Oral health status and oral health-related quality of life in pregnant women from socially deprived populations

Autor: Celina, Cornejo, Glenda, Rossi, Andres, Rama, Narda, Gomez-Gutierrez, Gabriela, Alvaredo, Aldo, Squassi, Graciela, Klemonskis
Rok vydání: 2013
Předmět:
Zdroj: Acta odontologica latinoamericana : AOL. 26(2)
ISSN: 0326-4815
Popis: The aim of the present work was to explore whether there is a relationship between oral health status and oral health-related quality of life in pregnant women from socially deprived populations in Buenos Aires City. Eighty pregnant women (age 18-39 x = 25.19 +/- 6.56) in their 1st/2nd trimester were sampled from the population of women visiting a health center located in the south of Buenos Aires City for their pregnancy check-ups. The impact of oral disease was assessed using the Spanish validated version (López, 2006) of OHIP-49 (Slade and Spencer, 1994), which includes 49 items grouped into 7 domains. Each question has five possible answers, to which values ranging from 1 to 5 were assigned. To assess oral health status, 4 calibrated researchers performed a clinical examination and recorded: Gingival Index (Löe and Silness, 1963); depth on probing, clinical attachment level, bleeding on probing and DMFT discriminating its components. Variables were analyzed in the population as a whole and in groups regarding previous dental attention (presence of fillings). Statistical analysis included: Chi Square test to establish association between variables and t-test to compare groups. 93.75% of the patients showed clinical signs of gingivitis, 2.5% showed clinical signs of periodontitis. Mean DMFT was 12.24 +/- 6.48 (D/DMFT = 6.46 +/- 4.64; M/DMFT = 4.09 +/- 4.31; F/DMFT = 2.53 +/- 3.52); 73.3% of the patients had at least one missing tooth; 92.1% presented active caries lesions; 53.7% had at least one filling. Most frequent impacts were reported in the domains: psychological discomfort (59.9% = frequent concern about dental problems) and functional limitation (51.1% = frequent perception that "a tooth did not look good"). Oral health status and oral health-related quality of life showed no significant association. Domains involving functional limitation (p0.04) and physical disability (p0.01) showed higher levels of impact in the group of patients with previous dental care (presence of fillings). Oral health-related quality of life did not reflect health status; nevertheless, it may be an intervenient variable regarding demand for dental service.
Databáze: OpenAIRE