Periodontal Condition Of Pregnant Women In Public Hospitals Of Bogotá-Colombia
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Investigación y estudios
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Impreso: Revista indexada
Colombia has universal oral health coverage and a policy of comprehensive care for pregnant women. Since 2011 was implemented an oral clinical practice guideline for pregnant women in public hospitals in Bogota. This study evaluates periodontal status and periodontal treatment needs in pregnant and the associated factors with periodontal condition.
Method: 425 pregnant women assigned to 4 public hospitals in Bogota were evaluated during pregnancy and childbirth. Clinical assessment was performed to establish the condition periodontal and periodontal treatment needs with CPITN index. Associated factors with the periodontal status were evaluated: plaque index, gestational risk, type of hospital, pregnancy or postpartum, access to dental services, trimester and age. Univariate and bivariate analysis were conducted and multinomial regression model was fitted using the CPITN index as dependent variable. Statistical significance was set at p≤ 0.05.
Most pregnant women had gingival inflammation and dental calculus to entering service (46.8%) and shallow pockets (30.6%). Only 17% were healthy or with a mild inflammation and 5% had deep pockets. At birth, conditions improved with respect to antepartum p <0.05. Factors associated with periodontal status were age, type of hospital and dental plaque p <0.05. The improvement in periodontal status at birth was associated with access to dental care during pregnancy. Access to oral health services was 50%; women who entered to dental services showed 5 times more likely to get healthy at the partum. The treatment needs were significantly reduced in women who had access to health care.
Women entering pregnancy with poor periodontal health. Guidance in oral health promotes access to dental services during pregnancy and improved periodontal health conditions at the time of delivery. Pregnancy can be an opportunity to improve oral health conditions. Future studies will assess the impact of this attention to the perinatal risks.
G.I. LAFAURIE1, L.A. GOMEZ, L.A. NORIEGA, A.M. OCAMPO, J.A. QUICENO, M. TAMAYO, P. MORENO, M. LUNA, M.L. GRUESO, P. ZULUAGA, M.C. QUINTANA, and J.A. RUIZ
|Fecha de publicación||11 de mayo de 2012|
|Fecha de aceptación||02 de marzo de 2012|
|Medio indexado (nombre)||
Journal of dental research.
|Bases de datos donde está referenciada||
Articulo in press
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