PREVALÊNCIA E FATORES ASSOCIADOS À DOENÇA PERIODONTAL EM PUÉRPERAS ATENDIDAS EM MATERNIDADE PÚBLICA EM LONDRINA, PARANÁ

Objetivo: Estimar a prevalencia e identificar fatores associados a doenca periodontal em puerpera. Metodo: Foram entrevistadas e examinadas 472 puerperas em maternidade publica do municipio de Londrina, Parana no periodo de junho a julho de 2009. Para o exame bucal e diagnostico da doenca periodontal utilizou-se o Indice Periodontal Comunitario, que foi realizado por tres cirugioes-dentistas, previamente treinados e calibrados (k inter =0,87). Resultados: A prevalencia da doenca periodontal foi de 41,1%. Entre a puerperas com o agravo, 8,2% apresentaram sangramento gengival, 49,0% calculo e 42,8% bolsa periodontal (4-5mm) como o pior resultado. O modelo final da Regressao de Poisson apontou associacao (p<0,05) da doenca periodontal entre as puerperas com 20 anos de idade ou mais, com baixa escolaridade (? 4 anos de estudo), sangramento gengival (auto-referido) anterior a gestacao e habito de fumar ha mais de 10 anos. Conclusao: Os resultados reforcam a necessidade da melhoria no acesso ao atendimento odontologico pelo Sistema Unico de Saude, por meio de acoes que promovam, previnam e recuperem a saude bucal individual e coletiva, incluindo a atencao especializada de periodontia.

[1]  E. Schwarz,et al.  Oral health in a convenience sample of Chinese older adults living in Melbourne, Australia , 2012, International Journal of Public Health.

[2]  J. Jun,et al.  Oral health behaviors, periodontal disease, and pathogens in preeclampsia: a case-control study in Korea. , 2011, Journal of periodontology.

[3]  I. Cetin,et al.  Self-reported oral hygiene habits and periodontal symptoms among postpartum women , 2011, Archives of Gynecology and Obstetrics.

[4]  J. Cecatti,et al.  Periodontal disease and some adverse perinatal outcomes in a cohort of low risk pregnant women , 2010, Reproductive health.

[5]  Cléa Adas Saliba Garbin,et al.  Periodontite materna e nascimento de bebes pré-termo ou de baixo peso – existe associação? , 2010 .

[6]  Nemre Adas Saliba,et al.  Condição periodontal durante a gestação em um grupo de mulheres brasileiras , 2006, Brazilian Dental Science.

[7]  M. Keirse,et al.  Women's attitudes to and perceptions of oral health and dental care during pregnancy , 2010, Journal of perinatal medicine.

[8]  A. Åstrøm,et al.  Socio-demographic factors related to periodontal status and tooth loss of pregnant women in Mbale district, Uganda , 2009 .

[9]  J. Hodges,et al.  Change in periodontitis during pregnancy and the risk of pre-term birth and low birthweight. , 2009, Journal of clinical periodontology.

[10]  R. Biffar,et al.  Epidemiology of periodontal diseases in the Study of Health in Pomerania. , 2009, Journal of clinical periodontology.

[11]  Gary D Slade,et al.  Smoking-attributable periodontal disease in the Australian adult population. , 2008, Journal of clinical periodontology.

[12]  P. Middleton,et al.  Oral and dental health care practices in pregnant women in Australia: a postnatal survey , 2008, BMC pregnancy and childbirth.

[13]  C. Pérez,et al.  Determinación de la necesidad de tratamiento periodontal en jóvenes de una escuela militar , 2008 .

[14]  M. Nauta,et al.  Self-reported oral hygiene habits, dental attendance and attitudes to dentistry during pregnancy in a sample of immigrant women in North London , 2008, Archives of Gynecology and Obstetrics.

[15]  J. Ferguson,et al.  Should We Treat Periodontal Disease During Gestation to Improve Pregnancy Outcomes? , 2007, Clinical obstetrics and gynecology.

[16]  A. Sant’Ana,et al.  Interação entre a doença periodontal e a gravidez , 2007 .

[17]  E. Inoshita,et al.  Relationship between smoking status and periodontal conditions: findings from national databases in Japan. , 2006, Journal of periodontal research.

[18]  S. C. Cortelli,et al.  Condição periodontal de um subgrupo populacional do município de Guarulhos, SP , 2006 .

[19]  M. Kubo,et al.  The influence of current and former smoking on gingival bleeding: the Hisayama study. , 2006, Journal of periodontology.

[20]  R. Palmer,et al.  Investigation of periodontal destruction patterns in smokers and non-smokers. , 2006, Journal of clinical periodontology.

[21]  L. Lim,et al.  Periodontal disease -- the emergence of a risk for systemic conditions: pre-term low birth weight. , 2005, Annals of the Academy of Medicine, Singapore.

[22]  J. Lauris,et al.  Influence of age, sex, plaque and smoking on periodontal conditions in a population from Bauru, Brazil. , 2004, Journal of applied oral science : revista FOB.

[23]  J. Hauth,et al.  Periodontal Disease and Upper Genital Tract Inflammation in Early Spontaneous Preterm Birth , 2004, Obstetrics and gynecology.

[24]  P. Axelsson,et al.  Some risk factors for periodontal bone loss in 50-year-old individuals. A 10-year cohort study. , 2004, Journal of clinical periodontology.

[25]  M. Oettinger,et al.  Common Oral Manifestations During Pregnancy: A Review , 2003, Obstetrical & gynecological survey.

[26]  Lisa Mills,et al.  Oral Health During Pregnancy , 2013 .

[27]  J. Echeverría,et al.  Effects of smoking on periodontal tissues. , 2002, Journal of clinical periodontology.

[28]  J. Beck,et al.  Maternal periodontitis and prematurity. Part I: Obstetric outcome of prematurity and growth restriction. , 2001, Annals of periodontology.

[29]  P. Gjermo.  Factors influencing the assessment of treatment needs. , 1991, Journal of clinical periodontology.

[30]  B. Burt,et al.  Dentistry, dental practice, & the community , 1992 .