Preventive and recuperative oral health care for pregnant women in Peru

Authors

DOI:

https://doi.org/10.20453/reh.v33i4.5117

Keywords:

oral health, pregnancy, dental health services, oral care, dental health, prenatal care.

Abstract

During pregnancy, physiological changes increase the risk of oral pathologies, such as periodontitis, gingivitis, caries lesions, dental erosion and pyogenic granulomas. Therefore, it is essential to provide timely care to maintain the oral health of pregnant women. Objective: To describe the characteristics of preventive and recovery oral health care in pregnant women in public health centers in Peru. Materials and methods: Observational, descriptive, cross-sectional study based on secondary data on odontostomatology care during 2017. The variables trimester of pregnancy, maternal age range, preventive and recuperative procedure, region, and treatment condition were analyzed. The data were analyzed in the RStudio program, and the results were presented in tables with relative and absolute frequencies. Results: 35,523 preventive procedures were performed, 37.3% in the second trimester; 21.8% corresponded to stomatological examination; and 21.7% to oral hygiene instruction; 69.8% in the 18-29-year age group; and 15.5% in the Junin region. There were 4265 recovery procedures, 39.0 % in the second trimester; 53.1 % corresponded to dental scaling and 18.9 % to stomatological consultation, 61.7 % in the 18-29-year age group, and 16.25 % in the Huánuco region. Conclusion: A more significant number of pregnant women accessed preventive care compared to access to oral health recovery procedures, and the dropout rate was predominant in both cases. Both procedures were performed more frequently in high Andean regions and young adult mothers during the second trimester.

References

Silk H, Douglass AB, Douglass JM, Silk L. Oral health during pregnancy. Am Fam Physician [Internet]. 2008; 77(8): 1139-1144. Disponible en: https://www.aafp.org/pubs/afp/issues/2008/0415/p1139.html

Hartnett E, Haber J, Krainovich-Miller B, Bella A, Vasilyeva A, Lange Kessler J. Oral health in pregnancy. J Obstet Gynecol Neonatal Nurs [Internet]. 2016; 45(4): 565-573. Disponible en: https://www.jognn.org/article/S0884-2175(16)30159-9/fulltext

Yenen Z, Ataçağ T. Oral care in pregnancy. J Turk Ger Gynecol Assoc [Internet]. 2019; 20(4): 264-268. Disponible en: https://cms.galenos.com.tr/Uploads/Article_20516/JTGGA-20-264-En.pdf

Kurien S, Kattimani VS, Sriram RR, Sriram SK, Rao P, Bhupathi A, et al. Management of pregnant patient in dentistry. J Int Oral Health [Internet]. 2013; 5(1): 88-97. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3768073/

Favero V, Bacci C, Volpato A, Bandiera M, Favero L, Zanette G. Pregnancy and dentistry: a literature review on risk management during dental surgical procedures. Dent J (Basel) [Internet]. 2021; 9(4): 46. Disponible en: https://www.mdpi.com/2304-6767/9/4/46

Teixeira LG, Traebert E, Nunes A, Espíndola S, Traebert J. The influence of the first thousand days of life on establishing determinant behaviors for dental caries in childhood. Pesqui Bras Odontopediatria Clin Integr [Internet]. 2021; 21: e0216. Disponible en: https://www.scielo.br/j/pboci/a/GvsQfvcX6yhQKkYXFty8bMn/?lang=en#

Abanto J, Butini L, Martins S, Guarnizo-Herreño C, Correia F, Bönecker M. Impact of the first thousand days of life on dental caries through the life course: a transdisciplinary approach. Braz Oral Res [Internet]. 2022; 36: e113. Disponible en: https://www.scielo.br/j/bor/a/3BC9hZQhSmf3QVMbJjfM93K/?lang=en

Xiao J, Alkhers N, Kopycka-Kedzierawski DT, Billings RJ, Wu TT, Castillo DA, et al. Prenatal oral health care and early childhood caries prevention: a systematic review and meta-analysis. Caries Res [Internet]. 2019; 53(4): 411-421. Disponible en: https://karger.com/cre/article/53/4/411/86354/Prenatal-Oral-Health-Care-and-Early-Childhood

Ministerio de Salud. Guías nacionales de atención integral de la salud sexual y reproductiva [Internet]. Lima: Minsa; 2004. Disponible en: https://www.gob.pe/institucion/minsa/informes-publicaciones/352964-guias-nacionales-de-atencion-integral-de-la-salud-sexual-y-reproductiva

Ministerio de Salud. Guía de buenas prácticas del desempeño: Servicio materno infantil, salud sexual y reproductiva y planificación familiar. Primer nivel de atención [Internet]. Lima: Minsa; 2010. Disponible en: https://www.gob.pe/institucion/minsa/informes-publicaciones/321792-guia-de-buenas-practicas-del-desempeno-servicio-materno-infantil-salud-sexual-y-reproductiva-y-planificacion-familiar-primer-nivel-de-atencion

