1. Oral-Health-Related Quality of
Life during Pregnancy
Shashidhar Acharya, Parvati V. Bhat
Journal of Public Health Dentistry, 2009
1조 14번 김선균

2. Abstract
Objectives:
• to assess the differences in oral health and perceived
oral-health-related quality of life (OHRQoL) between
pregnant and nonpregnant rural Indian women
• to describe factors that could possibly influence
OHRQoL
Methods:
• 259 pregnant (mean age 26 5.5) women
• 237 nonpregnant (mean age 27.8 + 6.9) women
• in the crosssectional study

3. Abstract
Results:
• the perceived OHRQoL was significantly poorer
among the pregnant women than among nonpregnant
women.
• the mean number of sextants with Community
Periodontal Index for Treatment Needs scores of 2
and 3 and the gingival index scores were significantly
(P < 0.001) higher among pregnant women than in the
comparison groups.
• factors such as pregnancy number (P
< 0.05), decayed, missing, filled teeth scores (P
< 0.001), and Gingival Index scores (P < 0.001) were
significant predictors for OHRQoL.

4. Abstract
Conclusion:
• Oral health and perceived OHRQoL were
poorer among pregnant women than
among nonpregnant women.

5. Introduction
Pregnancy
• influences her own oral health status
• increase her risk of other diseases
• hormonal changes predispose women to
periodontal diseases
• nausea and vomiting can cause extensive
erosion of tooth exam
-> Impact on the oral-health-related quality of
life (OHRQoL)

6. Materials and Methods
• Department of Obstetrics and
Gynaecology at a rural teaching hospital of
Manipal University, India
• Antenatal checkup in the months of
January, February, and March 2007
• 260 pregnant women
• 237 nonpregnant women

7. Materials and Methods
Questionnaire
• OHIP-14 (Indian version)
• Sociodemographic data (age, educational
level, employment status, previous history
of pregnancies)

8. Materials and Methods
Clinical Examination
• DMFT (WHO criteria)
• Periodontal health (CPITN)
• Gingivitis (Gingival Index)

9. Materials and Methods
Statistical Analysis
• Cohen’s kappa (intra- and inter-examiner
variability)
• Mann–Whitney test (Intergroup
comparisons)
• Linear regression analysis (using the
“stepwise forward selection” method)
• SPSS 13

10. Results
• Pregnant women
– Ranged from 20 to 37 (mean 26 ± 5.5y)
– Gingivitis (100%)
– Caries (84%)
– ≥4 mm pocket depth (33%)
– CPITN 2, 3 (higher)
– Gingival Index (higher)
– DMFT (no significant difference)

11. Results

12. Results

13. Discussion
• Pregnant women
– poor periodontal health
– no sig. different mean DMFT
– poorer OHRQoL in all OHIP-14, but
“Psychological Discomfort”
• “Pregnancy number”: important predictor
• Low impact of oral health on QoL
- respondents are below 35 y
- a social desirability bias on OHIP-14
- impacts were diluted in 12 months