Gepubliceerd in:

12-05-2021

Factors associated with oral health-related quality of life during pregnancy: a prospective observational study

Auteurs: J. A. Gil-Montoya, X. Leon-Rios, T. Rivero, M. Expósito-Ruiz, I. Perez-Castillo, M. J. Aguilar-Cordero

Gepubliceerd in: Quality of Life Research | Uitgave 12/2021

Abstract

Purpose

To evaluate the evolution of perceived quality of life in relation to oral health during pregnancy and to determine the risk factors involved in this process.

Methods

A follow-up study was carried out with pregnant Spanish women. Two oral examinations and an oral health-related quality of life (OHRQoL) assessment, using the OHIP-14 questionnaire, were performed in the first and third trimester of pregnancy. Data on sociodemographic characteristics, medical history, O’Sullivan Test measures, oral hygiene habits, history of caries, and periodontal status of participants were collected through structured medical-dental questionnaires.

Results

A complete dataset comprising 246 pregnant women was available for analysis. Overall scores for negative impacts on the OHIP questionnaire were significantly higher during late pregnancy (74%). This indicated a deterioration in oral health-related quality of life amongst participants. Items describing “painful aching”, “self-consciousness”, “unsatisfactory diet”, and “interrupted meals” showed the greatest increase between the first and third trimester of gestation. Multivariate analysis showed that pre-gestational/gestational diabetes mellitus and poor oral hygiene habits during the first trimester of gestation were directly associated with worse oral health-related quality of life during the third trimester of gestation (hyperglycemia: OR 2.86; 95% CI 1.019–8.050: p = 0.043 / oral hygiene: OR 1.33; 95% CI 0.970–1.836; p = 0.076).

Conclusions

In the present research, hyperglycemia during pregnancy and poor oral hygiene habits during the first trimester of gestation led to a higher risk of poor oral quality of life during late pregnancy.

vorige artikel The cross-lagged association between depressive symptoms and health-related quality of life in patients receiving maintenance hemodialysis: a three-wave longitudinal study

volgende artikel Standard set of patient-reported outcomes for personality disorder

Hartnett, E., Haber, J., Krainovich-Miller, B., Bella, A., Vasilyeva, A., & Lange Kessler, J. (2016). Oral health in pregnancy. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 45(4), 565–573. https://doi.org/10.1016/j.jogn.2016.04.005CrossRefPubMed

George, A., Johnson, M., Blinkhorn, A., Ellis, S., Bhole, S., & Ajwani, S. (2010). Promoting oral health during pregnancy: Current evidence and implications for Australian midwives. Journal of Clinical Nursing, 19(23–24), 3324–3333. https://doi.org/10.1111/j.1365-2702.2010.03426.xCrossRefPubMed

Güncü, G. N., Tözüm, T. F., & Cağlayan, F. (2005). Effects of endogenous sex hormones on the periodontium—review of literature. Australian Dental Journal, 50(3), 138–145. https://doi.org/10.1111/j.1834-7819.2005.tb00352.xCrossRefPubMed

Figuero, E., Carrillo-de-Albornoz, A., Martín, C., Tobías, A., & Herrera, D. (2013). Effect of pregnancy on gingival inflammation in systemically healthy women: A systematic review. Journal of Clinical Periodontology, 40(5), 457–473. https://doi.org/10.1111/jcpe.12053CrossRefPubMed

Manau, C., Echeverria, A., Agueda, A., Guerrero, A., & Echeverria, J. J. (2008). Periodontal disease definition may determine the association between periodontitis and pregnancy outcomes. Journal of Clinical Periodontology, 35(5), 385–397. https://doi.org/10.1111/j.1600-051X.2008.01222.xCrossRefPubMed

Borgo, P. V., Rodrigues, V. A., Feitosa, A. C., Xavier, K. C., & Avila-Campos, M. J. (2014). Association between periodontal condition and subgingival microbiota in women during pregnancy: A longitudinal study. Journal of Applied Oral Science, 22(6), 528–533. https://doi.org/10.1590/1678-775720140164CrossRefPubMedPubMedCentral

Usin, M. M., Tabares, S. M., Parodi, R. J., & Sembaj, A. (2013). Periodontal conditions during the pregnancy associated with periodontal pathogens. Journal of Investigative and Clinical Dentistry, 4(1), 54–59. https://doi.org/10.1111/j.2041-1626.2012.00137.xCrossRefPubMed

Locker, D. (1988). Measuring oral health: A conceptual framework. Community Dental Health, 5(1), 15

Moimaz, S. A., Rocha, N. B., Garbin, A. J., Garbin, C. A., & Saliba, O. (2016). Influence of oral health on quality of life in pregnant women. Acta Odontológica Latinoamericana, 29(2), 186–193PubMed

10.

