Oral health in women during preconception and pregnancy: implications for birth outcomes and infant oral health.

Oral health in women during preconception and pregnancy: implications for birth outcomes and infant oral health.
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DOI:
10.1007/s10995-006-0095-x
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发表时间:
2006-09
影响因子:
2.3
通讯作者:
Edelstein BL
Edelstein BL
中科院分区:
医学4区
文献类型:
--
作者:
Boggess KA;Edelstein BL

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口腔是进入身体的一个明显的门户,口腔健康反映和影响着整体的健康和福祉。产妇口腔健康对分娩结局和婴儿口腔健康有重要影响。母体牙周病,即牙龈和支持牙结构的慢性感染,与早产、先兆子痫和小于胎龄婴儿的分娩有关。母亲的口腔菌群会传染给新生儿,母亲体内的致龋菌群增加会使婴儿容易患龋齿。考虑先入为主、怀孕或产期治疗口腔健康状况作为改善妇女口腔和全身健康、妊娠结局及其子女牙齿健康的机制是耐人寻味的。然而,鉴于口腔健康和一般健康之间的关系,口腔健康护理本身就应该是所有个人的目标。无论改善口腔健康以改善妊娠结局的潜力如何,都应扩大支持为弱势育龄妇女提供全面牙科服务的公共政策,以便保护她们自己的口腔和一般健康,并降低其子女患龋齿的风险。口腔健康促进应该包括教育妇女和她们的卫生保健提供者如何预防口腔疾病的发生,并在疾病出现时转介牙科服务。
The mouth is an obvious portal of entry to the body, and oral health reflects and influences general health and well being. Maternal oral health has significant implications for birth outcomes and infant oral health. Maternal periodontal disease, that is, a chronic infection of the gingiva and supporting tooth structures, has been associated with preterm birth, development of preeclampsia, and delivery of a small-for-gestational age infant. Maternal oral flora is transmitted to the newborn infant, and increased cariogenic flora in the mother predisposes the infant to the development of caries. It is intriguing to consider preconception, pregnancy, or intrapartum treatment of oral health conditions as a mechanism to improve women's oral and general health, pregnancy outcomes, and their children's dental health. However, given the relationship between oral health and general health, oral health care should be a goal in its own right for all individuals. Regardless of the potential for improved oral health to improve pregnancy outcomes, public policies that support comprehensive dental services for vulnerable women of childbearing age should be expanded so that their own oral and general health is safeguarded and their children's risk of caries is reduced. Oral health promotion should include education of women and their health care providers ways to prevent oral disease from occurring, and referral for dental services when disease is present.
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