Document Detail


Obstetricians' knowledge and practice behaviors concerning periodontal health and preterm delivery and low birth weight.
MedLine Citation:
PMID:  18173895     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Investigators have reported that periodontal disease may be a risk factor for pregnancy complications including preterm delivery (PTD) and low birth weight (LBW). This study assessed obstetricians' knowledge and practice behaviors concerning periodontal disease and its role in adverse pregnancy outcomes. METHODS: One hundred ninety four practicing obstetricians in a 5 county area in central North Carolina were surveyed. Of the 138 eligible physicians, 55 responded yielding a 40% response rate. RESULTS: Most answered correctly when asked about the description of gingivitis (95%). A lower number of respondents were correct when asked about the description of periodontitis (67%). When asked about what causes periodontal disease or what is associated with periodontal disease, most answered correctly with bacteria (94%), although many answered tooth decay (73%), aging (69%), and excess dietary sugar (51%). Most were correct in responding that periodontitis was more serious than gingivitis (80%). Twenty-two percent looked into patients' mouths at initial prenatal examination, 9% periodically, and 48% only when a problem was mentioned by the patient. Forty-nine percent rarely or never recommended a dental examination. Most (84%) considered periodontal disease to be as important a risk factor to adverse pregnancy events as those currently known in obstetrics practice. CONCLUSIONS: Data from this study demonstrate that there is knowledge of periodontal disease and its potential role as a pregnancy risk factor but suggest limited incorporation of dental care into clinical medical practice.
Authors:
Rebecca Wilder; Christina Robinson; Heather L Jared; Susi Lieff; Kim Boggess
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-10-01
Journal Detail:
Title:  Journal of dental hygiene : JDH / American Dental Hygienists' Association     Volume:  81     ISSN:  1553-0205     ISO Abbreviation:  J Dent Hyg     Publication Date:  2007  
Date Detail:
Created Date:  2008-01-04     Completed Date:  2008-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902616     Medline TA:  J Dent Hyg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  81     Citation Subset:  D    
Affiliation:
University of North Carolina School of Dentistry, Chapel Hill, NC, USA. RebeccaW@adha.net
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Health Knowledge, Attitudes, Practice*
Humans
Infant, Low Birth Weight
Infant, Newborn
Male
North Carolina
Obstetrics*
Periodontal Diseases / complications*
Physician's Practice Patterns
Pregnancy
Premature Birth / etiology*
Questionnaires
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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