Oral health in pregnancy

Keywords: Pregnacy, Oral health, Oral diseases

Abstract

The changes during pregnancy are of vital importance to maintain an optimal state of health in the mother and proper development for the fetus, however, some of these physiological, hormonal and dietary changes present in pregnancy, have an influence on the oral condition and in turn can alter and increase the risk of developing any oral disease or otherwise accelerate the evolution of any of them. Currently, scientific literature mentions a possible association between diseases and inflammatory conditions present in the oral cavity and the physiological state of pregnancy. Specifically, periodontal diseases such as gingivitis of pregnancy that can have a prevalence ranging from 35 to 100 %, periodontitis that occurs in a lower percentage, but is considerable and ranges from 30 to 40 % and granuloma of pregnancy occupying a prevalence of 1 to 5 %, which have the ability to influence conditions that are associated with pregnancy, such as eclampsia, preeclampsia, diabetes and gestational diabetes. The purpose of this article is to provide information on the complexity of maintaining oral health during this crucial stage of pregnancy and how they can influence both positively and negatively one with the other, as well as the most common diseases in this period and thus can share this information on the importance of maintaining oral health properly in the period of pregnancy.

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References

Atrash HK, Friede A, Hogue CJR. Abdominal Pregnancy in the United States: Frequency and Mortality. Obstet. Gynecol. 1987;333-7.

INEGI. Comunicado de prensa núm. 209/20 7 de mayo de 2020 página 1/2 estadísticas a propósito del día de la madre datos nacionales 1[Internet]. Org.mx. 2020. [Cited 2023 Mar 21]. Available from: https://www.inegi.org.mx/contenidos/ saladeprensa/ aproposito/ 2020/madre2020_Nal.pdf

Hemalatha VT, Manigandan T, Sarumathi T, Aarthi Nisha V, Amudhan A. Dental considerations in pregnancy-a critical review on the oral care. J. Clin. Diagn. Res. 2013;7(5):948-953.

Martínez MC, Patiño LM, Martínez CM, López AM. Características fisicoquímicas y microbiológicas de la saliva durante y después del embarazo. Rev. Salud Publica (Bogotá). 2014;16(1):128–38.

Alfaro A, Castejón I, Magán R, Alfaro MJ. Embarazo y salud oral. Rev. Clin. Med. Fam. 2018; 11(3): 144-153.

Meo SA, Hassain A. Metabolic physiology in pregnancy. J. Pak. Med. Assoc. 2016;66(9 1): 8-10.

Curran-Everett D, Morris KG Jr, Moore LG. Regional circulatory contributions to increased systemic vascular conductance of pregnancy. Am. J. Physiol. 199;261(6 Pt 2):1842-7.

Guimicheva B, Czuprynska J, Arya R. The prevention of pregnancy-related venous thromboembolism. Br. J. Haematol. 2015;168(2):163-74.

Easterling TR, Benedetti TJ, Schmucker BC, Carlson K, Millard SP. Maternal hemodynamics and aortic diameter in normal and hypertensive pregnancies. Obstet. Gynecol. 1991;78(6):1073-7.

Suresh L, Radfar L. Pregnancy and lactation. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2004;97(6):672-82.

Silk H, Douglass AB, Douglass JM, Silk L. Oral health during pregnancy. Am. Fam. Physician. 2008;77(8):1139-44.

Tan EK, Tan EL. Alterations in physiology and anatomy during pregnancy. Best Pract. Res. Clin. Obstet. Gynaecol. 2013;27(6):791-802.

Hemalata Vt, Manigandan T, Sarumathi T, Aarthi NV, Amudhan A. Dental considerations in pregnancy-a critical review on the oral care. J. Clin. Diagn. Res. 2013;7(5):948-53.

Deghatipour M, Ghorbani Z, Ghanbari S, Arshi S, Ehdayivand F, Namdari M, et al. Oral health status in relation to socioeconomic and behavioral factors among pregnant women: a community based cross-sectional study. BMC. Oral Health. 2019;19(1):117.

