임신 중기 임부의 치주병 관련 위험요인과 일부 치주병 병원체의 분포
Periodontal condition and pathogens distribution of pregnant women
하정은, 여보미, 노희열, 백대일, 배광학,
소속 상세정보
하정은 ( Ha Jung-Eun ) - 서울대학교 치의학대학원 예방치학교실
여보미 ( Yeo Bo-Mi ) - 서울대학교 치과대학 예방치학교실
노희열 ( Roh Hui-Yul ) - 서울대학교 치과대학 예방치학교실
백대일 ( Paik Dai-Il ) - 서울대학교 치과대학 예방치학교실
배광학 ( Bae Kwang-Hak ) - 서울대학교 치과대학 예방치학교실
KMID : 0355420100340040587
Abstract
Objectives.The objectives of this cross-sectional study were to examine the periodontal condition and health behavior of pregnant women and to analyze the distribution of periodontal pathogens by oral health behaviors.
Methods.This study was designed as a hospital-based cross-sectional study. Pregnant women were recruited at about 24 weeks gestation from March 2009 to April 2010 at the obstetrics clinic of general hospital located in Seoul, South Korea. The information of demographic, behavior and health conditions that may influence periodontitis were collected. Full mouth periodontal probing was taken by one trained examiner for the diagnosis of periodontitis. The periodontitis was defined as periodontal attachment loss of 3.5 mm and over on 2 or more sites not on same tooth. Subgingival biofilm and gingival crevicular fluid were collected using two sterilized paper point (#20) for quantitative analysis of prevotella intermedia, porphyromonas gingivalis and treponema denticola.
Results.One hundred thirteen pregnant women were included. Adjusted odds ratio of use the floss or interdental brush was 0.22. Pregnant women using the floss or interdental brush, and receiving the scaling before pregnancy had the lower level of T. denticola, P. gingivalis and P. intermedia than pregnant women who didn’t use the floss or interdental brush and not receive the scaling.
Conclusions.Oral health behaviors, such as use the floss or interdental brush, may be enable to promote the women’s oral health and to prevent the preterm birth.
키워드
병원체; 실시간 중합효소연쇄반응; 임부; 치주병
periodontal pathogen; periodontitis; pregnant women; real-time polymerase chain reaction
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