Comprehensive pregnancy dental benefits improved dental coverage and increased dental care utilization among Medicaid-enrolled pregnant women in Virginia

Naavaal, Shillpa; Harless, David W.

doi:10.3389/froh.2022.989659

Cited by 2 publications

(9 citation statements)

References 19 publications

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“…Good oral health protects women's health, improves their quality of life, and has the potential to reduce the transmission of pathogenic bacteria from mother to child. Furthermore, both periodontal disease and caries are typically asymptomatic for long periods, with painful exacerbations occurring as the disease progresses [2,3].…”

Section:  Should a Pregnant Woman Use Fluoridementioning

confidence: 99%

“…Sexual changes during pregnancy, such as increased estrogen and progesterone, play an important role in periodontal changes, making tissues more susceptible to inflammatory responses. Gingival fluid often contains inflammatory mediators and oral pathogens associated with periodontal disease [1,2].…”

Section: Complications In Gingival and Periodontal Tissues During Pre...mentioning

confidence: 99%

“…Thus, studies have shown that mothers with satisfactory gingival health have a lower risk of having a premature birth, highlighting the hypothesis that periodontal-pathogenic bacteria, mainly gram-negative anaerobes, can serve as a source of endotoxins and lipopolysaccharides, increasing local inflammatory mediators and systemic [2][3][4][5]. In addition, other studies published on the influence of periodontitis on premature birth showed that pregnant women who underwent periodontal interventions during pregnancy had lower rates of premature babies at birth (13.5 %), compared to those who did not.…”

Section: Periodontitis and Premature Birthmentioning

confidence: 99%

“…Since the oral cavity undergoes important changes during pregnancy, maintaining oral health is essential. Among the changes present is the increase in the rate of dental caries, acid enamel erosion, and, of paramount importance, a greater predisposition to periodontal disease [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…Studies show that when the pregnant woman's oral health is precarious, the risks of having premature and low birth weight babies are greater. There is also a portion of pregnant women who develop problems or injuries because they have pre-gestational comorbidities or acquired at this stage, constituting the group of high-risk pregnant women [2,3]. The association of pregnancy with systemic pathologies requires differentiated care by the dental surgeon, who must know the systemic implications that each pathology has on the general health of pregnant women, in addition to instructing them about the importance of oral health and dental care during this period [4.5].…”

Section: Introductionmentioning

confidence: 99%

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Major considerations of dental care and treatments for pregnant and breast-feeding women: a concise systematic review

Lopes¹,

Faria²,

Garcia³

et al. 2023

MedNEXT

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Introduction: Dental treatment for pregnant women is still a source of insecurity for many professionals, including those in the dental field. Among the changes present is the increase in the rate of dental caries, acid enamel erosion, and, of paramount importance, a greater predisposition to periodontal disease. Objective: It was to present the main considerations of dental care and treatment in pregnant and lactating women through a concise systematic review. Methods: The systematic review rules of the PRISMA Platform were followed. The search was carried out from December 2022 to February 2023 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases, using articles from 2014 to 2022. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 120 articles were found, 29 articles were evaluated in full and 16 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 20 studies with a high risk of bias and 32 studies that did not meet GRADE. Drug therapy in pregnant and breastfeeding women, as well as any form of surgical intervention, always requires a careful assessment of the risks potentially involved in this practice. In this way, the dental surgeon must prescribe rationally and responsibly, to avoid the undesirable effects that may be caused by the use of medications. It is of paramount importance, the constantly updating of the professional, through the search for recent information in updated references or specialized centers, about the drugs and their possible harmful effects on the mother and the child.

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Section:  Should a Pregnant Woman Use Fluoridementioning

confidence: 99%

Section: Complications In Gingival and Periodontal Tissues During Pre...mentioning

confidence: 99%

Section: Periodontitis and Premature Birthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Major considerations of dental care and treatments for pregnant and breast-feeding women: a concise systematic review

Lopes¹,

Faria²,

Garcia³

et al. 2023

MedNEXT

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Oral Health of Women and Children: Progress, Challenges, and Priorities

Kumar¹,

Crall²,

Holt

2023

Matern Child Health J

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Introduction Tooth decay remains the most prevalent chronic disease in children and adults, even though it is largely preventable. Studies show that mothers’ oral and overall health is linked to children’s oral health and pregnancy outcomes. This paper examines achievements during the last 20 years, assesses current challenges, and discusses future priorities. Oral health status Data show a modest improvement in children’s oral health during the last 20 years; however, tooth decay still affects more than half of adolescents. According to national survey data, about 26% of working-age adults had untreated tooth decay. Overall, significant oral health disparities by race/ethnicity and income persist. Dental service utilization The annual dental visit rate for children in the 2015 Medical Expenditure Panel Survey was 48%. Among children enrolled in Medicaid, dental visit rates increased from 18% in 1993 to nearly 50% in 2018. About 46% of women are estimated to receive teeth cleaning during pregnancy. Over the years, race or ethnicity and income-level differences in dental visits observed in the early 2000s have narrowed substantially in children but not among pregnant women. Discussion Many effective interventions are available at the community and individual levels but are underutilized. Lack of integration of oral health into the overall health care system and programs, community conditions, poverty, and limited health literacy make it difficult for families to engage in healthy habits, use preventive interventions, and access treatment promptly. Conclusion To further improve oral health, policy and system reforms are needed to address the factors mentioned above. Therefore, we urge the federal Maternal and Child Health Bureau to take steps to convene a workshop to develop a framework for future actions.

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Comprehensive pregnancy dental benefits improved dental coverage and increased dental care utilization among Medicaid-enrolled pregnant women in Virginia

Cited by 2 publications

References 19 publications

Major considerations of dental care and treatments for pregnant and breast-feeding women: a concise systematic review

Major considerations of dental care and treatments for pregnant and breast-feeding women: a concise systematic review

Oral Health of Women and Children: Progress, Challenges, and Priorities

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