Geevarghese, A., Baskaradoss, J. K., & Sarma, P. S. (2017). Oral health-related quality of life and periodontal status of pregnant women. Maternal and Child Health Journal, 21(8), 1634–1642. https://doi.org/10.1007/s10995-016-2255-yCrossRefPubMed

11.

Acharya, S. (2008). Oral health-related quality of life and its associated factors in an Indian adult population. Oral Health & Preventive Dentistry, 6(3), 175–184

12.

Atchison, K. A., & Dolan, T. A. (1990). Development of the geriatric oral health assessment index. Journal of Dental Education, 54(11), 680–687CrossRef

13.

Jokovic, A., Locker, D., Stephens, M., Kenny, D., Tompson, B., & Guyatt, G. (2002). Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. Journal of Dental Research, 81(7), 459–463CrossRef

14.

Slade, G. D. (1997). Derivation and validation of a short-form oral health impact profile. Community Dentistry and Oral Epidemiology, 25(4), 284–290. https://doi.org/10.1111/j.1600-0528.1997.tb00941.xCrossRefPubMed

15.

Locker, D., & Quiñonez, C. (2009). Functional and psychosocial impacts of oral disorders in Canadian adults: A national population survey. Journal of the Canadian Dental Association, 75(7), 521PubMed

16.

Caracho, R. A., Foratori-Junior, G. A., Fusco, N. D. S., Jesuino, B. G., Missio, A. L. T., & Sales-Peres, S. H. C. (2020). Systemic conditions and oral health-related quality of life of pregnant women of normal weight and who are overweight. International Dental Journal, 70(4), 287–295. https://doi.org/10.1111/idj.12547CrossRefPubMed

17.

Lu, H. X., Xu, W., Wong, M. C., Wei, T. Y., & Feng, X. P. (2015). Impact of periodontal conditions on the quality of life of pregnant women: A cross-sectional study. Health and Quality of Life Outcomes, 13, 67. https://doi.org/10.1186/s12955-015-0267-8CrossRefPubMedPubMedCentral

18.

Fakheran, O., Keyvanara, M., Saied-Moallemi, Z., & Khademi, A. (2020). The impact of pregnancy on women’s oral health-related quality of life: A qualitative investigation. BMC Oral Health, 20(1), 294. https://doi.org/10.1186/s12903-020-01290-5CrossRefPubMedPubMedCentral

19.

George, A., Ajwani, S., Johnson, M., Dahlen, H., Blinkhorn, A., Bhole, S., et al. (2015). Developing and testing of an oral health screening tool for midwives to assess pregnant woman. Health Care for Women International, 36(10), 1160–1174. https://doi.org/10.1080/07399332.2014.959170CrossRefPubMed

20.

Montero-Martín, J., Bravo-Pérez, M., Albaladejo-Martínez, A., Hernández-Martín, L. A., & Rosel-Gallardo, E. M. (2009). Validation the oral health impact profile (OHIP-14sp) for adults in Spain. Medicina Oral, Patología Oral y Cirugía Bucal, 14(1), E44-50PubMed

21.

Musskopf, M. L., Milanesi, F. C., Rocha, J. M. D., Fiorini, T., Moreira, C. H. C., Susin, C., et al. (2018). Oral health related quality of life among pregnant women: A randomized controlled trial. Brazilian Oral Research, 32, e002. https://doi.org/10.1590/1807-3107bor-2018.vol32.0002CrossRefPubMed

22.

Lamarca, G. A., Leal, Md. C., Leao, A. T., Sheiham, A., & Vettore, M. V. (2012). Oral health related quality of life in pregnant and post partum women in two social network domains; predominantly home-based and work-based networks. Health and Quality of Life Outcomes, 10, 5. https://doi.org/10.1186/1477-7525-10-5CrossRefPubMedPubMedCentral

23.

Martínez-Beneyto, Y., Montero-Martin, J., Garcia-Navas, F., Vicente-Hernandez, A., Ortiz-Ruiz, A. J., & Camacho-Alonso, F. (2019). Influence of a preventive program on the oral health-related quality of life (OHRQoL) of European pregnant women: A cohort study. Odontology, 107(1), 10–16. https://doi.org/10.1007/s10266-018-0356-3CrossRefPubMed

24.

