PREVALENCE OF GINGIVITIS AMONG PREGNANT AND NON-PREGNANT WOMEN
DOI:
https://doi.org/10.61841/xg1ndy51Keywords:
Gingivitis, Hormones, Oral health, PregnancyAbstract
Good oral health is important across a person's lifespan. Pregnancy is a transient physiological state which brings about different hormonal changes in a woman's body, which lead to changes in the oral cavity. These changes have important implications as they have been known to cause adverse pregnancy outcomes. This study aims to evaluate the prevalence of gingivitis among pregnant and non-pregnant women. This retrospective study was done by analyzing the case records of 300 patients in a private institution between June 2019- March 2020. Out of 300 patients, 150 were pregnant and 150 were non-pregnant. Data regarding their periodontal status was collected from the case records and analyzed. Descriptive statistics and inferential statistics were done using SPSS Software, Version 23. Pregnant women had a higher prevalence of gingivitis (40.3%) and periodontitis (6.0%). Whereas most of the non-pregnant women had clinically healthy gingiva (30%). The association between periodontal status and the pregnancy status was statistically significant. In age wise assessment, prevalence of clinically healthy gingiva (15.7%), gingivitis (28.7%) and periodontitis (3.3%) were high among the 26–30-year-old patients, however the association between different age groups and the periodontal status was statistically not significant. The present study suggested that pregnant women had a higher prevalence of gingivitis and periodontitis and was more common within the age group of 26-30 years.
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1. Hein C, Williams RC. The Impact of Oral Health on General Health: Educating Professionals and Patients [Internet]. Vol. 4, Current Oral Health Reports. 2017. p. 8–13. Available from:
http://dx.doi.org/10.1007/s40496-017-0124-4
2. Azarpazhooh A, Leake JL. Systematic review of the association between respiratory diseases and oral
health. J Periodontol. 2006 Sep;77(9):1465–82.
3. Mealey BL, Oates TW, American Academy of Periodontology. Diabetes mellitus and periodontal
diseases. J Periodontol. 2006 Aug;77(8):1289–303.
4. Winning L, Linden GJ. Periodontitis and Systemic Disease: Association or Causality? Curr Oral Health
Rep. 2017 Jan 23;4(1):1–7.
5. Kessler JL. A Literature Review on Women’s Oral Health Across the Life Span [Internet]. Vol. 21,
Nursing for Women’s Health. 2017. p. 108–21. Available from:
http://dx.doi.org/10.1016/j.nwh.2017.02.010
6. Laine MA. Effect of pregnancy on periodontal and dental health. Acta Odontol Scand. 2002
Oct;60(5):257–64.
7. Gupta R, Acharya AK. Oral Health Status and Treatment Needs among Pregnant Women of Raichur
District, India: A Population Based Cross-Sectional Study. Scientifica . 2016 May 12;2016:9860387.
8. Carrillo-de-Albornoz A, Figuero E, Herrera D, Bascones-Martínez A. Gingival changes during pregnancy:
II. Influence of hormonal variations on the subgingival biofilm [Internet]. Vol. 37, Journal of Clinical
Periodontology. 2010. p. 230–40. Available from: http://dx.doi.org/10.1111/j.1600-051x.2009.01514.x
9. Vt H, T M, T S, Nisha A V, A A. Dental considerations in pregnancy-a critical review on the oral care. J
Clin Diagn Res. 2013 May;7(5):948–53.
10. Shamsi M, Hidarnia A, Niknami S, Rafiee M, Karimi M. Oral health during pregnancy: A study from
women with pregnancy. Dent Res J . 2013 May;10(3):409–10.
11. Gürsoy M, Pajukanta R, Sorsa T, Könönen E. Clinical changes in periodontium during pregnancy and
post-partum [Internet]. Vol. 35, Journal of Clinical Periodontology. 2008. p. 576–83. Available from:
http://dx.doi.org/10.1111/j.1600-051x.2008.01236.x
12. Tilakaratne A, Soory M, Ranasinghe AW, Corea SMX, Ekanayake SL, de Silva M. Periodontal disease
status during pregnancy and 3 months post-partum, in a rural population of Sri-Lankan women [Internet].
Vol. 27, Journal of Clinical Periodontology. 2000. p. 787–92. Available from:
http://dx.doi.org/10.1034/j.1600-051x.2000.027010787.x
13. Morelli EL, Broadbent JM, Leichter JW, Thomson WM. Pregnancy, parity and periodontal disease. Aust
Dent J [Internet]. 2018 May 16; Available from: http://dx.doi.org/10.1111/adj.12623
14. Straka M. Pregnancy and periodontal tissues. Neuro Endocrinol Lett. 2011;32(1):34–8.
15. Gondivkar SM, Gadbail A, Chole R. Oral pregnancy tumor. Contemp Clin Dent. 2010 Jul;1(3):190–2.
16. Evans RD, Briggs PF. Tooth-surface loss related to pregnancy-induced vomiting. Prim Dent Care. 1994
Sep;1(1):24–6.
