Dental prenatal care: scientific basis for dental treatment during pregnancy

Authors

  • Priscilla Ramos Pereira Faculdade de Odontologia, UNIFIO Centro Universitários da Faculdades Integradas de Ourinhos, 19909-100 Ourinhos - SP, Brasil
  • Agnes Assao Faculdade de Odontologia, UNIFIO Centro Universitários da Faculdades Integradas de Ourinhos, 19909-100 Ourinhos - SP, Brasil
  • Andréa Lemos Falcão Procópio Faculdade de Odontologia, UNIFIO Centro Universitários da Faculdades Integradas de Ourinhos, 19909-100 Ourinhos - SP, Brasil
  • Juliana Moura Storniolo de Souza Faculdade de Odontologia, UNIFIO Centro Universitários da Faculdades Integradas de Ourinhos, 19909-100 Ourinhos - SP, Brasil
  • Marina Ciccone Giacomini Faculdade de Odontologia, UNIFIO Centro Universitários da Faculdades Integradas de Ourinhos, 19909-100 Ourinhos - SP, Brasil
  • Priscilla Santana Pinto Gonçalves Faculdade de Odontologia, UNIFIO Centro Universitários da Faculdades Integradas de Ourinhos, 19909-100 Ourinhos - SP, Brasil
  • Gerson Aparecido Foratori-Junior Departamento de Odontopediatria, Ortodontia e Saúde Coletiva, Faculdade de Odontologia de Bauru, USP Universidade de São Paulo, 17012-901 Bauru - SP, Brasil https://orcid.org/0000-0003-4760-8948

DOI:

https://doi.org/10.21270/archi.v10i8.5430

Keywords:

Prenatal Care, Pregnancy, Preventive Dentistry, Oral Health

Abstract

There are still many taboos in society about dental care during pregnancy and which, in addition to the lack of knowledge by professionals, make it difficult to spread the concept of dental prenatal care. The aim of this study was to synthesize the main evidence about the management of pregnant women, pointing out the main conducts that professionals should adopt in the establishment of a holistic dental prenatal protocol. From October/2020 to March/2021, the following databases were accessed: EMBASE, SCOPUS, MEDLINE (Entrez PubMed), Web of Science, BVS/LILACS, Cochrane Library and SCIELO. Studies published between January/2000 to March/2021 in Spanish, English and Portuguese were included. Dental care during pregnancy is safe and recommended and preventive dental protocols must be adopted for all pregnant women. Clinical dental procedures can be performed throughout pregnancy when necessary, as long as there are plausible justifications. Professionals should conduct anamnesis and clinical examination in order to avoid unnecessary exposure of patients to radiographic examinations and overtreatment. It is extremely important that dentists know the indications and contraindications of dental radiography, drug therapy and the use of local anesthetics during pregnancy, in order to act safely, ensuring health for women and their children.

Downloads

Download data is not yet available.

References

Herval ÁM, Oliveira DPD, Gomes VE, Vargas AMD. Health education strategies targeting maternal and child health: A scoping review of educational methodologies. Medicine (Baltimore). 2019;98:e16174.

Liu P, Wen W, Yu KF, Gao X, Lo ECM, Wong MCM. Effectiveness of a family-centered behavioral and educational counselling approach to improve periodontal health of pregnant women: a randomized controlled trial. BMC Oral Health. 2020;20:284.

Komine-Aizawa S, Aizawa S, Hayakawa S. Periodontal diseases and adverse pregnancy outcomes. J Obstet Gynaecol Res. 2019;45:5-12.

Silva de Araujo Figueiredo C, Gonçalves Carvalho Rosalem C, Costa Cantanhede AL, Abreu Fonseca Thomaz ÉB, Fontoura Nogueira da Cruz MC. Systemic alterations and their oral manifestations in pregnant women. J Obstet Gynaecol Res. 2017;43:16-22.

Manrique-Corredor EJ, Orozco-Beltran D, Lopez-Pineda A, Quesada JA, Gil-Guillen VF, Carratala-Munuera C. Maternal periodontitis and preterm birth: Systematic review and meta-analysis. Community Dent Oral Epidemiol. 2019;47:243-51.

Mahapatra A, Nayak R, Satpathy A, Pati BK, Mohanty R, Mohanty G, et al. Maternal periodontal status, oral inflammatory load, and systemic inflammation are associated with low infant birth weight. J Periodontol. 2021;92(8):1107-116.

