The effect of dental health education on pregnant women's adherence with toothbrushing and flossing — A randomized control trial

Khamis, Suad Al; Asimakopoulou, Koula; Newton, Tim; Daly, Blánaid

doi:10.1111/cdoe.12311

Cited by 17 publications

(18 citation statements)

References 34 publications

(47 reference statements)

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“…[12][13][14]19 A recent randomized controlled trial found no additional effects in oral hygiene and gingival bleeding improvement in the group who had received a more elaborated education. 20 In contrast, our study shows that a more elaborated and tailor-made behavioral and educational counselling is more effective in improving and sustaining plaque control and periodontal health than the distribution of pamphlets only.…”

Section: Discussioncontrasting

confidence: 71%

Effectiveness of a family-centered behavioral and educational counselling approach to improve periodontal health of pregnant women: a randomized controlled trial

Liu

Wen

et al. 2020

Preprint

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Objectives: Poor oral hygiene and higher hormone levels during pregnancy always lead to poor periodontal health. Oral health education of the pregnant women to improve the periodontal outcomes might be ineffective and inconsistent. The aim of this study was to assess the effectiveness of a family-centered behavioral and educational counselling program on the pregnant women’s periodontal health and long-term effect after delivery. Methods: A randomized controlled trial was conducted among first-time pregnant women (10~20th gestational-week) in Hong Kong. Participating families were randomized into test and control group. The intervention in test group included: explanation on oral health education pamphlets, oral hygiene practice training by the “tell-show-do” technique, individualized feedback, and proposed solutions to overcome barriers on self-care. Reinforcement was implemented by interview, phone call or messaging to assess performance, identify barriers and to encourage participants on self-care, in around 32nd gestational-week and 6 months after delivery. Main outcomes assessed were periodontal health measurement including bleeding on probing (BOP), periodontal-pocket (Poc) and loss of clinical attachment levels (LoA); oral hygiene status was assessed by visible plaque index (VPI). The dental examinations were carried out at baseline, 32nd gestational-week and 12-months post-delivery.Results: 589 pregnant women were recruited and 369 completed all three visits (test 188; control 181). Mixed-effect model ANOVA indicated that in test group, % sites with visible plaque decreased from the baseline to the 32nd gestational-week and maintained to 12-months post-delivery while in control group the effect could not be sustained (p<0.001). Both groups showed significant decrease in BOP over time, and significantly lower % sites with BOP was found in test group than in control group at 12-months post-delivery (p<0.001). Generalized linear mixed model (GLMM) showed that there was significant less in sites with Poc and LoA in the both groups over time at 12-months post-delivery than during pregnancy (p<0.001), whereas there was no significant effect between the two groups (p>0.05). Conclusions: Providing family-centered, behavioral and educational counselling to pregnant women at early stage of pregnancy and reinforcements can improve their oral hygiene and periodontal health, the effect can be sustained over a longer period.

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Section: Discussioncontrasting

confidence: 71%

Effectiveness of a family-centered behavioral and educational counselling approach to improve periodontal health of pregnant women: a randomized controlled trial

Liu

Wen

et al. 2020

Preprint

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“…Food and Drug Administration (FDA) has classified drugs into five categories of safety for use during pregnancy. Acetaminophen is the safest NSAID and the drug of choice to prescribe for an expecting mother [9], [12]. Only 55 % of our participants knew the safest NSAID among pregnant females.…”

Section: Discussionmentioning

confidence: 98%

“…Different mechanisms have been suggested for this effect of periodontal disease on the fetus; one such proposed mechanism is seeding of urinary tract infections with bacteria from periodontal disease in mother. Dental hygiene procedures, such as prophylaxis, deep scaling, or root planning are permitted in any trimester of normal pregnancy [1], [6], [7], [8], [9]. In case of deep dental caries causing severe pain or acute infection in an otherwise healthy gestational woman, the dentist should offer required dental care no matter what the patient's phase of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the dental radiographs, it is safe to be taken for pregnant patients by following all the protective measures like using high-speed films, paralleling technique, covering with a lead apron and thyroid collar. It is expected that the average fullmouth dental survey may expose the fetus to 1 X 10-5 rads of radiation, far below the teratogenic risk to the unborn child [8], [9], [10].…”

Section: Introductionmentioning

confidence: 99%

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Awareness of Dental Interns to Treat Pregnant Patients