17. Khamrco TY, Saleh KM. A comparative study in dental caries prevalence and treatment needs of pregnant women and single females in Mosul city, Iraq. Al-Rafidain Dental Journal. 2003;1(1):57–64.
18. Rainchuso L. Improving oral health outcomes from pregnancy through infancy. J Dent Hyg. 2013
Dec;87(6):330–5.
19. Han YW. Oral Health and Adverse Pregnancy Outcomes – What’s Next? [Internet]. Vol. 90, Journal of
Dental Research. 2011. p. 289–93. Available from: http://dx.doi.org/10.1177/0022034510381905
20. Offenbacher S, Katz V, Fertik G, Collins J, Boyd D, Maynor G, et al. Periodontal Infection as a Possible
Risk Factor for Preterm Low Birth Weight [Internet]. Vol. 67, Journal of Periodontology. 1996. p. 1103–
13. Available from: http://dx.doi.org/10.1902/jop.1996.67.10.1103
21. Dasanayake AP. Scaling and Root Planing Performed on Pregnant Women With Mild to Moderate
Periodontal Disease is Not Efficacious in Reducing Preterm Birth, Low Birth Weight, or Other Poor
Pregnancy Outcomes [Internet]. Vol. 12, Journal of Evidence Based Dental Practice. 2012. p. 135–7.
Available from: http://dx.doi.org/10.1016/j.jebdp.2012.06.007
22. Shub A, Wong C, Jennings B, Swain JR, Newnham JP. Maternal periodontal disease and perinatal
mortality [Internet]. Vol. 49, Australian and New Zealand Journal of Obstetrics and Gynaecology. 2009.
p. 130–6. Available from: http://dx.doi.org/10.1111/j.1479-828x.2009.00953.x
23. Avinash K, Malaippan S, Dooraiswamy JN. Methods of Isolation and Characterization of Stem Cells from
Different Regions of Oral Cavity Using Markers: A Systematic Review [Internet]. Vol. 10, International
Journal of Stem Cells. 2017. p. 12–20. Available from: http://dx.doi.org/10.15283/ijsc17010
24. Kavarthapu A, Thamaraiselvan M. Assessing the variation in course and position of inferior alveolar
nerve among south Indian population: A cone beam computed tomographic study [Internet]. Vol. 29,
Indian Journal of Dental Research. 2018. p. 405. Available from:
http://dx.doi.org/10.4103/ijdr.ijdr_418_17
25. Khalid W, Vargheese S, Lakshmanan R, Sankari M, Jayakumar ND. Role of endothelin-1 in periodontal
diseases: A structured review [Internet]. Vol. 27, Indian Journal of Dental Research. 2016. p. 323.
Available from: http://dx.doi.org/10.4103/0970-9290.186247
26. Khalid W, Varghese SS, Sankari M, Jayakumar ND. Comparison of Serum Levels of Endothelin-1 in
Chronic Periodontitis Patients Before and After Treatment. J Clin Diagn Res. 2017 Apr;11(4):ZC78–81.
27. Panda S, Jayakumar ND, Sankari M, Varghese SS, Kumar DS. Platelet rich fibrin and xenograft in
treatment of intrabony defect. Contemp Clin Dent. 2014 Oct;5(4):550–4.
28. Ramesh A, Varghese SS, Jayakumar ND, Malaiappan S. Chronic obstructive pulmonary disease and
periodontitis – unwinding their linking mechanisms [Internet]. Vol. 58, Journal of Oral Biosciences. 2016.
p. 23–6. Available from: http://dx.doi.org/10.1016/j.job.2015.09.001
29. Ramesh A, Vellayappan R, Ravi S, Gurumoorthy K. Esthetic lip repositioning: A cosmetic approach for
correction of gummy smile – A case series [Internet]. Vol. 23, Journal of Indian Society of
Periodontology. 2019. p. 290. Available from: http://dx.doi.org/10.4103/jisp.jisp_548_18
30. Ravi S, Malaiappan S, Varghese S, Jayakumar ND, Prakasam G. Additive Effect of Plasma Rich in
Growth Factors With Guided Tissue Regeneration in Treatment of Intrabony Defects in Patients With
Chronic Periodontitis: A Split-Mouth Randomized Controlled Clinical Trial. J Periodontol. 2017
Sep;88(9):839–45.
31. Varghese SS, Thomas H, Jayakumar ND, Sankari M, Lakshmanan R. Estimation of salivary tumor
necrosis factor-alpha in chronic and aggressive periodontitis patients. Contemp Clin Dent. 2015
Sep;6(Suppl 1):S152–6.
32. Thamaraiselvan M, Elavarasu S, Thangakumaran S, Gadagi J, Arthie T. Comparative clinical evaluation
of coronally advanced flap with or without platelet rich fibrin membrane in the treatment of isolated
gingival recession [Internet]. Vol. 19, Journal of Indian Society of Periodontology. 2015. p. 66. Available
from: http://dx.doi.org/10.4103/0972-124x.145790
33. Ramesh A, Ravi S, Kaarthikeyan G. Comprehensive rehabilitation using dental implants in generalized
aggressive periodontitis. J Indian Soc Periodontol. 2017 Mar;21(2):160–3.
