Pesquisa Brasileira em Odontopediatria e Clínica Integrada ISSN: 1519-0501 [email protected] Universidade Federal da Paraíba Brasil

Marão Martins, Rafiza Felix; Paiva de Azevedo, Juliana Aires; Leite Dourado, Carolina Raiane; Costa Ribeiro, Cecília Cláudia; Coelho Alves, Cláudia Maria; Abreu Fonseca Thomaz, Erika Bárbara Oral Health Behaviors and Dental Treatment During : A Cross-Sectional Study Nested in a Cohort in Northeast Brazil Pesquisa Brasileira em Odontopediatria e Clínica Integrada, vol. 14, núm. 1, 2014, pp. 5-11 Universidade Federal da Paraíba Paraíba, Brasil

Disponible en: http://www.redalyc.org/articulo.oa?id=63731552001

Cómo citar el artículo Número completo Sistema de Información Científica Más información del artículo Red de Revistas Científicas de América Latina, el Caribe, España y Portugal Página de la revista en redalyc.org Proyecto académico sin fines de lucro, desarrollado bajo la iniciativa de acceso abierto ISSN - 1519-0501 http://dx.doi.org/ 10.4034/PBOCI.2014.141.01

Oral Health Behaviors and Dental Treatment During Pregnancy: A Cross-Sectional Study Nested in a Cohort in Northeast Brazil

Rafiza Felix Marão Martins1, Juliana Aires Paiva de Azevedo1, Carolina Raiane Leite Dourado1, Cecília Cláudia Costa Ribeiro1, Cláudia Maria Coelho Alves1, Erika Bárbara Abreu Fonseca Thomaz2

1 School of Dentistry, Federal University of Maranhão, Brazil. 2 Public Health Department, Federal University of Maranhão, Brazil.

ABSTRACT

Objective: To evaluate changes in oral health behavior and the use of dental health services during pregnancy. Material and Methods: This is a cross- sectional study nested in a prospective cohort of pregnant women in the city of São Luís, MA. A total of 262 women receiving prenatal care at the Mother- Infant University Hospital were interviewed, through a semi-structured questionnaire, regarding their use of dental services, type of dental treatment received, dietary habits, and before and during pregnancy. The Wilcoxon and McNemar tests (alpha=1%) were used to evaluate the differences in behavior before and during pregnancy. Results: Of the pregnant women evaluated, 33 women (12.6%) reported undergoing at least one dental consultation during their pregnancy. Of these women, 30 (11.4%) had at least one consultation during their first trimester, 10 (3.8%) during their second trimester, and 2 (0.8%) during their third trimester. Preventative and restorative treatments were the most common treatments. There were differences in the behaviors of women related to oral health before and during pregnancy. Subjects reported less frequent daily and post-meal tooth brushing and weekly dental floss and fluoridated mouthwash use during pregnancy compared to prepregnancy (p<0.001). They also reported eating more snacks (p<0.001) and meals (p=0.011) per day during pregnancy compared to prepregnancy. Only the habit of regular sugary food consumption did not vary significantly (p=0.169). Conclusion: There are behavioral changes during pregnancy that can cause dental caries and . Despite these concerns, dental health professionals are not adequately caring for pregnant women. Therefore, public policies incentivizing prenatal dental care are needed.

Key-words: Pregnancy; Dental Caries; Risky Behavior; Oral Hygiene; Eating Habits.

women [5,6]. Some studies suggest an association INTRODUCTION between pregnancy and periodontal disease [1], which

has been investigated as a potential risk factor for premature and/or low-birth-weight newborns Some of the oral changes associated with [7,8].These evidences reinforce the fact that dental visits pregnancy include gravidarium, pyogenic and dental treatment (DT) are needed during the granuloma, and dental caries [1,2]. Although