DENTAL STATUS OF WOMEN WITH PREGNANCY COMPLICATED WITH GESTOSIS
Abstract and keywords
Abstract (English):
Subject of our research is dental examination and identification of the features of the dental status in women with pregnancy complicated by gestosis. There is no doubt that pregnancy is a critical period for woman’s dental health. Objectives. Determine the dental status in women with pregnancy complicated by gestosis. Methods. As part of the study of the dental status of women with pregnancy complicated by gestosis, we conducted a clinical examination of the oral cavity in 127 women. The depth of the vestibule, the level of attachment of the bridles, the state of the bite, the indices of the KPU, IK, PMA, IZN were determined. Results. Our data indicate that the complication of the course of the third trimester of pregnancy with gestosis in women is accompanied by a deterioration in periodontal status, oral hygiene, and a 100% prevalence of gingivitis. Conclusions. The results of the study made it possible to obtain clinical and dental data characterizing the effect of pregnancy complicated by preeclampsia in women in the third trimester on the course of gingivitis, which is the basis for the development of methods for optimizing and increasing the effectiveness of therapeutic and prophylactic measures in this group of patients.

Keywords:
pregnancy, dental status, gestosis, gingivitis
References

1. Aymazyan E.K., Mozgovaya E.V. Gestoz: teoriya i praktika. Moskva : MED- pressinform. 2008:272. [E.K. Aymazyan, Ye.V. Mozgovaya. Gestosis: theory and practice. Moscow: MED-pressinform. 2008:272. (In Russ.)].

2. Anisimova E.N., Aksamit L.A., Cvetkova A.A., Golikova A. M. Algoritm okazaniya stomatologicheskoy pomoschi beremennym. Endodontiya today. 2015;1:44-47. [Ye.N. Anisimova, L.A. Aksamit, A.A. Tsvetkova, A.M. Golikova. Algorithm for providing dental care to pregnant women. Endodontiya today. 2015;1:44-47. (In Russ.)]. https://www.elibrary.ru/item.asp?id=23504949

3. Anisimova E.A., Cvetkova A.A., Golikova A.M. Osobennosti okazaniya stomatologicheskoy pomoschi beremennym v usloviyah ambulatornogo stomatologicheskogo priema. Farmateka. 2014;8;14:29-32. [E.A. Anisimova, A.A. Tsvetkova, A.M. Golikova. Features of the provision of dental care to pregnant women in an outpatient dental appointment. Pharmateca. 2014;8;14:29-32. (In Russ.)].

4. Bahmudov B.R. Chistota razvitiya, klinicheskaya kartina, gistologicheskaya harakteristika i lechenie epulisa u beremennyh zhenschin. Novoe v stomatologii. 2015;1:54-60. [B.R. Bakhmudov. Purity of development, clinical presentation, histological characteristics and treatment of epulis in pregnant women. New in dentistry. 2015;1:54-60. (In Russ.)].

5. Bahmudov M.B., Bahmudov B.R., Alieva Z.B. Dinamika porazhaemosti kariesom u beremennyh i ocenka urovnya stomatologicheskoy pomoschi. Rossiyskiy stomatologicheskiy zhurnal. 2009;3:27-29. [M.B. Bakhmudov, B.R. Bakhmudov, Z.B. Alieva. Dynamics of incidence of caries in pregnant women and assessment of the level of dental care. Russian dental journal. 2009;3:27-29. (In Russ.)].

6. Grudyanov A.I. Kak predupredit' zabolevaniya desen i razrusheniya kosti chelyustey v period beremennosti? Sovremennaya stomatologiya. 2007;1:63-64. [A.I. Grudyanov. How to prevent gum disease and jaw bone destruction during pregnancy? Modern dentistry. 2007;1:63-64. (In Russ.)].

7. Dubrovskaya M.V., Eremin O.V., Savina E.A. i dr. Faktory riska formirovaniy zabolevaniy parodonta u beremennyh. Saratovskiy nauchno — medicinskiy zhurnal. 2013;9;3:383-386. [M.V. Dubrovskaya, O.V. Eremin, E.A. Savina et al. Risk factors for the formation of periodontal disease in pregnant women. Saratov Medical Scientific Journal. 2013;9;3:383-386. (In Russ.)].

8. Lepilin A.V., Dubrovskaya M.V. Faktory riska i kriteriy diagnostika vospalitel'nyh zabolevaniy parodonta u beremennyh. Medicinskaya nauka i obrazovanie Urala. 2010;2:20-23. [A.V. Lepilin, M.V. Dubrovskaya. Risk factors and criterion for the diagnosis of inflammatory periodontal diseases in pregnant women. Medical science and education of the Urals. 2010;2:20-23. (In Russ.)].

9. Lukinyh L.M., Tolmacheva S.M. Stomatologicheskie zabolevaniya vo vremya beremennosti i ih profilaktika. Moskva. 2005:152. [L.M. Lukinykh, S.M. Tolmacheva. Dental diseases during pregnancy and their prevention. Moscow. 2005:152. (In Russ.)].

10. Romanenko I.G., Gorobec S.M., Dzhereley A.A. i dr. Osobennosti okazaniya pomoschi beremennym na prieme u stomatologa. Krymskiy terapevticheskiy zhurnal. 2016;3:58-63. [I.G. Romanenko, S.M. Gorobets, A.A. Dzherelei et al. Features of rendering assistance to pregnant women at the dentist's appointment. Crimean therapeutic journal. 2016;3:58-63. (In Russ.)]. https://www.elibrary.ru/item.asp?id=26536614

11. Stepanova R.N., Kolomic E.V. Zabolevaniya sheyki matki u beremennyh, materinskie i perinatal'nye ishody. Ross. med. vesti. 2010;15;4:38-45. [R.N. Stepanova, E.V. Kolomits. Diseases of the cervix in pregnant women, maternal and perinatal outcomes. Ross. med. lead. 2010;15;4:38-45. (In Russ.)].

