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Oral-Health-Related Quality of Life during Pregnancy

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  • 1. Oral-Health-Related Quality ofLife during PregnancyShashidhar Acharya, Parvati V. BhatJournal of Public Health Dentistry, 20091조 14번 김선균
  • 2. AbstractObjectives:• to assess the differences in oral health and perceivedoral-health-related quality of life (OHRQoL) betweenpregnant and nonpregnant rural Indian women• to describe factors that could possibly influenceOHRQoLMethods:• 259 pregnant (mean age 26 5.5) women• 237 nonpregnant (mean age 27.8 + 6.9) women• in the crosssectional study
  • 3. AbstractResults:• the perceived OHRQoL was significantly pooreramong the pregnant women than among nonpregnantwomen.• the mean number of sextants with CommunityPeriodontal Index for Treatment Needs scores of 2and 3 and the gingival index scores were significantly(P < 0.001) higher among pregnant women than in thecomparison groups.• factors such as pregnancy number (P< 0.05), decayed, missing, filled teeth scores (P< 0.001), and Gingival Index scores (P < 0.001) weresignificant predictors for OHRQoL.
  • 4. AbstractConclusion:• Oral health and perceived OHRQoL werepoorer among pregnant women thanamong nonpregnant women.
  • 5. IntroductionPregnancy• influences her own oral health status• increase her risk of other diseases• hormonal changes predispose women toperiodontal diseases• nausea and vomiting can cause extensiveerosion of tooth exam-> Impact on the oral-health-related quality oflife (OHRQoL)
  • 6. Materials and Methods• Department of Obstetrics andGynaecology at a rural teaching hospital ofManipal University, India• Antenatal checkup in the months ofJanuary, February, and March 2007• 260 pregnant women• 237 nonpregnant women
  • 7. Materials and MethodsQuestionnaire• OHIP-14 (Indian version)• Sociodemographic data (age, educationallevel, employment status, previous historyof pregnancies)
  • 8. Materials and MethodsClinical Examination• DMFT (WHO criteria)• Periodontal health (CPITN)• Gingivitis (Gingival Index)
  • 9. Materials and MethodsStatistical Analysis• Cohen’s kappa (intra- and inter-examinervariability)• Mann–Whitney test (Intergroupcomparisons)• Linear regression analysis (using the“stepwise forward selection” method)• SPSS 13
  • 10. Results• Pregnant women– Ranged from 20 to 37 (mean 26 ± 5.5y)– Gingivitis (100%)– Caries (84%)– ≥4 mm pocket depth (33%)– CPITN 2, 3 (higher)– Gingival Index (higher)– DMFT (no significant difference)
  • 11. Results
  • 12. Results
  • 13. Discussion• Pregnant women– poor periodontal health– no sig. different mean DMFT– poorer OHRQoL in all OHIP-14, but“Psychological Discomfort”• “Pregnancy number”: important predictor• Low impact of oral health on QoL- respondents are below 35 y- a social desirability bias on OHIP-14- impacts were diluted in 12 months