Dental, Oral, and Maxillofacial Diseases and Conditions and Their Treatment

Cornwall, Benjamin Craig; Marti, Kyriaki C.; Skouteris, Chris A.; Murphy, James; Ward, Brent B.; Makovey, Igor; Edwards, Sean P.

doi:10.1002/9781119286592.ch6

Cited by 2 publications

(1 citation statement)

References 117 publications

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“…During pregnancy and lactation, the woman's body is subjected to a high calcium demand due to the development of the fetus and milk production, with an increase in the production of prolactin. [5][6][7] Estrogen, which is the predominant hormone during a woman's reproductive stage, abruptly decreases its concentration during the postmenopausal period, which can lead to osteoporosis. 8 Several studies report the effect of these female hormones on maxillary bone remodeling and their influence on the craniofacial complex and on orthodontic tooth movement.…”

Section: Introductionmentioning

confidence: 99%

Orthodontic treatment during pregnancy, lactation, and postmenopausal period: a questionnaire development

FERNANDES,

PERAZZO,

PAIVA

et al. 2024

Braz. oral res.

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This study aimed to develop and validate a self-administered questionnaire in Brazilian Portuguese to verify the level of knowledge of orthodontists in the care of pregnant, lactating, and postmenopausal women, named "Considerations on Orthodontic Treatment during Pregnancy, Lactation, and Postmenopausal Periods." The development and validation of the questionnaire consisted of the following steps: a) item generation; b) item reduction; c) questionnaire design; and d) validity and reliability tests in a cross-sectional study with 258 orthodontists working in the field from different Brazilian states. A total of 60 orthodontists participated in test-retest over a mean period of 45 days. The preliminary questionnaire consisted of a total of 60 questions. After item reduction, 40 questions were selected for the final version of the questionnaire, with eight questions about pregnant women; six about lactating women; 18 about postmenopausal women, and eight about general knowledge in dentistry. Each item had three response options in the Likert scale format. Face and content validity analysis, reliability assessment through internal consistency (Cronbach's alpha and McDonald's omega), and test-retest reliability through the intraclass correlation coefficient (ICC) and Spearman's correlation coefficient were performed. Face and content validity indicated that the questionnaire was considered valid, objective, and easily understandable. The questionnaire had good internal consistency (Cronbach's alpha = 0.77; McDonald's omega = 0.78) and good test-retest reliability (ICC = 0.71; Spearman's correlation coefficient = 0.51). The questionnaire was considered valid and reliable to assess the level of knowledge of orthodontists in the care of pregnant, lactating, and postmenopausal women.

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Section: Introductionmentioning

confidence: 99%

Orthodontic treatment during pregnancy, lactation, and postmenopausal period: a questionnaire development

FERNANDES,

PERAZZO,

PAIVA

et al. 2024

Braz. oral res.

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Does the rate of orthodontic tooth movement change during pregnancy and lactation? A systematic review of the evidence from animal studies

Omar

Kaklamanos

2020

BMC Oral Health

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Background: The changes in bone homeostasis observed during pregnancy and lactation could result in alterations in the rate of orthodontic tooth movement, but research in human subjects presents significant ethical and practical limitations. Our aim was to compare the amount of orthodontic tooth movement between pregnant/ lactating or not animals. Methods: We searched without restrictions 8 databases and performed hand searching until July 2019 (PubMed, Central, Cochrane Database of Systematic Reviews, SCOPUS, Web of Science, Arab World Research Source, ClinicalTrials.gov, ProQuest Dissertations and Theses Global). We searched for studies comparing quantitatively the amount of orthodontic tooth movement between pregnant/lactating or not animals. Following retrieval and selection of studies, the collection of related data was performed and the risk of bias was assessed using the SYRC LE's Risk of Bias Tool. Exploratory synthesis was carried out using the random effects model. Results: Four studies were finally identified raising no specific concerns regarding bias. One study showed that lactation increased the rate of tooth movement by 50 % [p < 0.05]. Although an overall increase was noted in the pregnancy group as well, it did not reach statistical significance [3 studies, Weighted Mean Difference: 0.10; 95% Confidence Interval: − 0.04-0.24; p = 0.165]. Conclusions: The metabolic changes occurring during pregnancy and lactation may have an impact on the rate of tooth movement in animals. Although these animal experimental results should be approached cautiously, it could be safe practice to consider the impact of these physiological changes in the clinical setting.

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Dental, Oral, and Maxillofacial Diseases and Conditions and Their Treatment

Cited by 2 publications

References 117 publications

Orthodontic treatment during pregnancy, lactation, and postmenopausal period: a questionnaire development

Orthodontic treatment during pregnancy, lactation, and postmenopausal period: a questionnaire development

Does the rate of orthodontic tooth movement change during pregnancy and lactation? A systematic review of the evidence from animal studies

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