Taboos and myths for the dental care during pregnancy: an observational study with a hospital basis
DOI:
https://doi.org/10.5335/rfo.v26i1.12411Keywords:
maternal and child health, pregnant women, oral health; dental careAbstract
valuate pregnant women admitted to the Obstetrics department at UFPel School Hospital regarding the need to receive urgent dental care, knowledge about this care during pregnancy and how
to prevent dental caries in Their child. Method:
This observational, hospital-based and cross-sectional study was conducted using an instrument
containing an interview and an assessment of the
oral cavity of 83 pregnant women. The data were
collected at the bedside by trained residents and
evaluated by Fisher’s exact test and multivariate
analysis, using Poisson Regression with robust variance. Results: The average age of the pregnant
women was 28.7 years, with 31.3% reporting
dental pain, being related to dental caries and
dental care-seeking in the last 6 months. Of the
pregnant women evaluated, 66.2% had at least
one taboo or myth, and endodontic treatment was
more prevalent. Prenatal care reduced the presence of taboos or myths. Only 7.2% of women
demonstrated knowledge of how to prevent dental caries disease in their child, being significantly higher in housewives and those who received
prior guidance. Conclusion: Prenatal care favored
the reduction of the presence of taboos and myths
about dentistry during pregnancy. The dentist has
an important role in the conduction of dental prenatal care, to prevent and treat toothache during
pregnancy and to advise on the oral health of their
child, providing dental care in the child’s first
thousand days.
Keywords: pregnant women; maternal and child
health; dental care.
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25. Mendia J, Cuddy MA, Moore PA. Drug therapy for
the pregnant dental patient. Compendium Educ Dent
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26. Flynn TR, Susarla SM. Cirurgia oral e maxilofacial para
a paciente grávida. Clin Cir Oral Maxilofacial Am Norte
2007; 19(2):207-21.
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Romano AR. Tratamento endodôntico na Gestação: Série de
casos e revisão da literatura. RGO 2021 (no prelo).
28. Berkowitz RJ. Mutans streptococci: acquisition and transmission. Pediatr Dent 2006; 28(2):106-9.
29. American Academy of Pediatric Dentistry. Guideline policy
on early childhood caries (ECC): classifications, consequences, and preventive strategies. Reference Manual Oral Health
Policies, 2020; 79-81.
30. Qiao J. What are the risks of COVID-19 infection in pregnant women? Lancet 2020; 395(10226):760-2.
31. Wagle M, D’antonio F, Reierth E, Basnet P, Trovik TA, Orsini, G, et al. Dental caries and preterm birth: a systematic
review and meta-analysis. BMJ Open 2018; 8(3):e018556.
32. Ruiz LF, Uffermann G, Vargas-Ferreira F, Bavaresco C S,
Neves M, de Moura F R. Use of Dental Care Among Pregnant Women in the Brazilian Unified Health System. Oral
health & Prevent Dent 2019; 17(1):25-31.
33. Ouanounou A, Haas DA. Drug therapy during pregnancy: implications for dental practice. Br Dent J 2016; 220(8):413-7.
34. Rigo L, Dalazen J, Garbin RR. Impact of dental orientation
given to mothers during pregnancy on oral health of their
children. Einstein 2016; 14(2):219-25.
35. Garbin HBDR, Guilam MCR, Pereira Neto AF. Internet na
promoção da saúde: um instrumento para o desenvolvimento
de habilidades pessoais e sociais. Rev Saúde Coletiva 2012;
22(1):347-63.
36. Pomini MC, Galvan J, Dias GF, Gouvêa NSD, Alves FBT.
Prevalência de cárie em bebês e sua relação com o conhecimento e hábitos das mães. Arq Odontol 2018; 54:1-9.
MS. Oral health challenges in pregnant women: Recommendations for dental care professionals. Saudi J Dent Res 2016;
7:138-46.
2. Giglio JA, Lanni SM, Laskin DM, Giglio NW. Oral Health
Care for the Pregnant Patient. J Can Dent Assoc 2009;
75(1):43-8.
