Improving Oral Health of Pregnant Women: The Effectiveness of Training on DMFT Indexes

Document Type : مقاله‌های پژوهشی

Authors

1 Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

2 Department of Family and Community Medicine, School of Medicine, Golestan University of Medical Sciences, Golestan, Iran.

3 Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Introduction: This study aimed to evaluate the effect of oral hygiene instruction programs on the knowledge, attitude, performance, and DMFT index in pregnant women.
Materials and Methods: In this clinical trial, 120 pregnant women in Fereydoun Shahr (Isfahan Province) were selected by cluster sampling method. The subjects were randomly divided into intervention and control groups. Educational intervention was conducted through four 2-hour sessions in the field of oral health in four groups with 11 subjects and two groups with eight subjects in the intervention group. The data of both groups were collected before, four weeks and three months after the intervention. The data were analyzed with SPSS 21, using independent-samples t-test, chi-squared test, and repeated measurements (α = 0.05).
Results: Of 120 subjects, 60 were in the control group, with the remaining 60 in the intervention group. After the educational intervention, after three months, the means of knowledge scores in the control and intervention groups were 8.02 ± 1.70 and 14.15 ± 1.05, respectively. The mean attitude scores were 30.45 ± 3.76 and 36.00 ± 2.33, and the mean performance scores were 35.17 ± 3.53 and 41.43 ± 2.40 in the control and intervention groups, respectively. Furthermore, the means of PI were 3.28 ± 0.81 and 2.95 ± 0.75 in the control and intervention groups, respectively. A repeated measure design was used to study the effect of time, group, interaction between the groups, and time on knowledge, attitude, performance, and DMFT index. The results showed a significant increase in the knowledge, attitude and performance of mothers in the intervention group compared to the control group. Evaluation of the DMFT index showed that time and group interaction was significant concerning decayed and filled teeth.
Conclusion: The results showed that the educational program had a significant effect on improving the knowledge, attitude, and oral health parameters of pregnant women.
Keywords: DMF index, Oral health, Oral hygiene instruction, Pregnant women

1. Najimi A, Azadbakht L, Hassanzadeh A, Sharifirad GhR. The effect of nutrition education on risk factors of cardiovascular diseases in elderly patients with type 2 diabetes: a randomized controlled trial. Iran J Endocrinol Metab 2011; 13(3): 256-63. [In Persian].
2. Gaffield ML, Gilbert BJ, Malvitz DM, Romaguera R. Oral health during pregnancy: an analysis of information collected by the pregnancy risk assessment monitoring system. J Am Dent Assoc 2001; 132(7): 1009-16.
3. Weinstein P, Milgrom P, Melnick S, Beach B, Spadafora A. How effective is oral hygiene instruction? Result after 6 and 24 weeks. J Public Health Dent 1989; 49(1): 32-8.
4. Kandan PM, Menaga V, Kumar RR. Oral health in pregnancy (guidelines to gynaecologists, general physicians & oral health care providers). J Pak Med Assoc 2011; 61(10): 1009-14.
5. Altamimi S, Peterson P. Oral health situation of schoolchildren’ mothers and schoolteachers in Saudi Arabia. Int Dent J 1998; 48(3): 180-6.
6. Malak Mohamdi T, Malak Mohamadi M. Knowledge, Attitude and Practice of Gynecologists and Midwifes toward Oral Health in Pregnant Women in Kerman 2016. Iranian Journal of Obstetrics, Gynecology and Infertility 2017; 20(4): 9-18.
7. Gonik B, Wilson E, Mayberry M, Joarder BY. Pregnant Patient Knowledge and Behavior Regarding Perinatal Oral Health. Am J Perinatol 2017; 34(7): 663-7.
8. Lehl G, Bansal K, Sekhon R. Relationship between cariogenic diet and dental caries as evaluated from a 5-day diet diary in 4-12 year-old children. J Indian Soc Pedod Prev Dent 1999; 17(4): 119-21.
9. Shamsi M, Hidarnia A, Niknam Sh, Karimi M. The effect of educational programs on knowledge and preventive behavior about dental decay in pregnant women in Arak. Daneshvar Medicine 2013; 20(103): 1-16. [In Persian].
10. Chawla RM, Shetiya SH, Agarwal DR, Mitra P, Bomble NA, Narayana DS. Knowledge, attitude, and practice of pregnant women regarding oral health status and treatment needs following oral health education in Pune district of Maharashtra: a longitudinal hospital-based study. J Contemp Dent Pract 2017; 18(5): 371-7.
11. Adams SH, Gregorich SE, Rising SS, Hutchison M, Chung LH. Integrating a nurse-midwife-led oral health intervention into centering pregnancy prenatal care: results of a pilot study. J Midwifery Womens Health 2017l; 62(4): 463-9.
12. Cardenas LM, Ross DD. Effects of an oral health education program for pregnant women. J Tenn Dent Assoc 2010; 90(2): 23-6.
13. Bahri N, Iliati HR, Sajjadi M, Boloochi T. Effects of oral and dental health education program on knowledge, attitude and short-time practice of pregnant women (Mashhad-Iran). J Mashhad Den Sch 2012; 36(1); 94-106. [In Persian].
14. Shirmohammadi A, Faramarzie M. The effect of the oral hygiene instruction on awareness, attitude, and practice of a group of patients. J Dent Shiraz Univ Med Sci 2010; 11(2): 173-6. [In Persian].
15. Geisinger ML, Geurs NC, Bain JL, Kaur M, Vassilopoulos PJ, Cilver SP, et al. Oral health education and therapy reduces gingivitis during pregnancy. J Clin Periodontol 2014; 41(2): 141-8.
16. Lin DL, Harrison R, Aleksejuniene J. Can a prenatal dental public health program make a difference? J Can Dent Assoc 2011; 77: b32.