Oral-Health-Related Quality of Life during Pregnancy
Oral-Health-Related Quality ofLife during PregnancyShashidhar Acharya, Parvati V. BhatJournal of Public Health Dentistry, 20091조 14번 김선균
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
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.
AbstractConclusion:• Oral health and perceived OHRQoL werepoorer among pregnant women thanamong nonpregnant women.
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)
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
Materials and MethodsQuestionnaire• OHIP-14 (Indian version)• Sociodemographic data (age, educationallevel, employment status, previous historyof pregnancies)
Materials and MethodsClinical Examination• DMFT (WHO criteria)• Periodontal health (CPITN)• Gingivitis (Gingival Index)
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
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)
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