34. Sharma R, Varghese S, Sherif K, Padmalatha O, Kaarthikeyan G, Jayakumar ND. Comparative analysis of presence of Cytomegalovirus (CMV) and Epsteinbarr virus -1 (EBV-1) in cases of chronic periodontitis and aggressive periodontitis with controls [Internet]. Vol. 23, Indian Journal of Dental Research. 2012. p.
454. Available from: http://dx.doi.org/10.4103/0970-9290.104948
35. Ramesh A, Varghese SS, Doraiswamy JN, Malaiappan S. Herbs as an antioxidant arsenal for periodontal
diseases. J Intercult Ethnopharmacol. 2016 Jan;5(1):92–6.
36. Ramamurthy J, Mg V. Comparison of effect of hiora mouthwash versus chlorhexidine mouthwash in
gingivitis patients: a clinical trial [Internet]. Vol. 11, Asian Journal of Pharmaceutical and Clinical
Research. 2018. p. 84. Available from: http://dx.doi.org/10.22159/ajpcr.2018.v11i7.24783
37. Mootha A, Malaiappan S, Jayakumar ND, Varghese SS, Thomas JT. The Effect of Periodontitis on
Expression of Interleukin-21: A Systematic Review [Internet]. Vol. 2016, International Journal of
Inflammation. 2016. p. 1–8. Available from: http://dx.doi.org/10.1155/2016/3507503
38. Patil S, Ranka R, Chaudhary M, Hande A, Sharma P. Prevalence of dental caries and gingivitis among
pregnant and nonpregnant women. Journal of Datta Meghe Institute of Medical Sciences University. 2018
Jan 1;13(1):44.
39. Kashetty M, Kumbhar S, Patil S, Patil P. Oral hygiene status, gingival status, periodontal status, and
treatment needs among pregnant and nonpregnant women: A comparative study. J Indian Soc Periodontol.
2018;22(2):164.
40. el-Ashiry GM, el-Kafrawy AH, Nasr MF, Younis N. Gingival condition of Egyptian pregnant women. J
Periodontol. 1971 May;42(5):271–2.
41. Samant A, Malik CP, Chabra SK, Devi PK. Gingivitis and periodontal disease in pregnancy. J
Periodontol. 1976 Jul;47(7):415–8.
42. Emmatty R, Mathew JJ, Kuruvilla J. Comparative evaluation of subgingival plaque microflora in pregnant
and non-pregnant women: A clinical and microbiologic study. J Indian Soc Periodontol. 2013
Jan;17(1):47–51.
43. of Pediatric Dentistry AA, Others. Guideline on perinatal oral health care. Reference Manual.
2011;33(11/12):118–23.
44. Ababneh KT, Abu Hwaij ZMF, Khader YS. Prevalence and risk indicators of gingivitis and periodontitis
in a multi-centre study in North Jordan: a cross sectional study. BMC Oral Health. 2012 Jan 3;12:1.
45. Taani DSMQ, Quteish DS. Oral health in Jordan [Internet]. Vol. 54, International Dental Journal. 2004. p.
395–400. Available from: http://dx.doi.org/10.1111/j.1875-595x.2004.tb00017.x
46. Mugeiren OMAI. Assessment of periodontal status among the outpatients attending private university
dental clinics in Riyadh city, Saudi Arabia. Journal of International Oral Health. 2018 Jul 1;10(4):192.
47. Balaji SK, Lavu V, Rao S. Chronic periodontitis prevalence and the inflammatory burden in a sample
population from South India. Indian J Dent Res. 2018 Mar;29(2):254–9.
48. Organization WH, World Health Organization. Oral Health Surveys: Basic Methods [Internet]. Vol. 27,
Biometrics. 1971. p. 1111. Available from: http://dx.doi.org/10.2307/2528861
49. Mital P, Amit RD, Mital P, Hooja N. Priyanka. Dental Caries and Gingivitis in Pregnant Women Sch J
App Med Sci. 2013;1(6):718–23.
50. Teshome A, Yitayeh A. Relationship between periodontal disease and preterm low birth weight:
systematic review. Pan Afr Med J. 2016 Jul 12;24:215.
51. Farhat Yaasmeen Sadique Basha, Rajeshkumar S, Lakshmi T, Anti-inflammatory activity of Myristica
fragrans extract . Int. J. Res. Pharm. Sci., 2019 ;10(4), 3118-3120 DOI:
https://doi.org/10.26452/ijrps.v10i4.1607
52. Vasiliauskiene I, Milciuviene S, Bendoraitiene E, Narbutaite J, Slabsinskiene E, Andruskeviciene V.
Dynamics of pregnant women’s oral health status during preventive programmed. Stomatologija.
2007;9(4):129–36.
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