Female sex hormones and periodontal health-awareness among gynecologists – A questionnaire survey

Patil, S; Kalburgi, Nagaraj B; Koregol, Arati C; Warad, Shivaraj; Patil, Sandeep; Ugale, Mahesh

doi:10.1016/j.sdentj.2011.12.001

Cited by 27 publications

(36 citation statements)

References 22 publications

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“…Ninety percent of the participants in the present study were aware of the effects of changes in female sex hormones on gingival status. This is different from the results of studies by Cohen 28 and Patil et al, 11 which indicated the awareness of 74.7% and 32.98% of participants, respectively, about the effects of women's hormonal changes on gingival health. This study also showed no statistically significant relationships between the age or the occupational experience of the participants and their level of knowledge, consistent with the results reported by Shah et al, 29 who emphasized the absence of a statistically significant relationship between age and awareness of participants.…”

Section: Discussioncontrasting

confidence: 94%

“…On the other side, these results are different from the results reported by Cohen et al, 28 who reported that the awareness of gynecologists about periodontal diseases increased proportional to their work experience. 82.5% of the participants of the present study considered premature delivery and 75% of them considered low birth weight as the consequences of maternal periodontal disease, which is consistent with the results of studies by Patil et al, Shah et al, Suri, Cohen, Hashim and Laslowski, in which most of the participants considered periodontal disease as a risk factor for adverse outcomes of pregnancy, including low birth weight or premature delivery, 11,[28][29][30][31][32][33] while in the study by Shenay, 26 fewer participants considered periodontal disease as a risk factor for inappropriate pregnancy complications despite their proper knowledge about oral manifestations of periodontal diseases. In a study by Bahalla, 34 the participants only considered vaginal infection as a cause of low birth weight or premature delivery and only reported infectious endocarditis as the main consequence of periodontal disease.…”

Section: Discussionsupporting

confidence: 90%

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Awareness of the effect of fluctuations in female sex hormone levels on periodontal health among obstetricians

Maybodi

Pandary

Rahaei

et al. 2018

J Adv Periodontol Implant Dent

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Background. Changes in women’s hormonal levels in different periods of their lives, such as puberty, menses, pregnancy, menopause and oral contraceptive use, affect periodontal health. Periodontal status has been associated with adverse pregnancy outcomes. Subsequently, it is important for obstetricians to be aware of the effects of hormones on women's oral health. The current study assessed obstetricians’ awareness about the effect of female sex hormones on periodontium in Yazd in 2016. Methods. A cross-sectional study was conducted using a self-administered, structured questionnaire. Prior to the study, a questionnaire was pre-tested and validated (ICC=0.89). The questionnaire was randomly distributed among 40 obstetricians in Yazd. Data were analyzed with chi-squared test, t-test and ANOVA and Spearman's correlation coefficient, using SPSS 18. Results. There were no significant relationships between awareness level and the age (P=-0.252), years of practice and experience (P=-0.030) or practicing in public medical centers (P=0.121). Conclusion. As women have special periodontal health care considerations due to fluctuations in the levels of their sex hormones, this study suggests that promotion of oral health awareness among obstetricians is necessary to improve women's overall health, especially during pregnancy.

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Section: Discussioncontrasting

confidence: 94%

Section: Discussionsupporting

confidence: 90%

Awareness of the effect of fluctuations in female sex hormone levels on periodontal health among obstetricians

Maybodi

Pandary

Rahaei

et al. 2018

J Adv Periodontol Implant Dent

View full text Add to dashboard Cite

show abstract

“…11 Unfortunately, pregnant women and their ANC providers are unaware of the implications of poor oral health and seldom seek dental care during pregnancy. 9,10,20 There is increasing evidence to support this lack of awareness among medical doctors about periodontal health consequences and long-term risk associated with poor oral hygiene especially during pregnancy. 7,9,21,22 Similarly, there is limited evidence about the perceptions of such ANC providers in Nepal towards provision of prenatal oral health care.…”

Section: Discussionmentioning

confidence: 99%

“…Most survey items were derived and modified from existing studies exploring the knowledge of medical doctors regarding oral health and awareness about possible implications during pregnancy. 7,[9][10][11] The proforma was reviewed by experts to establish content validity and then tested twice in a group of medical doctors practicing in the Kathmandu city (initially in 25 doctors, then 34). Survey content, clarity and length were modified and improved in response to the reviews.…”