Figuero E, Han YW, Furuichi Y. Periodontal diseases and adverse pregnancy outcomes: Mechanisms. Periodontol 2000. 2020;83:175-88.

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. 2018;34:e00130817.

Brasil. Ministério da Saúde (MS). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Coordenação Nacional de Saúde Bucal. Diretrizes da Política Nacional de Saúde Bucal. Brasília: MS; 2004.

Liu PP, Wen W, Yu KF, Gao X, Wong MCM. Dental Care-Seeking and Information Acquisition During Pregnancy: A Qualitative Study. Int J Environ Res Public Health. 2019;16:2621.

Sinha S, Bhat PR, Govekar VV, Trasad VA, Acharya AB. Awareness and knowledge regarding maternal periodontal status and associated pregnancy outcomes among the gynecologists of Hubli-Dharwad. J Indian Soc Periodontol. 2020;24:375-78.

Vasconcelos R, Vasconcelos M, Mafra R, Queiroz L, Barboza C. Atendimento odontológico a pacientes gestantes: como proceder com segurança. Rev. bras. odontol. 2012;69:120-24.

Rocha JS, Arima LY, Werneck RI, Moysés SJ, Baldani MH. Determinants of Dental Care Attendance during Pregnancy: A Systematic Review. Caries Res. 2018;52:139-52.

Jain V, Chari R, Maslovitz S, Farine D, Maternal Fetal Medicine Committee, Bujold E, et al. Guidelines for the Management of a Pregnant Trauma Patient. J Obstet Gynaecol Can. 2015;37:553-74.

Steinberg BJ, Hilton IV, Iida H, Samelson R. Oral health and dental care during pregnancy. Dent Clin North Am. 2013;57:195-210. Erratum in: Dent Clin North Am. 2013;57:ix.

Kelaranta A, Ekholm M, Toroi P, Kortesniemi M. Radiation exposure to foetus and breasts from dental X-ray examinations: effect of lead shields. Dentomaxillofac Radiol. 2016;45:20150095.

Kanzow P, Wegehaupt FJ, Attin T, Wiegand A. Etiology and pathogenesis of dental erosion. Quintessence Int. 2016;47:275-78.

Takahashi R, Ota E, Hoshi K, Naito T, Toyoshima Y, Yuasa H, et al. Fluoride supplementation (with tablets, drops, lozenges or chewing gum) in pregnant women for preventing dental caries in the primary teeth of their children. Cochrane Database Syst Rev. 2017;10:CD011850.

Gil L, Mínguez I, Caffesse R, Llambés F. Periodontal Disease in Pregnancy: The Influence of General Factors and Inflammatory Mediators. Oral Health Prev Dent. 2019;17:69-73.

Sharma S, Chandra S, Gupta S, Srivastava S. Heterogeneous conceptualization of etiopathogenesis: Oral pyogenic granuloma. Natl J Maxillofac Surg. 2019;10:3-7.

Bi WG, Emami E, Luo ZC, Santamaria C, Wei SQ. Effect of periodontal treatment in pregnancy on perinatal outcomes: a systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2021;34(19):3259-68.

Tosounidou S, Gordon C. Medications in pregnancy and breastfeeding. Best Pract Res Clin Obstet Gynaecol. 2020;64:68-76.

Poletto VC, Stona P, Weber JBB, Fritscher AMGl. Atendimento odontológico em gestantes: uma revisão de literatura. Stomatos. 2008;14:64-75.

Rodrigues F, Mármora B, Carrion SJ, Rego AEC, Pospich FS. Anestesia local em gestantes na odontologia contemporânea. J Health NPEPS. 2017;2:254-71.

Ouanounou A, Haas DA. Drug therapy during pregnancy: implications for dental practice. Br Dent J. 2016;220:413-17.

Downloads

Published

2021-07-16

How to Cite

Pereira, P. R., Assao, A., Procópio, A. L. F., Souza, J. M. S. de, Giacomini, M. C., Gonçalves, P. S. P., & Foratori-Junior, G. A. (2021). Dental prenatal care: scientific basis for dental treatment during pregnancy. ARCHIVES OF HEALTH INVESTIGATION, 10(8), 1292–1298. https://doi.org/10.21270/archi.v10i8.5430

Issue

Vol. 10 No. 8 (2021)

Section

Original Articles