Value of Dental Caries Intervention Procedures in Pregnancy on Fetal Outcome | ||||
International Journal of Medical Arts | ||||
Article 11, Volume 7, Issue 7, July 2025, Page 5891-5896 PDF (1.53 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ijma.2025.365754.2144 | ||||
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Authors | ||||
Mohamed Hassan Shaaban ![]() ![]() | ||||
1Department of of Obstetrics and Gynecology, Ismailia Medical Complex, Ministry of Health, Ismailia, Egypt | ||||
2Department of Gynecology and Obstetrics, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt. | ||||
3Department of Dentistry and Maxillofacial Surgery, Faculty of Dentistry, Al-Azhar University, Cairo, Egypt. | ||||
Abstract | ||||
Background: Oral health hygiene is suggested to affect pregnancy and its outcome, and reciprocally, the pregnancy could aggravate the oral conditions. However, the effect of dental intervention procedures on pregnancy outcome is not well addressed. Aim of the work: This work was designed to evaluate the effect of dental caries on the pregnancy outcome. Patients and Methods: This observational prospective study included 100 pregnant women with dental caries. Among them, 51 women underwent dental procedures, while the other 49 refused such treatment. For patient assessment, a complete history was taken, and clinical examinations, laboratory workups, and radiological investigations were performed. Dental history was collected using a pre-prepared questionnaire. Pregnancy was monitored until delivery, and any adverse outcomes were addressed [e.g., intrauterine growth restriction or premature pre-labor rupture of membranes, among others]. Results: Oral hygiene and dental pain were significantly different between study groups, where oral hygiene practices were significantly higher among those with dental procedures. In addition, dental pain significantly increased in cases with dental procedures compared to those without [70.58% vs 32.65%, respectively]. The dental procedures were dental extraction, dental restoration, crown, root canal, and bridge among 19.6%, 39.21%, 29.41%, 11.76%, and 5.88%, respectively. IUGR, PROM, neonatal RDS, and NICU admission were reported among 13.0%, 23.0%, 23.0%, and 18.0%, respectively. There was a reduction of neonatal RDS in patients with dental procedures compared to those without dental procedures [13.7% vs 32.65%, respectively]. Also, there was a significant increase of GA at birth in those with dental procedures compared to those without dental procedures [38.9 ± 1.43 vs 37.1 ± 1.23, respectively]. There was a significant negative correlation between dental procedures and dental pain or discomfort on one side and the IUGR from the other side. CConclusion: Interventional procedures for dental caries during pregnancy are safe for the mother and her fetus. | ||||
Keywords | ||||
Dental Caries; Intrauterine Growth Restriction, Neonatal Intensive Care, Gestational Age | ||||
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