PECULIARITIES OF DENTAL DISEASES IN DISTURBANCES IN OBSTETRIC AND GYNECOLOGICAL STATUS IN WOMEN WITH EMERGENCY CAUSED BY PREGNANCY
Abstract and keywords
Abstract (English):
Introduction. The course of dental diseases in pregnant women is significantly affected by extragenital pathology, recorded in 95% of pregnant women and 40% of non-pregnant women of reproductive age. Objectives: to identify the relationship between changes in obstetric and gynecological status in women with edema caused by pregnancy and the frequency of dental diseases. Materials and methods. The study groups included 127 pregnant women, including 79 women with edema caused by pregnancy, which made up the 1st group and 48 women with the physiological course of pregnancy, who were included in the 2nd group. The dental status (indices of the CPU, PMA, IZN, the structure of gingivitis), anthropometric data, somatic complications, the results of a general blood test, analysis of coagulogram indicators, analysis of biochemical parameters of the blood of pregnant women, and a general analysis of urine were studied. Conclusion. When studying the relationship between dental status and somatic obstetric and gynecological pathology in pregnant women with diagnosed edema caused by pregnancy, gingivitis is often recorded in the oral cavity, the prevalence of diseases of the urinary system, which were detected in 36.7%, was diagnosed in second place, chronic arterial hypertension 15.2%, in the third – iron deficiency anemia 13.9%. Our data indicate that the complication of the course of the third trimester of pregnancy with edema is accompanied by a deterioration in periodontal status, oral hygiene, and a 100% prevalence of gingivitis.

Keywords:
gingivitis, dental diseases, pregnancy, edema, extragenital pathology in pregnant women, somatic diseases
References

1. Aylamazyan E.K., Mozgovaya E.V. Gestoz: teoriya i praktika. Moskva : MED-pressinform. 2008:272. [E.K. Ailamazyan, E.V. Brain. Gestosis: theory and practice. Moscow : MED-pressinform. 2008:272. (In Russ.)]. https://elibrary.ru/item.asp?id = 19543859

2. Grinin V.M., Erkanyan I.M., Ivanov S.Yu. Rasprostranennost' i faktory riska razvitiya osnovnyh stomatologicheskih zabolevaniy u beremennyh. Stomatologiya. 2018;97(4);19-22. [V.M. Grinin, I.M. Erkanjan, S.Ju. Ivanov. Prevalence and risk factors for the development of major dental diseases in pregnant women. Dentistry. 2018;97(4);19-22. (In Russ.)]. https://elibrary.ru/item.asp?id = 35691179

3. Makeeva I.M., Ignatko A.A., Churganova A.A. Bolezni parodonta i oslozhnennoe techenie beremennosti. Voprosy ginekologii, akusherstva i perinatologii. 2019;18(2):107-113. [I.M. Makeeva, A.A. Ignatko, A.A. Churganova. Periodontal disease and complications during pregnancy. Questions of gynecology, obstetrics and perinatology. 2019;18(2):107-113. (In Russ.)]. https://elibrary.ru/item.asp?id = 37062632

4. Makeeva I.M., Ignatko A.A., Churganova A.A., Lebedev V.A., Makeeva M.K. Bolezni parodonta i oslozhnennoe techenie beremennosti. Stomatologiya. 2019;98(1):70-73. [I.M. Makeeva, A.A. Ignatko, A.A. Churganova, V.A. Lebedev, M.K. Makeeva. Periodontal disease and complications during pregnancy. Dentistry. 2019;98(1):70-73. (In Russ.)]. https://elibrary.ru/item.asp?id = 37062632

5. Molchanov O.L., Bezmenko A.A. Ispol'zovanie preparata «Fitolizin Prenatal» dlya profilaktiki i lecheniya infekcionno-vospalitel'nyh zabolevaniy mochevyvodyaschih putey i perifericheskih otekov u beremennyh. Akusherstvo i ginekologiya Sankt-Peterburg. 2018;1:74-76. [O.L. Molchanov, A.A. Bezmenko. Use of the drug "Phytolysin Prenatal" for the prevention and treatment of infectious and inflammatory diseases of the urinary tract and peripheral edema in pregnant women. Obstetrics and Gynecology St. Petersburg. 2018;1:74-76. (In Russ.)]. https://elibrary.ru/item.asp?id = 35257783