Azañedo D, Hernández-Vásquez A, Casas-Bendezú M, Gutiérrez C, Agudelo-Suárez AA, Cortés S. Factors determining access to oral health services among children aged less than 12 years in Peru. F1000Res [Internet]. 2017; 6: 1680. Disponible en: https://f1000research.com/articles/6-1680/v1

Azañedo D, Vargas-Fernández R, Rojas-Roque C. Factors associated with the use of oral health services in older peruvian adults: secondary analysis of population survey, 2018. Rev Peru Med Exp Salud Pública [Internet]. 2019; 36(4): 553-561. Disponible en: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4724

Mäs S, Henzen D, Bernard L, Müller MS. Generic schema descriptions for comma-separated values files of environmental data [Internet]. Lund: AGILE [21st Conference on Geo-Information Science]; 2018. Disponible en: https://www.semanticscholar.org/paper/Generic-Schema-Descriptions-for-Comma-Separated-of-M%C3%A4s-Henzen/a52deec16fe36d922029cae7a5f4cb25306b8af6

Naseem M, Khurshid Z, Khan HA, Niazi F, Zohaib S, Zafar MS. Oral health challenges in pregnant women: recommendations for dental care professionals. Saudi Dent J [Internet]. 2016; 7(2): 138-146. Disponible en: https://www.sciencedirect.com/science/article/pii/S2352003515000404?via%3Dihub

Gaffield ML, Gilbert BJ, Malvitz DM, Romaguera R. Oral health during pregnancy: an analysis of information collected by the pregnancy risk assessment monitoring system. J Am Dent Assoc [Internet]. 2001; 132(7): 1009-1016. Disponible en: https://jada.ada.org/article/S0002-8177(14)61775-X/fulltext

Dos Santos Neto ET, Oliveira AE, Zandonade E, Leal MC. Acesso à assistência odontológica no acompanhamento pré-natal. Ciênc Saúde Coletiva [Internet]. 2012; 17(11): 3057-3068. Disponible en: https://www.scielo.br/j/csc/a/6kFkDxx8tYygQxckcBHssgv/?lang=pt

Velásquez A, Suarez D, Nepo-Linares E. Reforma del sector salud en el Perú: derecho, gobernanza, cobertura universal y respuesta contra riesgos sanitarios. Rev Peru Med Exp Salud Pública [Internet]. 2016; 33(3): 546-555. Disponible en: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2338

Nyamuryekung’e KK, Lahti SM, Tuominen RJ. The relative patient costs and availability of dental services, materials and equipment in public oral care facilities in Tanzania. BMC Oral Health [Internet]. 2015; 15(1): 74. Disponible en: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-015-0061-3

Chaemsaithong P, Lertrut W, Kamlungkuea T, Santanirand P, Singsaneh A, Jaovisidha A, et al. Maternal septicemia caused by Streptococcus mitis: a possible link between intra-amniotic infection and periodontitis. Case report and literature review. BMC Infect Dis [Internet]. 2022; 22: 562. Disponible en: https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-022-07530-z

Ayala Mateo KE. Coberturas de atención estomatológica preventiva y recuperativa en pacientes del puesto de salud Mateo Pumacahua-Chorrillos, 2016 [tesis de maestría en Internet]. Lima: Universidad César Vallejo; 2018. Disponible en: https://hdl.handle.net/20.500.12692/16200

Caira-Chuquineyra B, Fernandez-Guzman D, Meza-Gómez A, Luque-Mamani BM, Medina-Carpio SL, Mamani-García CS, et al. Prevalence and associated factors of adolescent pregnancy among sexually active adolescent girls: evidence from the Peruvian demographic and family health survey, 2015-2019. F1000Res [Internet]. 2023; 11: 566. Disponible en: https://f1000research.com/articles/11-566/v2

Fernandes de Azevedo W, Diniz MB, Borges Fonseca ESV, Ricarte de Azevedo LM, Evangelista CB. Complications in adolescent pregnancy: systematic review of the literature. Einstein (Sao Paulo) [Internet]. 2015; 13(4): 618-626. Disponible en: https://www.scielo.br/j/eins/a/ffgXwmQK9dsV5yz5KMrBwhk/?lang=en

Weyant RJ, Manz M, Corby P, Rustveld L, Close J. Factors associated with parents’ and adolescents’ perceptions of oral health and need for dental treatment. Community Dent Oral Epidemiol [Internet]. 2007; 35(5): 321-330. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1600-0528.2006.00336.x

Opacic J, Maldonado A, Ramseier CA, Laugisch O. [Influence of periodontitis on pregnancy and childbirth]. Swiss Dent J [Internet]. 2019; 129(7-8): 581-589. Disponible en: https://www.swissdentaljournal.org/fileadmin/upload_sso/2_Zahnaerzte/2_SDJ/SDJ_2019/SDJ_Pubmed_2019/sdj-2019-07-08-03.pdf

