Abstract

LACALZADA-PASTOR, M. et al. Periodontal and mucosal status in a group of pregnant women: Clinical study. Avances en Periodoncia [online]. 2011, vol.23, n.2, pp.123-128. ISSN 2340-3209.

Background: The hormonal changes during pregnancy are reflected in the periodontal health, the aim of this study is to evaluate and quantify these changes in the oral cavity of 165 patients as well as their mucosal status and to compare the perception pregnant women have of their own oral health and the obtained results of their periodontal status. Methods: Patients included in the study were selected from the routine dental revision program of a public health centre. An oral exploration was performed. Periodontal status was evaluated by means of the Community Periodontal Index of Treatment Needs (CPITN). Teeth 16, 11, 26, 36, 31 and 46 from each patient were proben and the chosen value was the highest one of all sextants. 56 patients came back for reevaluation. The status of the oral mucosa was also inspected. Results: Among the 165 patients, the 5% were considered non-valuable (9), the 35% scored value 0 (57), the 46% scored value 1 (76), the 12% value 2 (20) and the 2% value 3 (1). Among the 56 who came back for reevaluation 13 of them did improve (23%), 6 got worse (10%) and 37 (66%) maintained. Only one person had an oral lesion: a ranula. Conclusions: Despite there was a group free of periodontal pathology, 35%, the majority of the patients (46%) had gingivitis and some of them periodontitis (14%). It is important for us to recommend the pregnant patients to come for a buccal exploration as well as carrying out a preventive labour in all patients in fertile age.

Keywords : Gingivitis; periodontitis; pregnancy; hormones; oral mucosa.

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