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DOI: 10.1055/s-0044-1779664
Evaluation of Gynecologists‧ Knowledge and Awareness Regarding Oral Health Condition During Pregnancy in the City of Benghazi, Libya
Funding This work was supported by the Libyan International Medical University.
Abstract
Background A pregnant woman with dental issues may not see a dentist unless her gynecologist advices her to do so. Thus, gynecologists need to be aware of the impact of dental health on pregnancy and what pregnant women need to do to improve their dental health.
Aim The aim of this study is to evaluate gynecologists' awareness, understanding, and practice regarding the impacts of dental therapy during pregnancy and the influence of dental disease on pregnancy outcomes.
Methods All the data in this cross-sectional study were acquired from gynecologists in public and private hospitals in Benghazi, Libya, over a period of 6 months during 2022. A modified structured questionnaire developed by Paneer et al consisting of 20 closed-ended questions related to oral care of pregnant patients was given to the participating gynecologists. Data obtained were presented as frequencies and percentages using the SPSS statistical package.
Results Sixty gynecologists, with ages ranging from 35 to 65 years, completed the questionnaire. The majority (81%) recognized that pregnancy increases the risk of gingival inflammation, but only 60% attributed this to hormonal changes. While 45% were aware of the impact of periodontal inflammation on pregnancy outcomes, only 38.3% knew about its association with preterm birth and low birth weight. Most participants (83%) considered dental referral important, and 81.7% believed oral cavity examination should be a part of maternal health, yet only 36% actually performed it. Ninety percent of the participants reported that they advise pregnant women on oral hygiene and routine checkups. Regarding safety, only 46.7% believed radiographs to be safe during pregnancy, and 51.7% considered local anesthesia with vasoconstriction safe. However, 95% agreed that the second and third trimesters are the safest period for dental treatment.
Conclusion The results of the current study show that gynecologists are fairly knowledgeable about the link between dental health and pregnancy. There is, however, unquestionably some miscomprehension about offering dental care to expectant mothers. Pregnant women and the medical community need access to more information, and misconceptions about suitable dental procedures during pregnancy must be addressed to improve oral health care.
Ethical Approval
The ethical committee of Faculty of Dentistry, Libyan International Medical University, approved the study.
Publication History
Received: 02 November 2023
Accepted: 16 December 2023
Article published online:
23 February 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Chandrapooja J, Gayathri R, Vishnupriya V. Oral health during pregnancy: a systematic review. ProQuest [Internet]. 2016. Accessed January 10, 2023 at: https://www.proquest.com/scholarly-journals/oral-health-during-pregnancy-systematicreview/docview/1817092773/se-2
- 2 Yenen Z, Ataçağ T. Oral care in pregnancy. J Turk Ger Gynecol Assoc 2018
- 3 Ambardar Y, Vaidya SM, Chandel L. Assessment of oral health status during pregnancy. Natl J Physiol Pharm Pharmacol 2021; 11 (08) 806-809
- 4 Thakur DV, Thakur DR, Kaur DM. et al. Pregnancy and oral health and dental management in pregnant patient. J Current Med Res Opinion 2020; 3 (11) 724-731
- 5 Saadaoui M, Singh P, Al Khodor S. Oral microbiome and pregnancy: a bidirectional relationship. J Reprod Immunol 2021; 145: 103293
- 6 Little J, Miller C, Rhodus N. Little and Falace's Dental Management of the Medically Compromised Patient. 9th ed. St. Louis, MO: Elsevier; 2018
- 7 Raju K, Berens L. Periodontology and pregnancy: an overview of biomedical and epidemiological evidence. Periodontol 2000; 87 (01) 132-142
- 8 Marla V, Srii R, Roy D, Ajmera H. The importance of oral health during pregnancy: a review. MedicalExpress (São Paulo) 2018; 5: 1-6
- 9 Paneer S, Muthusamy N, Manickavel RP, Venkatakrishnan CJ, Rathnavelu P, Jayaram M. Evaluation of gynecologists' awareness about oral health condition during pregnancy in Chennai City. J Pharm Bioallied Sci 2019; 11 (Suppl 2): S331-S334
- 10 Acharya S, Acharya S, Mahapatra U. Knowledge, attitudes, and practices among gynecologists regarding oral health of expectant mothers and infants in Bhubaneswar City, Odisha. J Indian Soc Pedod Prev Dent 2018; 36 (03) 240-243
- 11 Al-Qahtani A, Altuwaijri SM, Tulbah H, Al-Fouzan A, Abu-Shaheen A. Gynecologists' knowledge of the association between periodontal health and female sex hormones. Cureus 2019; 11 (04) e4513
- 12 Bakhshi M, Tofangchiha M, Ahadiyan T, Bakhtiari S. Oral and dental care during pregnancy: a survey of knowledge and practice in 380 Iranian gynaecologists. J Int Oral Health 2019; 11 (01) 21
- 13 ADA Council on Advocacy for Access and Prevention and the ADA Center for Dental Practice. Pregnancy [Internet]. Ada.org. 2021. Accessed October 8, 2022 at: https://www.ada.org/resources/research/science-and-research-institute/oral-healthtopics/pregnancy
- 14 Lee JM, Shin TJ. Use of local anesthetics for dental treatment during pregnancy; safety for parturient. J Dent Anesth Pain Med 2017; 17 (02) 81-90
- 15 Hashim R, Akbar M. Gynecologists' knowledge and attitudes regarding oral health and periodontal disease leading to adverse pregnancy outcomes. J Int Soc Prev Community Dent 2014; 4 (6, Suppl 3): S166-S172
- 16 International Atomic Energy Agency. Radiation Protection in Dental Radiology. Vienna, Austria: International Atomic Energy Agency; 2022
- 17 Tarannum F, Prasad S, Vivekananda L, Jayanthi D, Faizuddin M. Muzammil. Awareness of the association between periodontal disease and pre-term births among general dentists, general medical practitioners and gynecologists. Indian J Public Health 2013; 57 (02) 92-95
- 18 Shah HG, Ajithkrishnan C, Sodani V, Chaudhary NJ. Knowledge, attitude and practices among gynecologists regarding oral health of expectant mothers of Vadodara City, Gujarat. Int J Health Sci (Qassim) 2013; 7 (02) 136-140
- 19 The American College of Obstetricians and Gynecologists. Tobacco, Alcohol, Drugs, and Pregnancy [Internet]. Acog.org. 2020. Accessed October 8, 2022 at: https://www.acog.org/womens-health/faqs/tobacco-alcohol-drugs-and-pregnancy
- 20 Hoerler S, Jenkins S, Assad D. Evaluating oral health in pregnant women: knowledge, attitudes and practices of health professionals. J Dent Hyg 2019; 93 (01) 16-22