PERIODONTAL STATUS IN PREGNANT WOMEN: ANALYSIS OF PUBLIC AND PRIVATE SERVICE, AND GESTATIONAL TRIMESTER

Abstract

Objective: To compare the periodontal status in pregnant women and aspects related to their health assistance, as well as to correlate periodontal status and oral hygiene with pregnancy trimester. Material and Methods: A total of 150 pregnant women were randomly selected from a public (SPU) and private hospital (SPI) located in the city of Imperatriz, Maranhão, Brazil. The pregnant women were informed about the objectives of the study and consented their participation by signing a consent form. Participants underwent clinical examination to measure their oral hygiene status (S-OHI) and periodontal condition (CPI). The results were analyzed by Mann-Whitney and Spearman’s correlation test (α<0.05). Results: Among the pregnant women evaluated, gingivitis was diagnosed in 21.3% of subjects from SPU and 25.3% from SPI, while the presence of calculus was identified in 10.7% and 5.3%, respectively. A satisfactory oral hygiene condition was identified in 26.7% of SPU subjects and 42.7% of SPI ones. The average values of S-OHI identified in SPU and SPI pregnant women were 1.33±0.10 and 0.68±0.08, respectively, with a statistically a significant difference (p <0.01). There was no statistically significant difference (p>0.05) between the periodontal status of pregnant women attending the public (SPU) and the private service (SPI). The pregnancy trimester did not show a significant correlation with oral hygiene and periodontal status in the pregnant women (p>0.05). Conclusion: Although a significant difference concerning oral hygiene of pregnant women was observed between SPU and SPI services, periodontal disease was found to be a prevalent, common factor to both groups regardless of the pregnancy trimester. DESCRIPTORS Pregnant. Oral Hygiene. Gingivitis.