Volume 4, Issue 1, June 2018, Page: 5-8
Determinants on Dental Caries Among Pregnant Mothers in Medical Officer of Health Area, Ambalantota, Sri Lanka
Lasantha Krishan Hirimuthugoda, Post Graduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka
Jayasekara Liyana Patabendige Chaminda, Department of Health, Ministry of Health, Colombo, Sri Lanka
Nilani Priyadarshika Gunasekara, Department of Health, Ministry of Health, Colombo, Sri Lanka
Hewa Julige Madhuwanthi Samarapala, Department of Health, Ministry of Health, Colombo, Sri Lanka
Suwandha Hannadhige Manusha Kumari, Department of Health, Ministry of Health, Colombo, Sri Lanka
Iresha Lakmali Pathirana, Department of Health, Ministry of Health, Colombo, Sri Lanka
Bragmanage Badrani Samantha Ramachandra, Post Graduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka
Sudirikku Hennadige Padmal De Silva, WHO Country Office, Colombo, Sri Lanka
Received: Jan. 13, 2018;       Accepted: Feb. 9, 2018;       Published: Mar. 6, 2018
DOI: 10.11648/j.ijdm.20180401.12      View  1050      Downloads  64
Abstract
Introduction: The negative health effects of dental caries are cumulative, tracking from childhood to adulthood and most dental caries is now occurring in adults [1-3]. Oral diseases such as dental caries, gingivitis, and periodontal diseases can occur during pregnancy [4-9]. This study was carried out in Medical officer of health (MOH) area, Ambalantota, Sri Lanka. 363 pregnant women in first visit attending antenatal clinic were recruited. Written informed consent was obtained from all subjects who agreed to take part in the study. Ethical approval was taken from faculty of Medicine, University of Ruhuna. Prior to a dental examination, demographic information regarding age, education, occupation, socioeconomic status and residence were obtained from the participants using interviewer administered questionnaire. Findings of dental examination were entered examination table separately. The mean DMFT among antenatal women was 3.8 ± 5.17, with 3.27 (± 2.31) decayed teeth, 1.85 (± 1.87) missing teeth, and 1.4 (± 1.4) filled teeth. Results were shown in table 3 with binary logistic analysis of DMFT for the overall sample of 363 pregnant women. The final model explained 6.3% to 8.4% of DMFT variation (dependant variable) with variation of independent variables (educational level up to Ordinary level, Sinhla over non-sinhala, income over 30,000, knowledge on dental services free by government and ever taken treatment) and the p-value for Hosmer–Lemeshow test of goodness of fit was 0.957, which indicated an acceptable fit of the model. In the final model significant predictors were Sinhala: Non-sinhala (adjusted OR [95% CI]: 5.67 [1.25-25.99], p=0.026) and “ever taken treatment for dental diseases”( Yes vs No: adjusted OR [95% CI]: 0.432 [0.274-0.680], p<0.0001). In this study, pregnant women in Ambalantota MOH area were found to have a significantly higher DMFT value among Sinhala women over Non- Sinhala women and similarly significantly lower DMFT value among pregnant women who sought treatment for their dental diseases against women who did not.
Keywords
Dental Caries, DMFT Value, Pregnant Mothers
To cite this article
Lasantha Krishan Hirimuthugoda, Jayasekara Liyana Patabendige Chaminda, Nilani Priyadarshika Gunasekara, Hewa Julige Madhuwanthi Samarapala, Suwandha Hannadhige Manusha Kumari, Iresha Lakmali Pathirana, Bragmanage Badrani Samantha Ramachandra, Sudirikku Hennadige Padmal De Silva, Determinants on Dental Caries Among Pregnant Mothers in Medical Officer of Health Area, Ambalantota, Sri Lanka, International Journal of Dental Medicine. Vol. 4, No. 1, 2018, pp. 5-8. doi: 10.11648/j.ijdm.20180401.12
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
WHO. Reducing free sugars intake in adults to reduce the risk of noncommunicable diseases. 2017 [cited 2017 02/01/2018].
[2]
Wagner, Y. and R. Heinrich-Weltzien, Midwives' oral health recommendations for pregnant women, infants and young children: results of a nationwide survey in Germany. BMC Oral Health, 2016. 16: p. 36.
[3]
Rakchanok, N., et al., Dental caries and gingivitis among pregnant and non-pregnant women in Chiang Mai, Thailand. 2010.
[4]
Azofeifa, A., et al., Dental caries and periodontal disease among U.S. pregnant women and nonpregnant women of reproductive age, National Health and Nutrition Examination Survey, 1999–2004. Journal of Public Health Dentistry, 2016. 76(4): p. 320-329.
[5]
Mital, P., Dental caries and gingivitis in pregnant women. Age, 2013. 25(25): p. 166.
[6]
Shaghaghian, S., et al., Dental caries status and its associated factors in pregnant women, Shiraz, Iran, 2014. Journal of Oral Health and Oral Epidemiology, 2017. 6(3): p. 165-172.
[7]
Yas, B. A. and L. Al-Azzawi, Evaluation of dental caries experience and treatment needs of pregnant women in Baghdad governorate. Journal of Baghdad College of Dentistry, 2007. 19(1): p. 107-111.
[8]
Moimaz, S. A., et al., Influence of oral health on quality of life in pregnant women. Acta Odontol Latinoam, 2016. 29(2): p. 186-193.
[9]
Ziskin, D. E., The incidence of dental caries in pregnant women. American Journal of Obstetrics and Gynecology, 1926. 12(5): p. 710-719.
[10]
Karunachandra, N. N., I. R. Perera, and G. Fernando, Oral health status during pregnancy: rural–urban comparisons of oral disease burden among antenatal women in Sri Lanka. Rural Remote Health, 2012. 12(3): p. 1902.
[11]
AL-Sultani, H. F. F., Prevalence and Severity of Dental Caries, Periodontal Diseases and Dental Erosion among (20–40) Years Old Pregnant Women in Hilla city, Babylon governorate-Iraq. health, 2013. 5(6): p. 7.
[12]
Gaszynska, E., et al., Dental awareness and oral health of pregnant women in Poland. Int J Occup Med Environ Health, 2015. 28(3): p. 603-11.
Browse journals by subject