Giglio JA, Lanni SM, Laskin DM, Giglio NW. Oral health care for the pregnant patient. J Can Dent Assoc [Internet]. 2009; 75(1): 43-48. Disponible en: https://www.cda-adc.ca/jcda/vol-75/issue-1/43.html

Bastarrechea Milián M, Fernández Ramirez L, Martínez Naranjo T. La embarazada y su atención estomatológica integral como grupo priorizado: área de salud Moncada. Rev Cubana Estomatol [Internet]. 2009; 46(4): 60-69. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75072009000400007

World Health Organization. Draft Global Oral Health Action Plan (2023–2030) [Internet]. WHO; 2023. Disponible en: https://www.who.int/publications/m/item/draft-global-oral-health-action-plan-(2023-2030)

Rocha JS, Arima LY, Werneck RI, Moysés SJ, Baldani MH. Determinants of dental care attendance during pregnancy: a systematic review. Caries Res [Internet]. 2018; 52(1-2): 139-152. Disponible en: https://karger.com/cre/article/52/1-2/139/86179/Determinants-of-Dental-Care-Attendance-during

Petersen PE, Baez RJ, Ogawa H. Global application of oral disease prevention and health promotion as measured 10 years after the 2007 World Health Assembly statement on oral health. Community Dent Oral Epidemiol [Internet]. 2020; 48(4): 338-348. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/cdoe.12538

Da Silva CC, Savian CM, Prevedello BP, Zamberlan C, Dalpian DM, Dos Santos BZ. Access and use of dental services by pregnant women: an integrative literature review. Cien Saude Colet [Internet]. 2020; 25(3): 827-835. Disponible en: https://www.scielo.br/j/csc/a/CX5kBKsHT8DmZckSvqThqBw/?lang=pt

Javali MA, Saquib SA, Abdul Khader M, Khalid I, AlShahrani AY, Kanji MA, et al. Oral health knowledge, attitude, and practice of pregnant women in Deccan, South India: a cross-sectional prenatal survey. J Med Life [Internet]. 2022; 15(3): 420-424. Disponible en: https://medandlife.org/wp-content/uploads/JMedLife-15-420.pdf

Patil S, Thakur R, K M, Paul ST, Gadicherla P. Oral health coalition: knowledge, attitude, practice behaviours among gynaecologists and dental practitioners. J Int Oral Health [Internet]. 2013; 5(1): 8-15. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3768076/

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 Saude Publica [Internet]. 2018; 34(8): e00130817. Disponible en: https://www.scielo.br/j/csp/a/FZ6Ymj43GcCvRpkxxGFDZQG/?lang=en

Bulgareli JV, Cortellazzi KL, Guerra LM, Ambrosano GMB, Kaieda AK, da Cunha IP, et al. Determinants of adherence to dental treatment of socially vulnerable adolescents: a cohort study. BMC Res Notes [Internet]. 2021; 14(1): 116. Disponible en: https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-021-05525-8

Adham MM, El Kashlan MK, Abdelaziz WE, Rashad AS. The impact of minimally invasive restorative techniques on perception of dental pain among pregnant women: a randomized controlled clinical trial. BMC Oral Health [Internet]. 2021; 21: 76. Disponible en: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-021-01432-3

Shenoy R, Jain A, Kundabala M. Atraumatic restorative treatment for dental caries among pregnant women attending primary health centres: a small scale demonstration. J Interdiscip Dentistry [Internet]. 2014; 4(2): 71-75. Disponible en: https://journals.lww.com/joid/fulltext/2014/04020/atraumatic_restorative_treatment_for_dental_caries.4.aspx

Zanata RL, Fagundes TC, Freitas MCC de A, Lauris JRP, Navarro MF de L. Ten-year survival of ART restorations in permanent posterior teeth. Clin Oral Investig [Internet]. 2011; 15(2): 265-271. Disponible en: https://link.springer.com/article/10.1007/s00784-009-0378-x

Hernández-Vásquez A, Vilcarromero S, Rubilar-González J. Desatención a la salud oral infantil como un problema de salud pública en el Perú. Rev Peru Med Exp Salud Pública [Internet]. 2015; 32(3): 604-605. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1726-46342015000300029

Strafford KE, Shellhaas C, Hade EM. Provider and patient perceptions about dental care during pregnancy. J Matern Fetal Neonatal Med [Internet]. 2008; 21(1): 63-71. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/14767050701796681

Published

2023-12-13

How to Cite

1.
Vicuña-Huaqui LAV-H, Diaz-Campos JS, Poves-Campos JZ, Blanco-García LE. Preventive and recuperative oral health care for pregnant women in Peru. Rev Estomatol Herediana [Internet]. 2023 Dec. 13 [cited 2024 May 13];33(4):331-43. Available from: https://revistas.upch.edu.pe/index.php/REH/article/view/5117

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