Evaluation of Oral and Dental Health Status in Pregnant Women Referring to Fatemieh Hospital in Hamadan City during 2018

Introduction: Physiological changes during pregnancy affect the teeth and tissues of the mouth and gums, which increases the severity of problems such as caries, inflammation, bleeding and swelling of the gum. Therefore, pregnant people need regular check-ups and provide adequate education. The aim of this study was evaluation of oral and dental health status in pregnant women referring to Fatemieh Hospital in Hamadan City during 2018. Methods: This study was performed on 96 pregnant women. The adjusted questionnaire was completed for each individual by interview method in order to complete the section on personal and pregnancy data and examination in order to complete the section on oral and dental health status. Statistical analysis was performed using SPSS version 16 software. Results: The mean age of the participants was 29.64. The Decay Missing Filling Teeth (DMFT) index in pregnant women was 10.48 ± 3.81. 75.74% of the participants were positive in terms of BOP. 12.50% had dry mouth. Using gingival index, 68.75% of the subjects had gingivitis and the mean gingival index was 0.98 ± 0.79%. In terms of oral hygiene, using the index plaque assessment, the majority of the participants was moderate (45.83%) and the mean plaque index was 1.27 ± 0.62%. Conclusion: Pregnant mothers have a moderate oral health. For this reason, it is necessary to inform physicians in order to refer them to dentists and educate pregnant women to observe oral hygiene and prevent the occurrence of oral diseases and gingivitis in pregnancy.

Correction of postcovid anemia in pregnant women with impaired dental health status

Introduction. The novel coronavirus pandemic makes the issue of iron deficiency in pregnancy even more urgent and forces multidisciplinary clinicians to search for modern ways to correct disorders caused by this infection.Objective. To assess the features of the course of post-covid anemia associated with combination therapy, as well as the effect of therapy on the dental health status in pregnant women.Materials and methods. 30 pregnant women (treatment group 1) in the third trimester who had coronavirus infection with mild IDA during gestation were enrolled in the prospective study. Comparison group 2: included 15 patients with mild IDA who did not have coronavirus infection during gestation. Control group 3: included 15 conditionally healthy pregnant women without IDA who did not have a novel coronavirus infection during gestation.Results. Pregnant women who had COVID-19 during gestation were significantly more likely to suffer from gum bleeding, angular cheilitis, oral erosive and ulcerative lesions. Gum bleeding was significantly more common in pregnant women with IDA against the background of coronavirus infection, than in the women in the comparison and control groups (SBI index, p < 0.05). The decrease in the normal microflora suggests the presence of dysbiotic changes in all pregnant women against the background of IDA, however, the patients after the COVID-19 infection had the most significant changes in it.Conclusions. The novel coronavirus infection, which the women had during gestation, aggravates the course of IDA, reduces the quality of life of patients with characteristic complaints (gum bleeding, angular cheilitis, oral erosive and ulcerative lesions), leads to dysbiotic oral microbiome changes. The management of this group of patients requires a systemic correction of the microflora balance, the introduction of individual oral hygiene regimens and adequate treatment of IDA using high-technology medicinal products

General Health, Dental Status & Perceived Dental Treatment Needs of An Elderly Population in India

Objectives: This pilot study determined the general and dental health status; perceived medical and dental treatment needs of an elderly population dwelling in residential homes in Himachal Pradesh (India).Method: Subjects were chosen from OPD of Department of Prosthodontics & Implantology, Himachal institute of dental sciences, Paonta sahib, (H.P) between April 2020 – April 2021. (N=133, female: 71 and male: 62) were involved in this study. A detailed questionnaire was prepared and dental examinations were conducted. Information was collected related to age, education levels, financial status, current physical functional status, general health, mental health, previous dental history, current dental status, oral hygiene practices and denture hygiene of these elderly people. The prevalence of edentulism, the presence and type of dental prostheses, dental and denture status and denture cleanliness were further evaluated.Results: The three most prevalent reported general health problems were associated with Genito-urinary problems (24%) followed by cardiovascular (18%) and respiratory problems (14%) varying significantly between genders, with males suffering more from cardiovascular problems than females (p < 0.05). Females showed significantly higher gastrointestinal and orthopaedic problems than males (p < 0.05). Females were more frequently edentulous than males but denture hygiene was significantly better in females than in males (p < 0.05). Brushing frequency did not significantly increase denture hygiene (p = 0.6). More than one-third of the subjects had not been to the dentist within the previous 5–10 years, mainly due to lack of demand, followed by the cost of the dental care and fear. More than two-thirds of denture-wearing subjects wore their dentures only during eating.