Rashidi Maybodi F, Haerian-Ardakani A, Vaziri F, Khabbazian A, Mohammadi-Asl S. CPITN changes during pregnancy and maternal demographic factors 'impact on periodontal health. Irán J. Reprod. Med. 2015;13(2):107-12.

Jamal M, Ahmad W, Andleeb S, Jalil F, Imran M, Nawaz MA, Hussain T, Ali M, Rafiq M, Kamil MA. Bacterial biofilm and associated infections. J. Chin. Med. Assoc. 2018;81(1):7-11.

Erchick DJ, Rai B, Agrawal NK, Khatry SK, Katz J, LeClerq SC, Reynolds MA, et al. Oral hygiene, prevalence of gingivitis, and associated risk factors among pregnant women in sarlahi district, nepal. B. M. C. Oral Health. 2019;19(1):2.

Nannan M, Xiaoping L, Ying J. Periodontal disease in pregnancy and adverse pregnancy outcomes: Progress in related mechanisms and management strategies. Front. Med. (Lausanne). 2022;9:963956.

Godínez-López MJ, Loyola-Rodríguez JP, Medina-Solís CE, Márquez ML, Pontigo-Loyola AP, Mora-Acosta M, et al. (2023). Factores de virulencia de los componentes de Porphyromona gingivalis: una revisión narrativa. Gac. Méd. Caracas, 131(1):188-199.

McKee AS, McDermid AS, Baskerville A, Dowsett AB, Ellwood DC, Marsh PD. Effect of hemin on the physiology and virulence of Bacteroides gingivalis W50. Infect. Immun.1986; 52(2): 349-55.

Sreenivasan, Meyer DH, Fives-Taylor PM. Factors influencing the growth and viability of Actinobacillus actinomycetemcomitans. Oral Microbiol. Immunol.1993;8(Issue 6): 361-69.

Saadaoui M, Singh P, Al Khodor S. Oral microbiome and pregnancy: A bidirectional relationship. J. Reprod. Immunol. 2021;145:103293.

Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: consensus report of workgroup 1 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions. J. Periodontol. 2018;89:74–84.

Jensen J, Liljemark W, Bloomquist C. The effect of female sex hormones on subgingival plaque. J. Periodontol. 1981;52(10):599-602.

Massoni RSS, Aranha AMF, Matos FZ, Guedes OA, Borges ÁH, Miotto M, et al. Correlation of periodontal and microbiological evaluations, with serum levels of estradiol and progesterone, during different trimesters of gestation. Sci. Rep. 2019;9(1):11762.

Borgnakke WS, Genco RJ, Eke PI, Taylor GW. Oral health and diabetes. in: diabetes in america. 3rd ed. Bethesda: National institute of diabetes and digestive and kidney diseases US; 2018. Chapter 31.

Amini H, Casimassimo PS. Prenatal dental care: a review. Gen. Dent. 2010;58(3):176-80.

Vamos CA, Walsh ML, Thompson E, Daley EM, Detman L, DeBate R. Oral-systemic health during pregnancy: exploring prenatal and oral health providers' information, motivation and behavioral skills. Matern. Child Health J. 2015;19(6):1263-75.

Horton AL, Boggess KA, Moss KL, Jared HL, Beck J, Offenbacher S. Periodontal disease early in pregnancy is associated with maternal systemic inflammation among african american women. J. Periodontol. 2008;79(7):1127-32

Kumar PS, Matthews CR, Joshi V, de Jager M, Aspiras M. Tobacco smoking affects bacterial acquisition and colonization in oral biofilms. Infect. Immun., 2011;79(11):4730-4738.

Mason MR, Preshaw PM, Nagaraja HN, Dabdoub SM, Rahman A, Kumar PS. The subgingival microbiome of clinically healthy current and never smokers. I.S.M.E. J. 2015;9(1):268-72.

Paropkari AD, Leblebicioglu B, Christian LM, Kumar PS. Smoking, pregnancy and the subgingival microbiome. Sci. Rep. 2016;6:30388.

