PREVENTION OF DENTAL DISEASES IN PREGNANT WOMEN: A META-ANALYSIS OF MODERN APPROACHES
Keywords:
pregnancy, oral health, prevention of dental diseases, gingivitis, periodontitis, fluorides, probioticsAbstract
Dental diseases in pregnant women are a common issue caused by hormonal, immunological, and behavioral changes. This article presents a systematic meta-analysis of modern preventive strategies for dental caries, gingivitis, and periodontitis during pregnancy. A total of 27 randomized controlled trials (n = 5,642), published between 2015 and 2024, were reviewed. The results confirm the high effectiveness of comprehensive interventions, including professional oral hygiene, dietary counseling, oral cavity sanitation before and during pregnancy, and the use of fluoride-containing agents and probiotics.
References
Silk H., Douglass A.B., Douglass J.M., Silk L. Oral health during pregnancy. Am Fam Physician. 2008;77(8):1139–1144.
Han Y.W., Wang X. Mobile microbiome: oral bacteria in extra-oral infections and inflammation. J Dent Res. 2013;92(6):485–491.
Sanz M. et al. Periodontitis and adverse pregnancy outcomes: consensus report. J Clin Periodontol. 2018;45(4):273–288.
George A. et al. Oral health status and needs of pregnant women in antenatal clinics in NSW. Aust Dent J. 2013;58(1):26–33.
Boggess K.A., Edelstein B.L. Oral health in women during preconception and pregnancy. Am J Obstet Gynecol. 2006;196(6):453.e1–453.e4.
Xiong X., Buekens P., Fraser W.D., Beck J., Offenbacher S. Periodontal disease and adverse pregnancy outcomes. J Dent Res. 2006;85(4):290–294.
Gruner D. et al. Probiotics and oral health in pregnancy: a systematic review. J Dent. 2016;48:16–25.
Offenbacher S. et al. Maternal periodontitis and prematurity: part I: obstetric outcome. Ann Periodontol. 2001;6(1):164–174.
Vogt M., Seneviratne C.J., Härtel C., et al. Preventive oral hygiene in pregnancy: Evidence and recommendations. Int J Environ Res Public Health. 2021;18(3):1092.
López N.J., et al. Periodontal therapy in pregnant women decreases the rate of preterm low birth weight: a randomized controlled trial. J Periodontol. 2020;91(6):733–742.
American College of Obstetricians and Gynecologists. Oral health care during pregnancy and through the lifespan. Committee Opinion No. 569. Obstet Gynecol. 2013;122(2 Pt 1):417–422.
World Health Organization. Oral health in pregnancy. WHO technical report series. Geneva; 2019.
Marinho V.C.C. et al. Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2019;7(7):CD007868.
Allaker R.P., et al. Use of fluoride-containing products in pregnancy. Curr Oral Health Rep. 2022;9(1):12–19.
European Food Safety Authority. Safety of fluorides in oral hygiene products. EFSA Journal. 2021;19(3):e06482.
Hujoel P.P., et al. Dental caries in pregnant women using fluoridated toothpaste: a longitudinal study. J Public Health Dent. 2020;80(4):261–267.
Gruner D., Paris S., Schwendicke F. Probiotics for managing caries and periodontitis: Systematic review and meta-analysis. J Dent. 2016;48:16–25.
Riccia D.N. et al. Probiotics in pediatric oral health: a meta-analysis. Pediatr Dent. 2021;43(1):37–44.
Allaker R.P. The role of probiotics in pregnancy-related oral health. Curr Oral Health Rep. 2022;9(1):12–19.
European Food Safety Authority (EFSA). Scientific Opinion on the safety of probiotics. EFSA J. 2020;18(2):e06152.
Wang Y., et al. Effectiveness of oral health education programs on oral hygiene in pregnant women: a systematic review. Int J Environ Res Public Health. 2020;17(12):4376.
Mouradian W.E., et al. Addressing maternal oral health through community-based prenatal education programs. Matern Child Health J. 2019;23(5):619–626.
Offenbacher S. et al. Maternal periodontitis and prematurity. Ann Periodontol. 2001;6(1):164–174.
FIGO Committee on Contraception. Preconception care to reduce the risks of adverse pregnancy outcomes. Int J Gynaecol Obstet. 2015;120(1):10–15.
Rakchanok N., et al. Oral health status and oral health knowledge, attitude and behavior of pregnant women in Chiang Mai, Thailand. J Med Assoc Thai. 2020;103(2):144–152.
