孕妇与非孕妇牙周状况的比较

R. Surekha, Priyadarshini Sharma, K. Asif, S. Debnath, Tabitha Rani, D. Ramesh
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引用次数: 2

摘要

背景:几十年来,我们对牙周病发病机制的认识发生了显著变化。牙周病不仅限于牙周组织,还可能对全身产生广泛的影响。现在人们认识到,它与糖尿病、冠心病、早产、低出生体重、流产或早孕流产和先兆子痫有共同的危险因素。材料与方法:研究组由400名妇女组成,其中孕妇200名,非孕妇200名,年龄18-40岁。收集了产妇人口统计和医疗数据。牙周检查包括:口腔卫生指数(OHI-S)、牙龈指数(GI)、牙袋探诊深度和临床附着损失(CAL)。结果:孕妇与非孕妇ohi发生率比较采用比例检验,口腔卫生良好组ohi发生率差异无统计学意义(P = 0.187, Z = 1.32)。当评估GI指数时,轻度、中度和重度牙龈炎有明确的统计学差异(P - 0.000, Z = 0.365;P - 0.00, z = 4.17;P - 0.000, z = 0.75)。CAL指数显示健康牙周组织、轻度、中度和重度牙周炎在孕妇和非孕妇中均有统计学差异(P = - 0.000, Z = 3.65;P - 0.000, z = 5.83;P - 0.001, z - 3.24;P - 0.000, z - 6.47)。结论:本研究支持孕妇与未怀孕对照组相比,口腔卫生不良(牙龈炎和牙周炎)之间存在明确相关性的假设。
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Periodontal status in pregnant women in comparison with non-pregnant individuals
Background: Our understanding of pathogenesis of periodontal disease has changed remarkably over a few decades. Rather than being confined to periodontium, periodontal disease may have a wide ranging systemic effects. It is now recognized that it shares most of the common risk factors for diabetes, coronary heart disease preterm low birth weight, miscarriage or early pregnancy loss and preeclampsia. Materials and Methods: The study group comprised of 400 women (200 pregnant women and 200 non-pregnant) with an age range of 18-40 years. Maternal demographic and medical data were collected. Periodontal examinations included: Oral hygiene index (OHI-S), gingival index (GI), pocket probing depth and clinical attachment loss (CAL). Results: The results were analyzed using test of proportion when OHI-S was compared in pregnant women with that of non-pregnant individuals, there was no significant difference in good oral hygiene group ( P = 0.187, Z = 1.32). When the GI index was evaluated, a definite statistical difference was noted in mild, moderate and severe gingivitis (P - 0.000, Z = 0.365; P - 0.00, Z = 4.17; P - 0.000, Z = 0.75). CAL index revealed a statistical difference was observed healthy periodontium, mild, moderate and severe periodontitis in both pregnant and non-pregnant women ( P = −0.000, Z = 3.65; P - 0.000, Z = 5.83; P - 0.001, Z - 3.24; P - 0.000, Z - 6.47). Conclusion: The present study conducted supports the hypothesis that there is a definite correlation between the pregnant women and poor oral hygiene (gingivitis and periodontitis) as compared with the non-pregnant controls.
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