Section: Introductionmentioning

confidence: 99%

Periodontal Health Status and Pregnancy Outcomes: A Survey in Medical Doctors

Gupta

Shrestha²,

Gupta³

et al. 2018

J Nepal Med Assoc

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Introduction: Periodontal disease and caries are the most common causes of tooth loss worldwide. Studies have demonstrated strong association between periodontitis and adverse pregnancy outcomes. Medical doctors, who are the primary healthcare providers, seldom advise women to seek dental care during pregnancy. This study was undertaken to explore the knowledge, attitudes and behaviours of medical doctors towards oral health and to identify the barriers of prenatal periodontal healthcare in their practices and its possible implications on pregnancy outcomes.Methods: Total 377 doctors filled the questionnaire. The data collected through personal contacts, social networking, emails, online forms and networking at conferences were analysed using Statistical Package for the Social Sciences 20 software program and presented in tables, charts and diagrams.Results: Out of 263 (69.8%) male and 114 (30.2%) female doctors enrolled in the study, only 52 (13.8%) had received education or training on oral care during pregnancy. Among them 299 (79.3%) agreed that there is possible link between health of teeth-gums and pregnancy. Approximately 105 (27.9%) encountered patients with oral/periodontal problem every week but only 108 (28.6%) “always” advised their patient for regular dental check-ups. Similarly, 358 (95%) agreed that there is need for universal guidelines however, 133 (35.3%) thought there was insufficient time to advice patients on oral health during check-ups.Conclusions: An adequate referral system to oral healthcare providers and biannual check-ups is recommended for both general patient as well as pregnant women for preventing adverse situations related to oral and specifically periodontal diseases.

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“…[ 18 ] In the present study, about 37.5%, 36%, and 17% of the study participants said that hormonal changes, poor oral hygiene, and plaque, respectively, cause inflamed gums among pregnant women. In contrast, 98.3% of Indian gynecologists agreed that hormonal changes during pregnancy could cause inflamed gums[ 19 ] and 89.5% of the medical doctors in Tanzania believed poor oral hygiene was the main cause of periodontal disease. [ 20 ]…”

Section: Discussionmentioning

confidence: 99%

Periodontal health awareness among gynecologists in Riyadh, Saudi Arabia

Rahman¹,

Asa’ad²,

Baseer³

2015

J Int Soc Prevent Communit Dent

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Objective:To determine the knowledge of periodontal disease and pregnancy outcomes among the gynecologists practicing in Riyadh, Saudi Arabia.Materials and Methods:A cross-sectional survey of 200 randomly chosen gynecologists from Riyadh was carried out by using a structured, self-administered, closed-ended questionnaire. Knowledge of periodontal disease and possible ways of prevention; knowledge of periodontal disease and pregnancy outcomes; and oral self-care attitudes among gynecologists were assessed.Results:One-quarter of the gynecologists knew the meaning of dental plaque. Almost 57.5% believed that the frequency of toothbrushing should be increased during pregnancy. Eighty percent of gynecologists were aware of the serious effects of smoking on the pregnant woman and her child. Less than half (44.5%) believed that there is a relationship between gum disease and premature labor. Gynecologists working in the government sector were significantly more aware about the causes of inflamed gum in pregnancy, gum disease and its prevention, and negative effects of smoking on pregnancy. A significantly higher percentage of male and senior gynecologists aged between 50 and 54 years answered that gum disease would lead to the delivery of a preterm or low-birth-weight infant.Conclusion:Gynecologists considered in the present study showed an acceptable level of knowledge and awareness toward periodontal health and the association between periodontal disease and adverse pregnancy outcomes.

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Female sex hormones and periodontal health-awareness among gynecologists – A questionnaire survey

Abstract: Women have special periodontal health care considerations, and there is a need for better oral health education among caregivers. Our results suggest that increasing dental health awareness among gynecologists would significantly improve women's health and pregnancy outcomes.

Cited by 27 publications

References 22 publications

Awareness of the effect of fluctuations in female sex hormone levels on periodontal health among obstetricians

Awareness of the effect of fluctuations in female sex hormone levels on periodontal health among obstetricians

Periodontal Health Status and Pregnancy Outcomes: A Survey in Medical Doctors

Periodontal health awareness among gynecologists in Riyadh, Saudi Arabia

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