]. Mayo-ago. 2003, vol.40, no.2 [fecha de acceso: febrero 13 de 2005], p.0-0. URL disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S003475072003000200009&lng=es&nrm=iso
Academy Report. Position Paper Diagnosis of Periodontal Diseases. J Periodontol 2003; 74: 1237 - 1247.
Wiebe C, Putnins E. The periodontal disease classification system of the American Academy of Periodontology - An Update. J Can Dent Assoc 2000; 66: 594 - 597.
Academy Report. Position Paper. Periodontal diseases of children and adolescents. J Periodontol 2003; 74: 1696 - 1704.
Lopez NL, Smith PC, Gutierrez J. Higher risk of preterm birth and low birth weight in women with periodontal disease. J Dent Res 2002; 81: 58 - 63.
Offenbacher S, Katz V, Fertik G. Periodontal infection as a possible risk factor for preterm low birth weight. J Periodontol 1996; 67: 1103 - 1113.
Dasanayake AP. Poor periodontal health of the pregnant woman as a risk factor for low birth weight. Ann Periodontol. 1998; 3: 206 - 212.
Offenbacher S, Jared HL, O ́Reilly PG. Potential pathogenic mechanisms of periodontitis associated pregnancy complications. Ann Periodontol 1998; 3: 233 - 250.
Lopez NL, Smith PC, Gutierrez J. Periodontal therapy may reduce the risk of preterm low birth weight in women with periodontal disease: A randomized controlled trial. J Periodontol 2002; 73: 911 - 924.
Saméer AM, Ghadeer NM. The Prevalence and relationship between periodontal disease and pre-term low birth weight infants at King Khalid University Hospital in Riyadh, Saudi Arabia. J Contemp Dent Practice 2004; 5: 2.
Diaz GL, Castellanos SJ. Lesions of the oral mucosa and periodontal disease behavior in pregnant patients. Med Oral Patol Oral Cir Bucal 2002; 9: 430 - 437.
Yeo BK, Lim LP, Paquette DW, Williams RC. Periodontal disease – The emergence of a risk for systemic conditions: pre-term low birth weight. Ann Acad Med Singapore 2005; 34: 111 - 116.
Davenport ES, Williams CE, Sterne JA, Murad S, Sivapathasundram V, Curtis MA. Maternal periodontal disease and preterm low birth weight: case-control study. J Dent Res 2002; 81: 313 - 318.
Louro MP, Fiori HH, Louro FP, Steibel J, Fiori MR. Periodontal disease in pregnancy and low birth weight. J Pediatr (Rio J) 2001; 77: 23 - 28.
Felice P, Pelliccioni GA, Checchi L. Periodontal disease as a risk factor in pregnancy. Minerva Stomatol 2005; 54: 255 - 264.
Löe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963; 21: 533 - 551.
Jarjoura K, Devine PC, Perez-Delboy A, Herrera-Abreu M, D’alton M, Papanou PN. Markers of periodontal infection and preterm birth. Am J Obstet Gynecol 2005; 192: 513 – 519.
Goepfert AR, Jeffcoat MK, Andrews WW, Faye-Petersen O, Cliver SP, Goldenberg RL, Hauth JC. Periodontal disease and upper genital tract inflammation in early spontaneous preterm birth. Obstet Gynecol 2004; 104: 777 – 783.
Lopez NL, Smith PC, Gutierrez J. Periodontal therapy may reduce the risk of preterm low birth weight in women with periodontal disease: A randomized controlled trial. J Periodontol 2002; 73: 911 - 924.
Academy Report. Treatment of plaque-induced gingivitis, chronic periodontitis, and other conditions. J Periodontol 2001; 72:1790 - 1800.
Academy Report. Position Paper. Guidelines for Periodontal Therapy. J Periodontol 2001; 72: 1624 - 1628.
Aaltonen AS, Tenovuo J. Association between mother-infant salivary contacts and caries resistance in children: a cohort study. Pediatr Dent 1994; 16: 110 – 116.
Lindquist B, Emilson CG. Colonization of Streptococcus mutans and Streptococcus sobrinus genotypes and caries development in children to mothers harboring both species. Caries Res 2004; 38: 95 – 103.
