Otolaryngologie : accès libre

Abstrait

Pregnancy and Dental Treatment

ABI AAD Amine Lamia*,Dany Joseph Daou

Background: Pregnancy is accompanied with numerous physiological changes that present oral health consequences. Oral disease during pregnancy has been linked to pre- eclampsia, gestational diabetes, preterm birth, low birth weight and stillbirths. Despite evidence-based recommendations regarding the need for dental treatment and counselling of pregnant women, many dentists retain misconceptions regarding dental care during pregnancy and are reluctant in providing necessary dental preventive and curative services. Aim: To assess the beliefs and practices of Lebanese dentists with respect to the dental care of pregnant women. Methods: Self-administered questionnaires were answered by a sample of 195 dentists. Dentists’ knowledge of oral disorders associated with pregnancy in addition to their practices with respect to the administration of radiographs and prescriptions of medications were assessed. Chi-square tests were used to test the association between selected demographic variables and pregnancy-related knowledge outcomes. Results: Fifty-two percent of dentists believed anesthesia was risky for pregnant women and only 55% would take a radiograph when necessary. Only 56% recognized gingivitis as a consequence of pregnancy and 76% recognized the presence of gingival bleeding as a symptom. The majority prescribes analgesics, specifically acetaminophens (90.3%), 73.5% prescribe antibiotics and only 9.2% are willing to prescribe an anti-inflammatory drug. Female dentists (p=0.05) and dentists with greater years of experience (p=0.04) were more aware of the risk of gingival bleeding during pregnancy. Those holding degrees from Lebanese universities were more aware of the association between gingivitis and pregnancy (p=0.03). Conclusion: The knowledge and practices of Lebanese dentists with respect to pregnant women are suboptimal. There is a need to re-assess the dental curriculum and consider the incorporation of training and re-training courses into continuing dental education programs.