Buduneli N, Baylas H, Buduneli E, Türkoğlu O, Dahlen G. Evaluation of the relationship between smoking during pregnancy and subgingival microbiota. J. Clin. Periodontol. 2005;32(1):68-74.

Díaz RM, Robles Andrade MS, Espino S. Prevención de enfermedades bucales durante el embarazo. Cienc. Clín. 2014;14(2):37–44.

Favero V, Bacci C, Volpato A, Bandiera M, Favero L, Zanette G. Pregnancy and dentistry: a literature review on risk management during dental surgical procedures. Dent. J. Basel. 2021;9(4):46.

Yuan K, Wing LY, Lin MT. Pathogenetic roles of angiogenic factors in pyogenic granulomas in pregnancy are modulated by female sex hormones. J. Periodontol. 2002;73(7):701-8.

Bouza M, Martínez J, Carmenate Y, Betancourt M, García M. El embarazo y la salud bucal. Rev. Med. Electrón. 2016;38(4):628-634.

Rateitschak KH. Tooth mobility changes in pregnancy. J. Periodontal Res. 1967;2(3):199-206.

Gürsoy M, Pajukanta R, Sorsa T, Könönen E. Clinical changes in periodontium during pregnancy and post-partum. J. Clin. Periodontol. 2008;35(7):576-83.

Annan B, Nuamah K. Oral pathologies seen in pregnant and non-pregnant women. Ghana Med. J. 2005;39(1):24-7.

Kateeb E, Momany E. Dental caries experience and associated risk indicators among Palestinian pregnant women in the Jerusalem area: a cross-sectional study. B. M. C. Oral Health. 2018;18(1):170.

Struzycka I. The oral microbiome in dental caries. Pol. J. Microbiol. 2014;63(2):127-35.

Amin M, ElSalhy M. Factors affecting utilization of dental services during pregnancy. J. Periodontol. 2014;85(12):1712-21.

Vergnes JN, Pastor-Harper D, Constantin D, Bedos C, Kaminski M, Nabet C, et al. Perceived oral health and use of dental services during pregnancy: the maternident study. Santé Publique. 2013;25(3):281-92.

Salvolini E, Giorgio R, Curatola A, Mazzanti L, Fratto G. Biochemical modifications of human whole saliva induced by pregnancy. B. J. O. G. 1998;105(6):656–60.

Martínez-Pabón MC, Martínez Delgado CM, López-Palacio AM, Patiño-Gómez LM, Arango-Pérez EA. The physicochemical and microbiological characteristics of saliva during and after pregnancy. Rev. Salud Pública Bogota. 2014;16(1):128-38.

Costa EM, Azevedo JAP, Martins RFM, Alves CMC, Ribeiro CCC, Thomaz EBAF. Anemia and dental caries in pregnant women: a prospective cohort study Biol. Trace. Elem. Res. 2017;177(2):241-250.

Conde-Agudelo A, Belizán JM. Risk factors for pre-eclampsia in a large cohort of latina american and caribbean women. B. J. O. G. 2000;107(1):75-83.

Leme AFP, Koo H, Bellato CM, Bedi G, Cury JA. The role of sucrose in cariogenic dental biofilm formation - new insight. J. Dent. Res. 2006;85(10):878-887.

González E, Aguilar MJ, Guisado R, Tristán JM, García PA, Álvarez J. Xerostomía: Diagnóstico y Manejo Clínico. Rev. Clin. Med. Fam. 2009; 2(6):300-304.

Tarannum F, Faizuddin M. Effect of periodontal therapy on pregnancy outcome in women affected by periodontitis. J Periodontol. 2007;78(11):2095-103.

Hu W, Wang Y, Chen R, Pan T. Application of a Systematic Oral Health Promotion Model for Pregnant Women: A Randomised Controlled Study. Oral Health Prev. Dent. 2022;20(1):413-419.

Published
2024-01-05
How to Cite
Godínez-López, M. J. (2024). Oral health in pregnancy. Mexican Journal of Medical Research ICSA, 12(23), 27-32. https://doi.org/10.29057/mjmr.v12i23.10653