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임신 중기 임부의 치주병 관련 위험요인과 일부 치주병 병원체의 분포
하정은 ( Jung Eun Ha ),여보미 ( Bo Mi Yeo ),노희열 ( Hui Yul Roh ),백대일 ( Dai Il Paik ),배광학 ( Kwang Hak Bae ) 대한예방치과·구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.4
Objectives. The objectives of this cross-sectional study were to examine the periodontal condition and health behavior of pregnant women and to analyze the distribution of periodontal pathogens by oral health behaviors. Methods. This study was designed as a hospital-based cross-sectional study. Pregnant women were recruited at about 24 weeks gestation from March 2009 to April 2010 at the obstetrics clinic of general hospital located in Seoul, South Korea. The information of demographic, behavior and health conditions that may influence periodontitis were collected. Full mouth periodontal probing was taken by one trained examiner for the diagnosis of periodontitis. The periodontitis was defined as periodontal attachment loss of 3.5 mm and over on 2 or more sites not on same tooth. Subgingival biofilm and gingival crevicular fluid were collected using two sterilized paper point (#20) for quantitative analysis of prevotella intermedia, porphyromonas gingivalis and treponema denticola. Results. One hundred thirteen pregnant women were included. Adjusted odds ratio of use the floss or interdental brush was 0.22. Pregnant women using the floss or interdental brush, and receiving the scaling before pregnancy had the lower level of T. denticola, P. gingivalis and P. intermedia than pregnant women who didn`t use the floss or interdental brush and not receive the scaling. Conclusions. Oral health behaviors, such as use the floss or interdental brush, may be enable to promote the women`s oral health and to prevent the preterm birth.
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