Swapna¹,

Alanazi²,

Aldoji³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Pregnancy causes major changes in maternal physiology and metabolism, which may lead to increased susceptibility to oral infection. AIM: Aim of this study is to assess the awareness of dental interns regarding the management of the dental needs of pregnant patients. METHODS: A cross-sectional questionnaire survey was conducted among 188 interns of a private dental college in Saudi Arabia. The questionnaire comprised of 14 knowledge-based questions regarding their training, awareness and practice management of the pregnant patient in dental clinics. Four questions to record and evaluate their training, the number of pregnant patients treated by them and their confidence level in the dental management of the pregnant patient. Excel spreadsheet was used for mathematical calculations. RESULTS: Almost 62% of our participants never treated a pregnant female during their training. About 65% of the interns knew using antibiotics, almost 55% have a clear idea of the safest NSAIDS, and 43% regarded local anaesthesia to be safe when used among pregnant females. Conversely, about 50% of the participants had no clear knowledge of the FDA category of drugs. Only 24% considered dental radiographs to be safe in pregnant patients. 57% thought to postpone the dental treatment in an acute active dental infection in expecting mothers. Results also showed a lack of confidence among interns to provide dental care to gestating female. CONCLUSION: On analysing the results, we found that there is a need to improve the knowledge, awareness and confidence levels among the interns who are the future dentists treating these patients.

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“…Some studies that targeted pregnant women only reported their oral health knowledge, oral hygiene practices, or caries status [13][14][15][16]. Three studies reported the periodontal health outcomes, among which two studies delivered periodontal treatments to pregnant women who already had gingivitis, and the other was a short-term study (4 weeks) [17][18][19]. No evidence-based conclusions could be drawn from their findings.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a family-centered behavioral and educational counselling approach to improve periodontal health of pregnant women: a randomized controlled trial

Liu

Wen

et al. 2020

BMC Oral Health

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Background Poor oral hygiene and high hormone levels during pregnancy can lead to a deterioration in periodontal health. This study assessed the effectiveness of a family-centered behavioral and educational counselling program on improving the periodontal health of women during pregnancy and postpartum. Methods A randomized controlled trial was conducted among pregnant women (10th-22nd gestational week) and their husbands. Participating families were randomized into test and control groups. Intervention in the test group included explanation of oral health education (OHE) pamphlets, oral hygiene instruction, individualized feedback, and proposed solutions to overcome barriers in self-care. Reinforcements were implemented in the 3rd trimester of pregnancy and six months postpartum. In the control group, only OHE pamphlets were distributed. The assessed outcomes were bleeding on probing (BOP), periodontal pocket (Poc), loss of clinical attachment (LoA), and Visible Plaque Index (VPI). The data collection was carried out at baseline (T0), in the 32nd gestational week (T1), and 12 months postpartum (T2). Results Altogether 589 pregnant women were recruited, and 369 attended all three visits (test:188; control:181). In the test group, the mean VPI score at T0 was 0.19, which decreased to 0.14 at T1 and 0.15 at T2. In the control group, the mean VPI decreased from 0.19 at T0 to 0.16 at T1, but increased to 0.22 at T2. A main effect of time and intervention and an interaction between time and intervention were detected (all p < 0.05), indicating that the intervention effect differed between T1 and T2. The test group showed a significantly greater decrease over time than the control group did. Similarly, the mean BOP% decreased more significantly over time in the test group (T0:57%, T1:46%, T2:35%) than in the control group (T0:58%, T1:52%, T2:46%). For Poc and LoA, there were improvements in both study groups at 12 months postpartum, compared with during pregnancy (p < 0.001). Conclusions Providing family-centered, behavioral, and educational counselling to pregnant women at an early stage of pregnancy and with reinforcements can improve their oral hygiene and reduce gingival inflammation. The effect can be sustained over an extended period and is greater than that of distributing oral health leaflets alone. Trial registration Clinicaltrials.gov, #NCT02937194. Registered 18 October 2016. Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT02937194?cond=Family-centered+oral+health+promotion+for+new+parents+and+their+infants&draw=2&rank=1

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The effect of dental health education on pregnant women's adherence with toothbrushing and flossing — A randomized control trial

Abstract: The provision of information using a simple leaflet improved the adherence of Kuwaiti pregnant with toothbrushing and flossing advice, while the addition of DHE targeting social cognitions and planning conferred no additional benefits.

Cited by 17 publications

References 34 publications

Effectiveness of a family-centered behavioral and educational counselling approach to improve periodontal health of pregnant women: a randomized controlled trial

Effectiveness of a family-centered behavioral and educational counselling approach to improve periodontal health of pregnant women: a randomized controlled trial

Awareness of Dental Interns to Treat Pregnant Patients

Effectiveness of a family-centered behavioral and educational counselling approach to improve periodontal health of pregnant women: a randomized controlled trial

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