6. Nikonov A.P. Ascaturova O.R., Kaptil'nyy V.A. Infekcii mochevyvodyaschih putey i beremennost'. Ginekologiya. 2007;9(1):38-40. [A.P. Nikonov, O.R. Astsaturova, V.A. Kaptilny. Urinary tract infections and pregnancy. Gynecology. 2007;9(1):38-40. (In Russ.)]. https://elibrary.ru/item.asp?id = 20404704

7. Husnutdinova T.A., Savicheva A.M., Ayvazyan T.A., Shipicyna E.V. Infekcii mochevyh putey v akusherstve i ginekologii. Zhurnal akusherstva i zhenskih bolezney. 2015;64(6):91-104. [T.A. Khusnutdinova, A.M. Savicheva, T.A. Ayvazyan, E.V. Shipitsyna. Urinary tract infections in obstetrics and gynecology. Journal of Obstetrics and Women's Diseases. 2015;64(6):91-104. (In Russ.)]. https://cyberleninka.ru/article/n/infektsii-mochevyvodyaschih-putey-v-akusherstve-i-ginekologii

8. 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

9. Chuykin S.V., Yaschuk A.G., Maganova Z.Sh., Akat'eva G.G., Makusheva N.V., Egorova E.G., Kuchuk K.N. Stomatologicheskiy status zhenschin s beremennost'yu, oslozhnennoy gestozom. Problemy stomatologii. 2020;16;4:155-161. [S.V. Chuikin, A.G. Yashchuk, Z.Sh. Maganova, G.G. Akateva, N.V. Makusheva, E.G. Egorova, K.N. Kuchuk. Dental status of women with pregnancy complicated by preeclampsia. Actual problems in dentistry. 2020;16;4:155-161. (In Russ.)]. https://elibrary.ru/item.asp?id = 44667792

10. Yakovlev A.T., Danilina T.F., Mihal'chenko V.F. Diagnosticheskaya informativnost' pokazateley citokinogo profilya desnevoy zhidkosti u beremennyh zhenschin s zhelezodeficitnoy anemiey. Parodontologiya. 2020;25(4):295-300. [A.T. Yakovlev, T.F. Danilina, V.F. Mikhalchenko. Diagnostic informativeness of indicators of the cytokine profile of gingival fluid in pregnant women with iron deficiency anemia. Periodontics. 2020;25(4):295-300. (In Russ.)]. https://elibrary.ru/item.asp?id = 44383624

11. 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 preeclampsia: author. dis. ... cand. med. sciences. Moscow, 2010:24. (In Russ.)]. https://elibrary.ru/item.asp?id = 19335610

12. Hans M., Madaan Hans V. Epithelial antimicrobial peptides: guardian of the oral cavity // International Journal of Peptides. – 2014;21:1-13. doi: 10.1155/2014/370297.

13. Bieri R.A., Adriaens L., Spörri S., Lang N.P., Persson G.R. Gingival fluid cytokine expression and subgingival bacterial counts during pregnancy and postpartum: a case series // Clinical Oral Investigations. – 2013;1(17):19-28. DOI: 10.1007/s00784-012-0674-85/2014/370297

14. Haugen M., Brantsaeter A.L., Trogstad L., Alexander J., Roth C., Magnus P., Meltzer H.M. Vitamin D supplementation and reduced risk of preeclampsia in nulliparous women // Epidemiology. – 2009;20(5):720-726. doi: 10.1097/EDE.0b013e3181a70f08.

15. 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. doi: 10.1007/s00784-017-2209-9.

16. Leng W.D., Zeng X.T., Kwong J.S. Periodontal disease and risk of coronary heart disease: an updated meta-analysis of prospective cohort studies // Int J Cardiol. – 2015;201:469-472. doi: 10.1016/j.ijcard.2015.07.087.

17. 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. doi: 10.1590/0103-6440201600596.

18. Vogt M., Sallum A.W., Cecatti J.G., Morais S.S. Factors associated with the prevalence of periodontal disease in low-risk pregnant women // Reprod Health. – 2012;9:3. DOI: 10.1186/1742-4755-9-3