Perception and understanding of dental practitioners in provision of dental treatment to pregnant women in Karachi, Pakistan

Wali, Aisha; Siddiqui, Talha M; Sarwar, Anum; Anjum, Anum; Rao, Hina

doi:10.4103/0976-4003.196816

Cited by 3 publications

(9 citation statements)

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“…Around (62.7%) of our respondents followed the guidelines in placing the pregnant women in a semi-supine position. Regarding drug prescription and anesthetics administration, there was a high level of understanding and awareness when compared with other studies except for administration of nitrous oxide sedation (3,10,35). The results of other studies are compatible with our research as the majority of dentists, regardless of their country of origin, preferred paracetamol and amoxicillin as the safest drugs during pregnancy (10,32,(35)(36)(37)(38).…”

Section: Practices Of Dentists Regarding the Treatment Of Pregnant Womensupporting

confidence: 86%

“…A signi cant proportion of public as well as health professionals believe that dental treatment can harm the embryo and this prevents many women from seeking dental care, thus neglect their oral health (3). Previous investigations revealed a high level of unawareness and ignorance among most pregnant women who did not seek necessary dental treatment (4)(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

“…Dentists often encounter pregnant patients in dental clinics, and are usually hesitant to provide suitable dental treatment due to fearfulness and uncertainty about the risks that will face both the mother and fetus. Several studies have reported that the majority of dental practitioners were inadequately educated during their undergraduate studies in providing treatment to pregnant women (3,9,10). In order to help dentists face their anxiety and make right decisions in treating pregnant women, international guidelines and protocols should be followed with regards to different dental procedures such as llings, root canal treatment, radiographs, periodontal treatment, extraction, local anesthesia, medications and women's sitting position on the dental chair.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge, Attitude, and Practices of dentists in offering dental treatment to pregnant women in Jordan: A Cross-Sectional survey

AlShurman

Khader

Batieha

et al. 2020

Preprint

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Background: Although international guidelines emphasized that pregnant patients should receive proper dental treatment, many dentists are still hesitant to do so. This study aimed to determine the knowledge, attitude, and practices of dentists towards offering dental treatment to pregnant women in Jordan.Methods: An online survey was distributed to 1000 dentists using social-media applications between August and October, 2019. The survey consisted of three sections; dentists’ knowledge about the association between oral diseases and pregnancy, their participation in training courses, and their practices regarding various dental treatments during pregnancy. Descriptive statistics were obtained and Chi-square tests were used to measure the association between demographic variables and knowledge, attitude, and practices variables. Significance was considered at P-value < 0.05.Results: A total of 547 (54.7%) responded to the questionnaire. Only (37.5%) agreed that periodontal diseases might increase risk of adverse pregnancy outcomes. Almost (75.9%) did not attend any training program. The 2nd trimester was the most preferable time to do all dental procedures. There was a tendency to perform scaling and fillings especially in the 2nd trimester (82.4%), (86.1%) respectively. The majority of dentists would feel comfortable to do RCT (72.0%) or extraction (60.0%) in the 2nd trimester, whereas greater caution was apparent on 1st and 3rd trimester. A proportion of (32.5%) thought that taking x-rays during pregnancy was contraindicated. About (53.7%) didn’t know about the safety to administer nitrous oxide sedation during pregnancy. Around (75.9%) refused to prescribe non-steroidal anti-inflammatory drugs to pregnant women. By far, paracetamol was the drug of choice (96.9%) to prescribe as an analgesic and amoxicillin as an antibiotic (89.2%).Conclusion: lack of knowledge, poor attitude and incorrect practices were observed among surveyed dentists with regards to management of pregnant women. Thus, further education courses about international guidelines are needed to correct the common misconceptions and negative attitudes and practices of dentists in treating pregnant women.

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Section: Practices Of Dentists Regarding the Treatment Of Pregnant Womensupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Knowledge, Attitude, and Practices of dentists in offering dental treatment to pregnant women in Jordan: A Cross-Sectional survey

AlShurman

Khader

Batieha

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Literature highlights the need for improving the knowledge of dentists with regards to the provision of oral health care to pregnant women (Vieira et al, 2015;Lee et al, 2010;George et al, 2017;Mayberry, Norrix & Farrell, 2017;Huebner et al, 2009). There have been only a few studies investigating the perception of dentists in Pakistan towards the provision of oral health care to pregnant women (Wali et al, 2016). In light of the observed association of oral disease severity with neonatal mortality (Mobeen et al, 2008), it is important to explore the knowledge, attitudes, and perceptions of Pakistani dentists regarding the oral healthcare of pregnant women.…”

Section: Introductionmentioning

confidence: 99%

Predictors of periodontal and caries related perinatal oral healthcare, investigation of dentists’ practices: a cross-sectional study

