Focus on Primary Care

Zeeman, Gerda G.; Veth, E. O.; Dennison, David G.

doi:10.1097/00006254-200101000-00024

Cited by 13 publications

(3 citation statements)

References 72 publications

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“…2 While gingival inflammation usually subsides after childbirth, if left untreated during pregnancy, gingivitis will likely persist after pregnancy. 3 Although the literature is mixed and recent research has failed to find an association between periodontal disease and adverse birth outcomes, 4–6 oral health is associated with general health 7 and maternal oral health can impact infant oral health through postpartum maternal-to-infant transmission of caries-causing bacteria, mutans streptococci and lactobacilli . 8,9 Infants mainly acquire cariogenic bacteria from mothers through saliva, 10 and mothers with high levels are more likely to transfer bacteria to infants.…”

Section: Introductionmentioning

confidence: 99%

Integrating a Nurse‐Midwife‐Led Oral Health Intervention Into CenteringPregnancy Prenatal Care: Results of a Pilot Study

Adams¹,

Gregorich²,

Rising³

et al. 2017

J Midwife Womens Health

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Introduction National and professional organizations recommend oral health promotion in prenatal care to improve women’s oral health. However, few prenatal programs include education about oral health promotion. The objective of this study was to determine if women receiving a brief, low cost, and sustainable educational intervention entitled CenteringPregnancy Oral Health Promotion, had clinically improved oral health compared to women receiving standard CenteringPregnancy care. Methods Women (n=101) attending CenteringPregnancy, a group prenatal care model, at four health centers in the San Francisco Bay Area, participated in this non-randomized controlled pilot study in 2010–2011. The intervention arm (n=49) received the CenteringPregnancy Oral Health Promotion intervention consisting of two 15-minute skills-based educational modules addressing maternal and infant oral health, each module presented in a separate CenteringPregnancy prenatal care session. The present analysis focused on the maternal module that included facilitated discussions and skills-building activities including proper tooth brushing. The control arm (n=52) received standard CenteringPregnancy prenatal care. Dental examinations and questionnaires were administered prior to and approximately 9 weeks post intervention. Primary outcomes included the Plaque Index, percent bleeding on probing, and percent of gingival pocket depths 4mm or greater. Secondary outcomes were self-reported oral health knowledge, attitudes (importance and self-efficacy), and behaviors (tooth brushing and flossing). Regression models tested whether pre- to post-changes in outcomes differed between the intervention-versus the control-arms. Results The control and intervention arms did not vary significantly at baseline. Significant pre- to post-differences were noted between the arms with significant improvements in the intervention arm for the Plaque Index, bleeding on probing, and pocket depths 4mm or greater. Discussion Providing brief oral health education and skills-building activities within prenatal care may be effective in improving women’s oral health during pregnancy. These findings provide support for developing a full-scale randomized clinical trial of the CenteringPregnancy Oral Health Promotion intervention.

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Section: Introductionmentioning

confidence: 99%

Integrating a Nurse‐Midwife‐Led Oral Health Intervention Into CenteringPregnancy Prenatal Care: Results of a Pilot Study

Adams¹,

Gregorich²,

Rising³

et al. 2017

J Midwife Womens Health

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“… 25 34 35 36 37 38 Prevention of bone loss by modulating the host response to infection could be a new adjunctive method for the management of PD. 39 40 Apart from maintenance of a meticulous oral hygiene, several studies have indicated that estrogen therapy builds up mandibular bone mass and diminishes the severity of periodontal disease in postmenopausal women. 31 41 …”

Section: Discussionmentioning

confidence: 99%

A Comparative Analysis of Pre- and Postmenopausal Females with Periodontitis and Its Response to a Non Invasive Clinical Approach

2017

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ObjectivesThe influence of sex steroid hormones on periodontium can be knockdown with good plaque control. The aim of the present study was to evaluate periodontal status in pre- and postmenopausal women with periodontitis following non-surgical therapy.MethodsTotal 60 female patients' periodontal status was measured by periodontal index (PRI), and oral hygiene status was measured by plaque index (PI). Both the parameters were measured at baseline i.e. before scaling and root planing and after 3 months intervals post treatment. Data were analyzed using SPSS version 21.ResultsThe mean PRI scores in premenopausal group were 5.68 ± 0.64 and 2.53 ± 0.13, and PI scores were 1.84 ± 0.17 and 0.91 ± 0.13 respectively at baseline and 3 months. The mean PRI scores in postmenopausal group were 6.08 ± 0.46 and 2.55 ± 0.12, and PI scores were 1.86 ± 0.24 and 1.00 ± 0.24 respectively at baseline and 3 months.ConclusionsThere was more desirable response to non-surgical periodontal therapy in both the groups but not significant variation in between two groups.

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“…Several pathways exist for estrogens and progestins, as well as androgens to exacerbate gingival inflammation and promote periodontal disease 1. Periodontal alveolar bone loss could be due to systemic osteoporosis, but more so to periodontal disease 2. Several authors have suggested that the mandibular bone density may be indicative of the systemic bone density 3,4.…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Periodontal Status and Alkaline Phosphatase Levels in Gingival Crevicular Fluid in Men with Hypergonadotropic Hypogonadism

et al. 2008

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PurposeThe aim of this preliminary study was to determine the possible relationship between alkaline phosphatase (ALP) levels in the gingival crevicular fluid (GCF) and periodontal disease in men with hypergonadotropic hypogonadism (HH).Materials and MethodsA total of 41 patients were divided into four groups. 9 with HH and periodontitis (P/HH), 11 with HH and gingivitis (G/HH), 12 with systemically healthy and periodontally healthy (H/C) and 9 with systemically healthy and periodontitis (P/C). The clinical evaluation of patients was based on the following parameters; the plaque index (PI), gingival index (GI), probing depths (PD) and attachment level (AL). The levels of ALP in the GCF were measured by enzyme-linked immunosorbent assay (ELISA).ResultsNo significant difference could be detected in the mean clinical parameter data between the P/HH and P/C groups (p > 0.05). The periodontitis patients in both groups (P/C and P/HH) had higher mean probing depths than the H/C and G/HH patients (p < 0.001). The concentrations and total amounts of ALP in the GCF were significantly higher in both periodontitis groups compared to healthy and gingivitis groups (p < 0.01). The serum ALP levels were significantly higher in the P/HH group when compared to the other groups (p < 0.001).ConclusionThe findings of this study suggested that HH could be implicated as a contributing factor to the progress of periodontal disease.

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Focus on Primary Care

Cited by 13 publications

References 72 publications

Integrating a Nurse‐Midwife‐Led Oral Health Intervention Into CenteringPregnancy Prenatal Care: Results of a Pilot Study

Integrating a Nurse‐Midwife‐Led Oral Health Intervention Into CenteringPregnancy Prenatal Care: Results of a Pilot Study

A Comparative Analysis of Pre- and Postmenopausal Females with Periodontitis and Its Response to a Non Invasive Clinical Approach

The Relationship between Periodontal Status and Alkaline Phosphatase Levels in Gingival Crevicular Fluid in Men with Hypergonadotropic Hypogonadism

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