3. Jain K, Kaur H. Prevalence of oral lesions and measurement
of salivary pH in the different trimesters of pregnancy. Singapore Med J 2015; 56(1):537-7.
4. Moimaz SAS, Rocha NB, Garbin AJI, Garbin CAS, Saliba
O. Influence of oral health on quality of life in pregnant women. Acta Odontol Latinoam 2016; 29(2):186-93.
5. Corbella S, Taschieri S, Del Fabbro M, Francetti L, Weinstein R, Ferrazzi E. Adverse pregnancy outcomes and periodontitis: A systematic review and meta-analysis exploring
potential association. Quintessence Int 2016; 47(3):193-204.
6. Krüger MS, Lang CA, Almeida LH, Bello-Corrêa FO, Romano AR, Pappen FG. Dental pain and associated factors
among pregnant women: an observational study. Matern
Child Health J 2015; 19(3):504-10.
7. Khalighinejad N, Aminoshariae A, Kulild JC, Mickel A. Apical periodontitis, a predictor variable for preeclampsia: a
case-control study. J End 2017; 43(10):1611-4.
8. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde.
Departamento de Atenção Básica. Saúde Bucal / Ministério
da Saúde, Secretaria de Atenção à Saúde, Departamento de
Atenção Básica. Brasília: Ministério da Saúde; 2008.
9. Liu PP, Wen W, Yu KF, Gao X, Wong MCM. Dental care-seeking and information acquisition during pregnancy: a qualitative study. Inter J Env Res Public Health 2019; 16(14):2621.
10. Silveira JLGC, Abraham MW, Fernandes CH. Gestação e saúde bucal: significado do cuidado em saúde bucal por gestantes não aderentes ao tratamento. Rev APS 2016; 19(4):568-
74.
11. Vieira DR, Oliveira AE, Lopes FF, Maia MF. Dentists’ knowledge of oral health during pregnancy: a review of the last 10
years’ publications. Comm Dent Health 2015; 32(2):77-82.
12. Rocha JS, Arima L, Chibinski AC. Werneck RI, Moysés SJ,
Baldani MH. Barriers and facilitators to dental care during
pregnancy: a systematic review and meta-synthesis of qualitative studies. Cad Saúde Pública 2018; 34(8):e00130817.
13. Elias RCF, Nogueira PM, Vasconcelos M, Zina LG. Tratamento odontológico durante a gestação: conhecimentos
e percepções de estudantes de Odontologia. Rev ABENO
2018; 18(3):114-26.
14. Figueiredo CSA, Rosalem CGC, Cantanhede ALC, Thomaz
EBAF, Cruz MCFN. Systemic alterations and their oral
manifestations in pregnant women. J Obstet Gynaecol Res
2017; 43(1):16-22.
15. Romano AR, Krüger MSM, Hartwig AD, Oliveira TTV, Pappen FG. Atenção Odontológica Materno-Infantil: 20 anos
realizando pré-natal odontológico e efetivando a atenção nos
mil dia da criança. p.588-605. In: Michelon FF, Bandeira AR.
A Extensão Universitária nos 50 Anos da Universidade Federal de Pelotas. Disponível em URL: http://guaiaca.ufpel.
edu.br:8080/handle/prefix/5671.
16. Brasil. Ministério da Saúde. Protocolos da Atenção Básica:
Saúde das Mulheres. Brasília: Ministério da Saúde; 2016.
p.73. Disponível em URL: http://189.28.128.100/dab/docs/
portaldab/publicacoes/protocolo_saude_mulher.pdf.
17. Rocha JS, Arima LY, Werneck RI, Moyses SJ, Baldani MH.
Determinants of dental care attendance during pregnancy: a
systematic review. Caries Res 2018; 52(1-2):139-52.
18. KobyliÅ„ska A, Sochacki-Wójcicka N, Dacyna N, Trzaska M,
Zawadzka A, Gozdowski D, et al. The role of the gynaecologist in the promotion and maintenance of oral health during
pregnancy. Ginekol Polska 2018; 89(3):120-4.