12. Tarasova L.P., Stepanova R.A., Kosova A.S. Bolezni parodonta u beremennyh zhenschin i suboptimal'nye ishody gestacii (obzor). Uchenye zapiski Orlovskogo gosudarstvennogo universiteta. 2014;6(62):148-156. [L.P. Tarasova, R.A. Stepanova, A.S. Kosova. Periodontal disease in pregnant women and suboptimal gestational outcomes (review). Scientific notes of the Oryol State University. 2014;6(62):148-156. (In Russ.)].

13. Chahovskaya L.A., Sushko A.A., Mischenchuk Yu.S. Rekomendacii po okazaniyu stomatologicheskoy pomoschi beremennym zhenschinam. Recept. 2007;6(56):145. [L.A. Chakhovskaya, A.A. Sushko, Yu.S. Mishchenchuk. Recommendations for the provision of dental care to pregnant women. Recipe. 2007;6(56):145. (In Russ.)].

14. Chuykin S.V., Kamilov F.H., Galeeva R.R. Izuchenie fiziko-himicheskih pokazateley rotovoy zhidkosti u detey s detskim cerebral'nym paralichom. Stomatologiya detskogo vozrasta i profilaktika. 2014;13;2(49):12-14. [S.V. Chuikin, F.Kh. Kamilov, R.R. Galeeva. The study of physical and chemical parameters of the oral fluid in children with cerebral palsy. Pediatric dentistry and prevention. 2014;13;2(49):12-14. (In Russ.)]. https://www.elibrary.ru/item.asp?id=22263923

15. Chuykin S.V., Akmalova G.M., Chernysheva N.D. Osobennosti klinicheskogo techeniya krasnogo ploskogo lishaya s lokalizaciey na slizistoy obolochke polosti rta. Klinicheskaya dermatologiya i venerologiya. 2015;14;3:72-75. [S.V. Chuikin, G.M. Akmalova, N.D. Chernysheva. Features of the clinical course of lichen planus with localization on the oral mucosa. Clinical Dermatology and Venereology. 2015;14;3:72-75. (In Russ.)].

16. Chuykin S.V., Akmalova G.M., Egorova E.G., Maganova Z.Sh. Povyshenie effektivnosti mestnogo lecheniya vospalitel'nyh zabolevaniy parodonta u zhenschin s beremennost'yu, oslozhnennoy gestozom. Problemy stomatologii. 2019;15;3:69-74. [S.V. Chuikin, G.M. Akmalova, E.G. Egorova, Z.Sh. Maganova. Improving the effectiveness of local treatment of inflammatory periodontal diseases in women with pregnancy complicated by gestosis. Actual problems in dentistry. 2019;15;3:69-74. (In Russ.)]. https://www.elibrary.ru/item.asp?id=41212347

17. Yakubova I.I., Kuz'mina V.A. Opyt vnedreniya programmy profilaktiki stomatologicheskih zabolevaniy u beremennyh zhenschin v usloviyah bol'shogo goroda. Parodontologiya. 2016;2(79):76-79. [I.I. Yakubova, V.A. Kuzmina. Experience in implementing a program for the prevention of dental diseases in pregnant women in a big city. Periodontics. 2016;2(79):76-79. (In Russ.)].

18. Yamschikova E.E. Profilaktika stomatologicheskih zabolevaniy u zhenschin s fiziologicheskoy i oslozhnennoy gestozom beremennost'yu: avtoref. dis. kand. med. nauk. Moskva, 2010:24. [E.E. Yamshchikova. Prevention of dental diseases in women with physiological and pregnancy complicated by gestosis: author. dis. Cand. med. sciences. Moscow, 2010:24. (In Russ.)].

19. Iheozor-Ejiofor Z., Middleton P., Esposito M., Glenny A.M. Treating periodontal disease for preventing adverse birth outcomes in pregnant women // Cochrane Database of Systematic Reviews. – 2017;6;CD005297. https:// www.scopus.com/inward/ record.uri? eid = 2- s.2.0-

20. Kruse A.B., Kuerschner A.C., Kunze M. et al. Association between high risk for preterm birth and changes in gingiva parameters during pregnancy—a prospective cohort study // Clinical Oral Investigations. – 2018;22(3):1263-1271.

21. Lopez N.J., Silva I. Da, Ipinza J., Gutierrez J. Periodontal therapy reduces the rate of preterm low birth weight in women with pregnancy-associated gingivitis // J. Periodontal. – 2005;76(11):2144-2153.

22. Pozo E., Mesa F., Ikram M.H. et al. Preterm birth and/or low birth weight are associated with periodontal disease and the increased placental immunohistochemical expression of inflammatory markers // Histology Histopathology. 2016;31(2):231-237.

23. Seraphim A.P., Chiba F.Y., Pereira R.F. et al. Relationship among periodontal disease, insulin resistance, salivary cortisol, and stress levels during pregnancy // Brazilian Dental. – 2016;27(2):123-127.

24. Shub A., Wong C., Jennings B. et al. Maternal periodontal disease and perinatal mortality // Aust. NZ J. Obstet Gynaecol. – 2009;49:130-136.

25. Wu M., Chen S.-W., Su W.-L. et al. Sex hormones enhance gingival inflammation without affecting IL-1β and TNF-α in periodontally healthy women during pregnancy // Mediators of Inflammation. – 2016;2016;ID4897890:6. http://dx.org/10.1155/2016/4897890.