Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 26, 2024; 12(21): 4566-4573
Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4566
Effects of personalized oral hygiene management on oral health status of pregnant women
Xiao-Chen Men, Xiao-Pei Du, Ying Ji
Xiao-Chen Men, Ying Ji, Department of Prevention, Dalian Stomatological Hospital, Dalian 116021, Liaoning Province, China
Xiao-Pei Du, Department of Dentistry and Endodontics, Dalian Stomatological Hospital, Dalian 116021, Liaoning Province, China
Author contributions: Men XC performed the study; Men XC, Du XP and Ji Y analyzed the data; Men XC designed the research and wrote the manuscript. All authors have read and approve the final manuscript.
Supported by Dalian Science and Technology Plan Project, No 2022080102.
Institutional review board statement: This study was approved by the Ethic Committee of Dalian Stomatological Hospital.
Informed consent statement: The requirement for written informed consent was waived due to retrospective design of the study.
Conflict-of-interest statement: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Data sharing statement: Dataset available from the corresponding author at ei_ki@hotmail.com.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: Https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ying Ji, MD, PhD, Chief Physician, Professor, Department of Prevention, Dalian Stomatological Hospital, No. 934 Changjiang Road, Shahekou District, Dalian 116021, Liaoning Province, China. ei_ki@hotmail.com
Received: April 24, 2024
Revised: June 6, 2024
Accepted: June 20, 2024
Published online: July 26, 2024
Processing time: 66 Days and 19.4 Hours
Abstract
BACKGROUND

The Cariostat caries activity test (CAT) was used to evaluate the effectiveness of personalized oral hygiene management combining oral health education and professional mechanical tooth cleaning on the oral health status of pregnant women.

AIM

To investigate whether personalized oral hygiene management enhances the oral health status of pregnant women.

METHODS

A total of 114 pregnant women who were examined at Dalian Women’s and Children’s Medical Center were divided into four groups: High-risk experimental group (n = 29; CAT score ≥ 2; received personalized oral hygiene management training), low-risk experimental group (n = 29; CAT score ≤ 1; received oral health education), high-risk control group (n = 28; CAT score ≥ 2), and low-risk control group (n = 28; CAT score ≤ 1). No hygiene intervention was provided to control groups. CAT scores at different times were compared using independent samples t-test and least significant difference t-test.

RESULTS

No significant difference in baseline CAT scores was observed between the experimental and control groups, either in the high-risk or low-risk groups. CAT scores were reduced significantly after 3 (1.74 ± 0.47 vs 2.50 ± 0.38, P < 0.0001) and 6 months (0.53 ± 0.50 vs 2.45 ± 0.42, P < 0.0001) of personalized oral hygiene management intervention but not after oral health education alone (0.43 ± 0.39 vs 0.46 ± 0.33, P > 0.05 and 0.45 ± 0.36 vs 0.57 ± 0.32, P > 0.05, respectively). Within groups, the decrease in CAT scores was significant (2.43 ± 0.44 vs 1.74 ± 0.47 vs 0.53 ± 0.50, P < 0.0001) for only the high-risk experimental group.

CONCLUSION

Personalized oral hygiene management is effective in improving the oral health of pregnant women and can improve pregnancy outcomes and the oral health of the general population.

Keywords: Oral health care, Pregnant women, Decayed teeth, Cariostat caries activity test, Professional mechanical tooth cleaning, Personalized oral hygiene management

Core Tip: The Cariostat caries activity test (CAT) was used to evaluate the effectiveness of personalized oral hygiene management combining oral health education and professional mechanical tooth cleaning on the oral health of pregnant women. CAT scores were significantly improved after 3 months and 6 months of personalized oral hygiene management. However, oral health education alone did not improve the scores. Personalized oral hygiene management is effective in improving the oral health of pregnant women and can improve pregnancy outcomes and the oral health of the general population.