19. Bastiani C, Cota ALS, Provenzano MGA, Fracasso MDLC,
Honório HM, Rios D. Conhecimento das gestantes sobre alterações bucais e tratamento odontológico durante a gravidez. Odontol Clín-Cient 2010; 9(2):155-60.
20. Müller LF, Cantarelli FC, Azevedo MS, Romano AR. Desmistificando o atendimento a gestante: condutas no pré-
-natal odontológico. VII CEC-UFPel, 2020:72-5. Disponível em URL: https://wp.ufpel.edu.br/congressoextensao/
files/2020/12/Tema-3.pdf
21. Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection
and activity assessment of primary coronal caries lesions: a
methodologic study. Oper Dent 2008, 32:225-35.
22. Abbott P. Are dental radiographs safe? Aust Dent J
2000; 45(3):208-13.
23. Kelaranta A, Ekholm M, Toroi P, Kortesniemi M. Radiation exposure to foetus and breasts from dental X-ray examinations: effect of lead shields. Dentomaxillofacial Radiol
2016; 45(1):20150095.
24. Hagai A, Diav-Citrin O, Shechtman S, Ornoy A. Pregnancy
outcome after in utero exposure to local anesthetics as part
of dental treatment: a prospective comparative cohort study. JADA 2015; 146(8):572-80.
25. Mendia J, Cuddy MA, Moore PA. Drug therapy for
the pregnant dental patient. Compendium Educ Dent
2012; 33(8):568-70.
26. Flynn TR, Susarla SM. Cirurgia oral e maxilofacial para
a paciente grávida. Clin Cir Oral Maxilofacial Am Norte
2007; 19(2):207-21.
27. Araújo LP, Xavier SR, Hartwig AD, Azevedo MS, Pappen FG,
Romano AR. Tratamento endodôntico na Gestação: Série de
casos e revisão da literatura. RGO 2021 (no prelo).
28. Berkowitz RJ. Mutans streptococci: acquisition and transmission. Pediatr Dent 2006; 28(2):106-9.
29. American Academy of Pediatric Dentistry. Guideline policy
on early childhood caries (ECC): classifications, consequences, and preventive strategies. Reference Manual Oral Health
Policies, 2020; 79-81.
30. Qiao J. What are the risks of COVID-19 infection in pregnant women? Lancet 2020; 395(10226):760-2.
31. Wagle M, D’antonio F, Reierth E, Basnet P, Trovik TA, Orsini, G, et al. Dental caries and preterm birth: a systematic
review and meta-analysis. BMJ Open 2018; 8(3):e018556.
32. Ruiz LF, Uffermann G, Vargas-Ferreira F, Bavaresco C S,
Neves M, de Moura F R. Use of Dental Care Among Pregnant Women in the Brazilian Unified Health System. Oral
health & Prevent Dent 2019; 17(1):25-31.
33. Ouanounou A, Haas DA. Drug therapy during pregnancy: implications for dental practice. Br Dent J 2016; 220(8):413-7.
34. Rigo L, Dalazen J, Garbin RR. Impact of dental orientation
given to mothers during pregnancy on oral health of their
children. Einstein 2016; 14(2):219-25.
35. Garbin HBDR, Guilam MCR, Pereira Neto AF. Internet na
promoção da saúde: um instrumento para o desenvolvimento
de habilidades pessoais e sociais. Rev Saúde Coletiva 2012;
22(1):347-63.
36. Pomini MC, Galvan J, Dias GF, Gouvêa NSD, Alves FBT.
Prevalência de cárie em bebês e sua relação com o conhecimento e hábitos das mães. Arq Odontol 2018; 54:1-9.
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How to Cite
Taboos and myths for the dental care during pregnancy: an observational study with a hospital basis. (2023). Revista Da Faculdade De Odontologia - UPF, 26(1), 124-134. https://doi.org/10.5335/rfo.v26i1.12411