Javed

Bhatti

Riaz

et al. 2021

PeerJ

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Background The objectives of the study were to assess the knowledge, attitude, and practice of dentists towards providing oral health care to pregnant women and to identify barriers and predictors of periodontal and caries related perinatal oral healthcare practices. Methods A cross-sectional analytical survey was conducted on dentists by using a random sampling technique, and a pre-validated questionnaire was delivered to 350 dentists from May 2018 to October 2018. Data were analyzed by utilizing SPSS software. Frequencies and percentages were recorded for descriptive variables. Binary logistic regression was used to analyze the probability of predicting group membership to the dependent variable using different independent variables determined from contingency tables. Results Overall response rate was 41%. The mean knowledge score of respondents was 15.86 ± 3.34. The lowest correct responses were noted in the questions related to periodontal health. It was found that the advice to delay dental visits until after pregnancy was eight times more likely to be observed among dentists who lacked the knowledge of importance of oral health during pregnancy (P = 0.04, OR = 8.75). Dentists were more likely to consult obstetricians regarding dental procedures when they fear a risk of labor in the dental practice (P < 0.05, OR = 3.72). Dentists who had the knowledge of periodontal disease association with preterm delivery were about four times more likely to treat periodontal disease during pregnancy (P = 0.01, OR = 3.95). Dentists knowing the association between maternal oral health and childhood decay were more likely to counsel pregnant patients regarding caries prevention (P > 0.05, OR = 3.75). Conclusions Collectively the results indicated few gaps in knowledge among some dentists and a need to improve existing attitudes towards perinatal oral health. Dentists failing to recognize the importance of perinatal oral health are more likely to be hesitant in treating pregnant patients. Failing to recognize the link between periodontal disease and obstetric complications increases the possibility of hesitance to counsel pregnant patients regarding the same. The appreciation of the evidence for poor perinatal oral health and risk of early childhood caries increases the likelihood of counseling by dentists on caries prevention.

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Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude, and Practices of dentists in offering dental treatment to pregnant women in Jordan: A Cross-Sectional survey

AlShurman

Khader

Batieha

et al. 2020

Preprint

View full text Add to dashboard Cite

Abstract BackgroundAlthough international guidelines emphasized that pregnant patients should receive proper dental treatment, many dentists are still hesitant to do so. This study aimed to determine the knowledge, attitude, and practices of dentists towards offering dental treatment to pregnant women in Jordan.MethodsAn online survey was distributed to 1000 dentists using social-media applications between August and October, 2019. The survey consisted of three sections; dentists’ knowledge about the association between oral diseases and pregnancy, their participation in training courses, and their practices regarding various dental treatments during pregnancy. Descriptive statistics were obtained and Chi-square tests were used to measure the association between demographic variables and knowledge, attitude, and practices variables. Significance was considered at P-value < 0.05.ResultsA total of 547 (54.7%) responded to the questionnaire. Only (37.5%) agreed that periodontal diseases might increase risk of adverse pregnancy outcomes. Almost (75.9%) did not attend any training program. The 2nd trimester was the most preferable time to do all dental procedures. There was a tendency to perform scaling and fillings especially in the 2nd trimester (82.4%), (86.1%) respectively. The majority of dentists would feel comfortable to do RCT (72.0%) or extraction (60.0%) in the 2nd trimester, whereas greater caution was apparent on 1st and 3rd trimester. A proportion of (32.5%) thought that taking x-rays during pregnancy was contraindicated. About (53.7%) didn’t know about the safety to administer nitrous oxide sedation during pregnancy. Around (75.9%) refused to prescribe non-steroidal anti-inflammatory drugs to pregnant women. By far, paracetamol was the drug of choice (96.9%) to prescribe as an analgesic and amoxicillin as an antibiotic (89.2%).ConclusionLack of knowledge, poor attitude and incorrect practices were observed among surveyed dentists with regards to management of pregnant women. Thus, further education courses about international guidelines are needed to correct the common misconceptions and negative attitudes and practices of dentists in treating pregnant women.

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Perception and understanding of dental practitioners in provision of dental treatment to pregnant women in Karachi, Pakistan

Cited by 3 publications

References 0 publications

Knowledge, Attitude, and Practices of dentists in offering dental treatment to pregnant women in Jordan: A Cross-Sectional survey

Knowledge, Attitude, and Practices of dentists in offering dental treatment to pregnant women in Jordan: A Cross-Sectional survey

Predictors of periodontal and caries related perinatal oral healthcare, investigation of dentists’ practices: a cross-sectional study

Knowledge, Attitude, and Practices of dentists in offering dental treatment to pregnant women in Jordan: A Cross-Sectional survey

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