CPITN changes during pregnancy and maternal demographic factors 'impact on periodontal health.

Fahimeh Rashidi Maybodi, Ahmad Haerian-Ardakani, Farzaneh Vaziri, Arezoo Khabbazian, Salem Mohammadi-Asl
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Abstract

Background: There have been speculations about the effects of hormonal changes and socio-demographic factors on periodontal health during pregnancy.

Objective: According to the lack of sufficient epidemiologic information about the periodontal status of pregnant women in Yazd, this study was accomplished to determine the changes of Community Periodontal Index for Treatment Needs (CPITN) during pregnancy and evaluating the possible relationship between this index and demographic characteristics of the mothers.

Materials and methods: This was a longitudinal descriptive study. The samples included 115 pregnant women who were referred to health centers of Yazd, Iran. The mothers' data were obtained from a questionnaire consisted of 3 parts: consent paper, demographic data and CPITN records. Examination was performed with dental unit light, flat dental mirror and WHO's scaled probe.

Results: In the beginning of the study, 60.1% of checked sextants had healthy gingival status. 25.9% had code1 and 14% had code 2. Code 3 and 4 were not seen in any sextants. There was a significant relationship between lower CPITN and higher maternal education, occupation and more frequencies of tooth-brushing but there was not a relationship between CPITN and mother's age and number of pregnancies. CPITN had a significant relationship with increasing of the gestational age.

Conclusion: There might be a relationship between increasing the month of pregnancy and more periodontal treatment needs. CPITN Increasing during pregnancy shows the importance of periodontal cares during this period.

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妊娠期CPITN变化及孕产妇人口统计学因素对牙周健康的影响
背景:关于怀孕期间激素变化和社会人口因素对牙周健康的影响一直存在推测。目的:针对亚兹德地区孕妇牙周状况缺乏足够的流行病学信息,本研究旨在了解社区牙周治疗需求指数(Community periodontal Index for Treatment Needs, CPITN)在妊娠期间的变化,并探讨该指数与孕妇人口统计学特征之间的可能关系。材料与方法:本研究为纵向描述性研究。这些样本包括115名孕妇,她们被转诊到伊朗亚兹德的卫生中心。母亲的数据来自一份调查问卷,该问卷由三部分组成:同意书、人口统计数据和CPITN记录。用牙单元灯、平面牙镜和WHO刻度探针进行检查。结果:在研究开始时,60.1%的六分仪检查牙龈健康状态。25.9%的人有代码1,14%的人有代码2。代码3和4在任何六分仪中都没有发现。较低的CPITN与母亲的教育程度、职业和刷牙频率有显著关系,而与母亲的年龄和怀孕次数无显著关系。CPITN与胎龄增加有显著关系。结论:妊娠月龄增加与牙周治疗需求增加可能存在一定关系。CPITN在怀孕期间增加表明在此期间牙周护理的重要性。
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