Lamarca, G. A., Leal, Md. C., Leao, A. T., Sheiham, A., & Vettore, M. V. (2014). The different roles of neighbourhood and individual social capital on oral health-related quality of life during pregnancy and postpartum: A multilevel analysis. Community, Dentistry and Oral Epidemiology, 42(2), 139–150. https://doi.org/10.1111/cdoe.12062CrossRef

25.

Bobetsis, Y. A., Graziani, F., Gürsoy, M., & Madianos, P. N. (2020). Periodontal disease and adverse pregnancy outcomes. Periodontology 2000, 83(1), 154–174. https://doi.org/10.1111/prd.12294CrossRefPubMed

26.

WH Organization. (2013). Oral health surveys: Basic methods. (5th ed.). France: WHO.

27.

Silness, J., & Loe, H. (1964). Periodontal disease in pregnancy II. Correlation between oral hygiene and periodontal condition. Acta Odontologica Scandinavica, 22, 121–135. https://doi.org/10.3109/00016356408993968CrossRefPubMed

28.

Tonetti, M. S., Greenwell, H., & Kornman, K. S. (2018). Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of Periodontology, 89(Suppl 1), S159–S172. https://doi.org/10.1002/JPER.18-0006CrossRefPubMed

29.

Slade, G. D., Nuttall, N., Sanders, A. E., Steele, J. G., Allen, P. F., & Lahti, S. (2005). Impacts of oral disorders in the United Kingdom and Australia. British Dental Journal, 198(8), 489–493. https://doi.org/10.1038/sj.bdj.4812252 discussion 483.CrossRefPubMed

30.

Locker, D., Matear, D., Stephens, M., Lawrence, H., & Payne, B. (2001). Comparison of the GOHAI and OHIP-14 as measures of the oral health-related quality of life of the elderly. Community Dentistry and Oral Epidemiology, 29(5), 373–381. https://doi.org/10.1034/j.1600-0528.2001.290507.xCrossRefPubMed

31.

Wandera, M. N., Engebretsen, I. M., Rwenyonyi, C. M., Tumwine, J., Astrøm, A. N., & Group, P-ES. (2009). Periodontal status, tooth loss and self-reported periodontal problems effects on oral impacts on daily performances, OIDP, in pregnant women in Uganda: A cross-sectional study. Health and Quality of Life Outcomes, 7, 89. https://doi.org/10.1186/1477-7525-7-89CrossRefPubMedPubMedCentral

32.

Genco, R. J., & Borgnakke, W. S. (2020). Diabetes as a potential risk for periodontitis: Association studies. Periodontology 2000, 83(1), 40–45. https://doi.org/10.1111/prd.12270CrossRefPubMed

33.

Kumar, A., Sharma, D. S., Verma, M., Lamba, A. K., Gupta, M. M., Sharma, S., et al. (2018). Association between periodontal disease and gestational diabetes mellitus—A prospective cohort study. Journal of Clinical Periodontology, 45(8), 920–931. https://doi.org/10.1111/jcpe.12902CrossRefPubMed

34.

Abariga, S. A., & Whitcomb, B. W. (2016). Periodontitis and gestational diabetes mellitus: A systematic review and meta-analysis of observational studies. BMC Pregnancy and Childbirth, 16(1), 344. https://doi.org/10.1186/s12884-016-1145-zCrossRefPubMedPubMedCentral

35.

Ferreira, M. C., Dias-Pereira, A. C., Branco-de-Almeida, L. S., Martins, C. C., & Paiva, S. M. (2017). Impact of periodontal disease on quality of life: A systematic review. Journal of Periodontal Research, 52(4), 651–665. https://doi.org/10.1111/jre.12436CrossRefPubMed

Titel: Factors associated with oral health-related quality of life during pregnancy: a prospective observational study
Auteurs: J. A. Gil-Montoya
X. Leon-Rios
T. Rivero
M. Expósito-Ruiz
I. Perez-Castillo
M. J. Aguilar-Cordero
Publicatiedatum: 12-05-2021
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 12/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-021-02869-3

Andere artikelen Uitgave 12/2021

Health-related quality of life predicts length of hospital stay and survival rates for pediatric patients receiving allogeneic hematopoietic cell transplantation

Parent-child discrepancies in health-related quality of life of children and adolescents with myalgic encephalomyelitis/chronic fatigue syndrome

An investigation of the effect of smartphone-based pain management application on pain intensity and the quality-of-life dimensions in adolescents with chronic pain: a cluster randomized parallel-controlled trial

Critical examination of current response shift methods and proposal for advancing new methods

Open Access

What should progress in response-shift research look like?

Open Access
Letter to the Editor

Correction to: Response shift in patient-reported outcomes: definition, theory, and a revised model

Open Access
Correction