Gülbahar USTAOĞLU, Ülkü Mete URAL, Handan ANKARALI, Tuğçe PAKSOY

Periodontal Hastalıklar ve Hamilelik Sonuçları Arasındaki İlişki Üzerine Kadın Hastalıkları ve Doğum Doktorlarının Bilgi Düzeyi, Davranış ve Tutumlarının Değerlendirilmesi

Amaç: Bu çalışmanın amacı kadın hastalıkları ve doğum uzmanlarının periodontal hastalık ve olumsuz gebelik sonuçları arasındaki ilişki hakkındaki bilgi ve farkındalık seviyelerini araştırmak, cinsiyet, yaş, mesleki deneyim ve çalışılan kurum açısından karşılaştırmak ve iyileştirme gerektiren sorunları tespit etmektir. Gereç ve Yöntemler: Toplam 80 (50 kadın, 30 erkek) kadın hastalıkları ve doğum uzmanına e-posta yoluyla gönderilen çevrim içi anket uygulanmıştır. Anket, uzmanlarının kişisel özellikleri, periodontal sağlık ile hamilelikte erken doğum, düşük doğum ağırlıklı bebek ve preeklampsi arasındaki ilişki hakkındaki bilgi düzeyleri ve tutumlarını değerlendiren 23 sorudan oluşmaktadır. Bulgular: Gingival hastalık varlığı kadınlarda daha yüksekti (p=0,001). Periodontal/gingival enflamasyon ve kötü obstetrik sonuçlar arasındaki ilişki konusunda kadınların daha yüksek duyarlılığa sahip olduğu görüldü (p

Evaluation of the Knowledge Level, Behavior, and Attitudes of Obstetrics and Gynecology Specialists on the Relationship Between Periodontal Diseases and Pregnancy Outcomes

Objective: To investigate the knowledge and awareness level of obstetricians on the relationship between periodontal diseases (PDs) and adverse pregnancy outcomes, and to compare them regarding gender, age, professional experience and institution to identify the pertaining issues requiring improvement. Materials and Methods: Data were collected by the administration of an online questionnaire. The link was sent to the e-mail addresses of 80 obstetricians (50 female, 30 men). The questionnaire consisted of 23 questions focused on the determination of the personal characteristics, attitudes, and the level of knowledge of obstetricians about the relationship between periodontal diseases and preterm labor. Results: The presence of gingival disease (GD) was higher in females (p=0.001). Females were found to be more aware and sensitive about the relationship between the periodontal diseases and poor obstetric outcomes (p

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1. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet 2005; 366: 1809-20.
2. Carrizales-Sepúlveda EF, Ordaz-Farías A, Vera-Pineda R, FloresRamírez R. Periodontal Disease, Systemic Inflammation and the Risk of Cardiovascular Disease. Heart Lung Circ 2018; 27: 1327-34.
3. Puertas A, Magan-Fernandez A, Blanc V, Revelles L, O'Valle F, Pozo E, et al. Association of periodontitis with preterm birth and low birth weight: a comprehensive review. J Matern Fetal Neonatal Med 2018; 31: 597-602.
4. Igari K, Kudo T, Toyofuku T, Inoue Y, Iwai T. Association between periodontitis and the development of systemic diseases. Oral Biology and Dentistry 2014; 2: 4.
5. Armitage GC. Bi-directional relationship between pregnancy and periodontal disease. Periodontol 2000 2013; 61: 160-76.
6. Figuero E, Carrillo-de-Albornoz A, Martín C, Tobías A, Herrera D. Effect of pregnancy on gingival inflammation in systemically healthy women: a systematic review. J Clin Periodontol 2013; 40: 457-73.
7. Jarjoura K, Devine PC, Perez-Delboy A, Herrera-Abreu M, D'Alton M, Papapanou PN. Markers of periodontal infection and preterm birth. Am J Obstet Gynecol 2005; 192: 513-9.
8. Toygar HU, Seydaoglu G, Kurklu S, Guzeldemir E, Arpak N. Periodontal health and adverse pregnancy outcome in 3,576 Turkish women. J Periodontol 2007; 78: 2081-94.
9. Agueda A, Ramón JM, Manau C, Guerrero A, Echeverría JJ. Periodontal disease as a risk factor for adverse pregnancy outcomes: a prospective cohort study. J Clin Periodontol 2008; 35: 16-22.
10. Wiener RC, Wiener-Pla R. Literacy, pregnancy and potential oral health changes: the Internet and readability levels. Matern Child Health J 2014; 18: 657-62.
11. Gazolla CM, Ribeiro A, Moysés MR, Oliveira LA, Pereira LJ, Sallum AW. Evaluation of the incidence of preterm low birth weight in patients undergoing periodontal therapy. J Periodontol 2007; 78: 842-8.
12. Tarannum F, Faizuddin M. Effect of periodontal therapy on pregnancy outcome in women affected by periodontitis. J Periodontol 2007; 78: 2095-103.
13. Boggess KA, Urlaub DM, Massey KE, Moos MK, Matheson MB, Lorenz C. Oral hygiene practices and dental service utilization among pregnant women. J Am Dent Assoc 2010; 141: 553-61.
14. Vergnes JN, Pastor-Harper D, Constantin D, Bedos C, Kaminski M, Nabet C, et al. Perceived oral health and use of dental services during pregnancy: the MaterniDent study. Sante publique 2013; 25: 281-92.
15. Strafford KE, Shellhaas C, Hade EM. Provider and patient perceptions about dental care during pregnancy. J Matern Fetal Neonatal Med 2008; 21: 63-71.
16. Cohen L, Schaeffer M, Davideau JL, Tenenbaum H, Huck O. Obstetric knowledge, attitude, and behavior concerning periodontal diseases and treatment needs in pregnancy: influencing factors in France. J Periodontol 2015; 86: 398-405.
17. 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: 136-40.
18. Rocha JM, Chaves VR, Urbanetz AA, Baldissera Rdos S, Rosing CK. Obstetricians' knowledge of periodontal disease as a potential risk factor for preterm delivery and low birth weight. Braz Oral Res2011; 25: 248-54.
19. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 2000; 25: 3186-91.
20. Rahman G, Asa'ad F, Baseer MA. Periodontal health awareness among gynecologists in Riyadh, Saudi Arabia. J Int Soc Prev Community Dent 2015; 5: 211-7.
21. Nutalapati R, Ramisetti A, Mutthineni RB, Jampani ND, Kasagani SK. Awareness of association between periodontitis and PLBW among selected population of practising gynecologists in Andhra Pradesh. Indian J Dent Res 2011; 22: 735.
22. Morgan MA, Crall J, Goldenberg RL, Schulkin J. Oral health during pregnancy. The journal of maternal-fetal & neonatal medicine 2009; 22: 733-9.
23. Carrillo-de-Albornoz A, Figuero E, Herrera D, Bascones-Martínez A. Gingival changes during pregnancy: II. Influence of hormonal variations on the subgingival biofilm. J Clin Periodontol 2010; 37: 230-40.
24. Wu M, Chen SW, Su WL, Zhu HY, Ouyang SY, Cao YT, et al. Sex Hormones Enhance Gingival Inflammation without Affecting IL1β and TNF-α in Periodontally Healthy Women during Pregnancy. Mediators Inflamm 2016; 2016: 4897890.
25. Tarannum F, Prasad S; Muzammil, Vivekananda L, Jayanthi D, Faizuddin M. 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: 92-5.