Tanner AC, Milgrom PM, Ketn R Jr, Mokeen SA, Page RC, Liao SI Riedy CA, Bruss JB. Similarity of the oral microbiota of pre-school children with that of their caregivers in a population-based study. Oral Microbiol Immunol 2002; 17: 379 – 387.
Mattos-Graner RO, Li Y, caufiled PW, Duncan M, Smith DJ. Genotypic diversity of mutans streptococci in Brazilian nursery children suggests horizontal transmission. J Clin Microbiol 2001; 39: 2313 – 2316.
Arango M, Baena G. Caries de la infancia temprana y factores de riesgo. Revisión de la literatura. Revista Estomatología 2004. 12: 59 - 65.
Zanata RL, Navarro MF, Pereira JC, Franco EB, Lauris JR, Barbosa SH. Effect of caries preventive measures directed to expectant mothers on caries experience in their children. Braz Dent J 2003; 14: 75 -81.
Palomari DM, Höfling JF, Pizolitto AC, Rosa EA, Negrini TC, Spolidorio LC. Genetic polymorphism of Streptococcus mutans in Brazilian family members. Brazilian J Microbiol 2003; 34: 213 - 217.
Grönroos L, Saarela M, Matto J, Tanner-Salo U, Vuorela A, Alaluusua S. Mutacin production by Streptococcus mutans may promote transmission of bacteria from mother to child. Infect and immun 1998; 2595 - 2600.
Berkowitz RJ. Acquisition and transmission of Mutans Streptococci. J Calif Dent Assoc 2003; 31: 135 - 138.
Berkowitz RJ, Jordan V. Similarity of bacteriocins of Streptococcus mutans from mother and infant. Arch Oral Biol 1982; 26: 147 – 149
Van AKL, Seon WK, Purdie DM, Bird PS, Walsh LJ, Tudehope DI. Oral colonization of Streptococcus mutans in six-month-old predentate infants. J Dent Res 2001; 80: 2060 - 2065.
Van AKL, Seon WK, Purdie DM, Bird PS, Walsh L J, Tudehope DI. A longitudinal study of Streptococcus mutans colonization in infants after tooth eruption. J Dent Res 2003; 20: 504 - 508.
Kohler B, Brattahall D, Krasse B. Preventive measures in mothers influence the establishment of the bacterium Streptococcus mutans in their infants. Arch Oral Biol 1983; 28: 225 – 231.
Caufield PW, Cutter GR, Dasanayake AP. Initial acquisition of mutans streptococci by infants: evidence for a discrete window of infectivity. J Dent Res 1993; 72: 37 - 45.
Ekstrand KR, Christiansen m, Qvist V. Influence of different variables on the inter-municipality variation in caries experience in Danish adolescents. Caries Res 2003; 37:130 - 41.
El método Nexodent. Un programa no operativo de tratamiento de caries NOCTP. URL disponible en: http://www.nexodent.dk.
Lima KC, Neves AA, Sanchez AL, Valente AG, Marsia JG, Castro RA, Ribeiro AA. Relevância clínica do conceito de transmissibilidade da cárie dental. J Bras Odontopediatr Odontol Bebê 2002; 5: 113 – 118.
República de Colombia. Ministerio de Salud. III Estudio Nacional de Salud Bucal – ENSAB III, II Estudio Nacional de factores de riesgo de enfermedades crónicas – ENFREC II, 1999.
Greene JC Vermillon JR. The oral hygiene index: a method for classifying oral hygiene status. J Am Dent Assoc 1960; 61: 172.
Greene JC, Vermillon JR. The simplified oral hygiene index. J Am Dent Assoc 1964; 68: 7.
Ferreira A, Benfatti S, Bausells J. Evaluación del conocimiento de las prácticas de salud bucal en gestantes del municipio de Adamantina –SP. Rev Ibero-am Odontopediatr Odontol Bebe 2004; 75: 66 - 77.
Garbero I, Delgado A, De Cardenas B. Salud oral en embarazadas: Conocimientos y actitudes. Acta Odontológica Venezolana 2005; 43: 135 - 140.










