Perinatal Oral Health: A Novel Collaborative Initiative to Improve Access, Attitudes, Comfort Level, and Knowledge of Pregnant Women and Dental Providers

Abstract

Objectives The objectives of this program were to increase access to dental care among pregnant women and to improve dental students' exposure, comfort level, and knowledge of the potential impact of poor oral health on pregnancy outcomes.

Study Design Through collaborative efforts of a School of Dentistry and a School of Medicine, the Oral Health Pregnancy Day Initiative (OHPDI) was developed. Dental students were educated on the impact poor oral health may have on pregnancy outcomes and the importance of access to care. Pregnant women received perinatal oral health education and needed dental care.

Results Thirty-four pregnant women presented for the OHPDI. Thirty-nine dental students participated. Eighty-five percent of students reported they learned how poor oral health may have a negative impact on pregnancy and birth outcomes; 79% agreed as a result of the event they were more likely to treat pregnant women. Ninety-four percent of pregnant women reported not having a dentist and 100% received perinatal oral health education and needed dental care. Eighty-eight pregnant women were seen subsequent to the OHPDI.

Conclusion This initiative resulted in increased students' knowledge, exposure, and comfort level to treating pregnant women and pregnant women received needed oral health care education and dental treatment.

Keywords

perinatal care - dental students - dentists - interprofessional

• References

• 1 American College of Obstetricians Gynecologists. American College of Obstetricians Gynecologists Women's Health Care Physicians Committee on Health Care for Unserved Women Committee Opinion No. 569: Oral health care during pregnancy and through the lifespan 2013;122:417–422
• 2 National Maternal and Child Oral Health Resource Center Georgetown University. Oral health care during pregnancy: A national consensus statement. 2012
• 3 Lee RS, Milgrom P, Huebner CE, Conrad DA. Dentists' perceptions of barriers to providing dental care to pregnant women. Womens Health Issues 2010; 20 (05) 359-365
• 4 Mayberry ME, Norrix E, Farrell C. MDA dentists and pregnant patients: a survey of attitudes and practice. J Mich Dent Assoc 2017; 99 (01) 54-62 , 83
• 5 Le M, Riedy C, Weinstein P, Milgrom P. Barriers to utilization of dental services during pregnancy: a qualitative analysis. J Dent Child (Chic) 2009; 76 (01) 46-52
• 6 Gonik B, Wilson E, Mayberry M, Joarder BY. Pregnant patient knowledge and behavior regarding perinatal oral health. Am J Perinatol 2017; 34 (07) 663-667
• 7 Giglio JA, Lanni SM, Laskin DM, Giglio NW. Oral health care for the pregnant patient. J Can Dent Assoc 2009; 75 (01) 43-48
• 8 Iida H. Oral health interventions during pregnancy. Dent Clin North Am 2017; 61 (03) 467-481
• 9 Curtis M, Silk HJ, Savageau JA. Prenatal oral health education in U.S. dental schools and obstetrics and gynecology residencies. J Dent Educ 2013; 77 (11) 1461-1468
• 10 Morgan MA, Crall J, Goldenberg RL, Schulkin J. Oral health during pregnancy. J Matern Fetal Neonatal Med 2009; 22 (09) 733-739
• 11 Berkowitz RJ. Acquisition and transmission of mutans streptococci. J Calif Dent Assoc 2003; 31 (02) 135-138
• 12 Boggess KA, Edelstein BL. Oral health in women during preconception and pregnancy: implications for birth outcomes and infant oral health. Matern Child Health J 2006; 10 (5, Suppl): S169-S174
• 13 Han YW. Oral health and adverse pregnancy outcomes - what's next?. J Dent Res 2011; 90 (03) 289-293
• 14 Sanz M, Kornman K. ; working group 3 of the joint EFP/AAP workshop. Periodontitis and adverse pregnancy outcomes: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. J Periodontol 2013; 84 (4, Suppl): S164-S169
• 15 Xiong X, Buekens P, Goldenberg RL, Offenbacher S, Qian X. Optimal timing of periodontal disease treatment for prevention of adverse pregnancy outcomes: before or during pregnancy?. Am J Obstet Gynecol 2011; 205 (02) 111.e1-111.e6
• 16 Rangel-Rincon LJ, Vivares-Builes AM, Botero JE, Agudelo-Suarez A. An umbrella review exploring the effect of periodontal treatment in pregnant women on the frequency of adverse obstetric outcomes. J Evid Base Dent Pract 2018; 18 (03) 218-239
• 17 Nascimento MM, Mugayar L, Tomar SL, Garvan CW, Catalanotto FA, Behar-Horenstein LS. The impact of an infant oral health program on dental student's knowledge and attitudes. J Dent Educ 2016; 80 (11) 1328-1336
• 18 Dao LP, Zwetchkenbaum S, Inglehart MR. General dentists and special needs patients: does dental education matter?. J Dent Educ 2005; 69 (10) 1107-1115
• 19 Haber J, Hartnett E, Allen K. , et al. The impact of oral-systemic health on advancing interprofessional education outcomes. J Dent Educ 2017; 81 (02) 140-148
• 20 Schroth RJ, Quiñonez RB, Yaffe AB, Bertone MF, Hardwick FK, Harrison RL. What are Canadian dental professional students taught about infant, toddler and prenatal oral health?. J Can Dent Assoc 2015; 81: f15
• 21 Forsetlund L, Bjørndal A, Rashidian A. , et al. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2009; 15 (02) CD003030
• 22 Fein JE, Quinonez RB, Phillips C. Introducing infant oral health into dental curricula: a clinical intervention. J Dent Educ 2009; 73 (10) 1171-1177
• 23 Morgan PJ, Cleave-Hogg D. Comparison between medical students' experience, confidence and competence. Med Educ 2002; 36 (06) 534-539
• 24 McFarland T, Quinonez R, Phillips C, Lee J, Chung Y. Provision of preventive oral health services to infants and toddlers: North Carolina general dentists' readiness. J Oral Health Comm Dent 2013; 7: 140-147
• 25 Jackson JT, Quinonez RB, Kerns AK. , et al. Implementing a prenatal oral health program through interprofessional collaboration. J Dent Educ 2015; 79 (03) 241-248