Oral Health Care Access, Inequity, and Inequality

Feine, Jocelyne

doi:10.1177/23800844221121301

Cited by 1 publication

(8 citation statements)

References 7 publications

(7 reference statements)

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“…As a reason for attention and primary care with the position of pregnant women, when the pregnant woman is in the prone position, the uterus, in the third trimester, can compress the inferior vena cava and thus prevent a venous return to the heart, which can lead to supine hypotension syndrome, syncope caused by insufficient paravertebral blood circulation, or the vasovagal reflex, due to the decrease in cardiac output. This can be increased by up to 20% when the patient moves from the supine position to the left lateral decubitus position [3,4].…”

Section: Position Of the Pregnant Woman In The Dental Chairmentioning

confidence: 99%

“…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%

“…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%

“…Thus, the dentist must protect against radiation exposure to the pregnant woman's abdomen and neck, placing her arms over her belly to protect against the weight of the lead apron. In addition, a new radiographic dental technology that is also safe during pregnancy is digital radiography, whose radiation is lower than that provided by conventional radiographs [3].…”

Section: Vol 4 Iss 2 Year 2023mentioning

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: Position Of the Pregnant Woman In The Dental Chairmentioning

confidence: 99%

Section:  Should a Pregnant Woman Use Fluoridementioning

confidence: 99%