孕期口腔疾病管理

doi:10.7518/hxkq.2017.02.001

华西口腔医学杂志 ›› 2017, Vol. 35 ›› Issue (2): 113-118.doi: 10.7518/hxkq.2017.02.001

• • 下一篇

孕期口腔疾病管理

郑黎薇¹(), 邹静¹, 游泳², 赵玉梅³, 刘鹤⁴, 梅予锋⁵, 赵玮⁶, 段小红⁷

1.口腔疾病研究国家重点实验室,国家口腔疾病临床研究中心,四川大学华西口腔医院
2.四川大学华西第二医院·华西妇产儿童医院,成都 610041
3.同济大学口腔医学院附属口腔医院,上海 200072
4.北京大学口腔医院,北京 100081
5.南京医科大学附属口腔医院·江苏省口腔医院,南京 210029
6.中山大学光华口腔医学院附属口腔医院,广州 510055
7.第四军医大学口腔医学院,西安 710032

收稿日期:2016-08-30 修回日期:2016-11-29 出版日期:2017-04-01 发布日期:2017-04-01
作者简介:
郑黎薇,教授,博士,E-mail：liwei.zheng@scu.edu.cn
基金资助:
国家自然科学基金面上项目（81470711）;国家卫生和计划生育委员会儿童口腔国家临床重点专科建设项目（004030540-1313）

Management of oral diseases during pregnancy

Liwei Zheng¹(), Jing Zou¹, Yong You², Yumei Zhao³, He Liu⁴, Yufeng Mei⁵, Wei Zhao⁶, Xiaohong Duan⁷

1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
2. West China Second University Hospital, West China Women’s and Children’s Hospital, Sichuan University, Chengdu 610041, China
3. The Affiliated Stomatology Hospital of Tongji University, Shanghai 200072, China
4. Peking University Hospital of Stomatology, Beijing 100081, China
5. The Affiliated Stomatology Hospital of Nanjing Medical University, Stomatology Hospital of Jiangsu Province, Nanjing 210029, China
6. Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
7. School of Stomatology, The Fourth Military Medical University, Xi'an 710032, China

Received:2016-08-30 Revised:2016-11-29 Online:2017-04-01 Published:2017-04-01
Supported by:
The National Natural Science Foundation of China General Program (81470711);National Key Clinical Specialist Construction Program of China, Pediatric Dentistry (0040305401313)

摘要/Abstract

摘要：

孕期口腔疾病管理是贯穿了孕前期、孕期和哺乳期妇女的口腔健康管理整体方案,不仅关系到孕期妇女的全身健康,同时注重胎儿的正常发育及儿童的口腔保健。孕期妇女由于饮食习惯的改变及全身激素水平的变化,部分口腔疾病的易患性增加。鉴于孕期生理的特殊性,口腔医师需遵循一定的诊疗原则,提供专业的口腔护理指导和疾病诊疗方案。孕期妇女应该加强口腔卫生保健意识,掌握正确的口腔护理方法。本文就孕期妇女易患的口腔疾病类型及相应的发病机制进行归纳总结,针对口腔医师及孕期妇女的口腔防护原则及措施提出指导意见。

关键词: 孕期, 口腔疾病, 发病机制, 疾病管理

Abstract:

Management of oral diseases during pregnancy prefers to be a comprehensive oral health care strategy through-out pre-pregnant, pregnant and prenatal stages. It provides guidance not only to promote the overall health in pregnant women, but also concern fetus development and children’s oral health. Pregnancy is a time of particular vulnerability in terms of oral health due to complex physical and physiological changes. Physicians and dentists are responsible for providing professional medical care and treatment following clinical guidelines especially for pregnancy. It is also an opportune time in pregnancy to educate women about oral health care and preventing oral problems in young children. This article reviews the commonly occurring oral problems and their pathogenesis during pregnancy, dental procedures that can be carried out by physicians and preventive strategies that could be helpful in promoting oral health in both pregnant women and young children.

Key words: pregnancy, oral diseases, pathogenesis, diseases management

中图分类号:

郑黎薇, 邹静, 游泳, 赵玉梅, 刘鹤, 梅予锋, 赵玮, 段小红. 孕期口腔疾病管理[J]. 华西口腔医学杂志, 2017, 35(2): 113-118.

Liwei Zheng, Jing Zou, Yong You, Yumei Zhao, He Liu, Yufeng Mei, Wei Zhao, Xiaohong Duan. Management of oral diseases during pregnancy[J]. West China Journal of Stomatology, 2017, 35(2): 113-118.

图/表 2

参考文献 26

[1]	Arafat AH.Periodontal status during pregnancy[J]. J Perio-dontol, 1974, 45(8):641-643.
[2]	贾晓钦, 张颖聪, 杨禾. 孕妇口腔疾病的防治和策略[J]. 国际口腔医学杂志, 2013, 40(2):279-280.
	Jia XQ, Zhang YC, Yang H.Prevention and strategy of oral disease in pregnant women[J]. Int J Stomatol, 2013, 40(2):279-280.
[3]	谢惠兰, 杨莉, 江汉, 等. 武汉市1 009名孕妇牙周状况调查[J]. 牙体牙髓牙周病学杂志, 2008, 18(10):584-587.
	Xie HL, Yang L, Jiang H, et al.Periodontal status of 1 009 pregnant women in Wuhan city[J]. Chin J Conserv Dent, 2008, 18(10):584-587.
[4]	Mealey BL, Moritz AJ.Hormonal influences: effects of dia-betes mellitus and endogenous female sex steroid hormones on the periodontium[J]. Periodontol 2000, 2003:59-81.
[5]	Clothier B, Stringer M, Jeffcoat MK.Periodontal disease and pregnancy outcomes: exposure, risk and intervention[J]. Best Pract Res Clin Obstet Gynaecol, 2007, 21(3):451-466.
[6]	Piscoya MD, Ximenes RA, Silva GM, et al.Periodontitis-associated risk factors in pregnant women[J]. Clinics(Sao Paulo), 2012, 67(1):27-33.
[7]	Tilakaratne A, Soory M, Ranasinghe AW, et al.Periodontal disease status during pregnancy and 3 months post-partum, in a rural population of Sri-Lankan women[J]. J Clin Perio-dontol, 2000, 27(10):787-792.
[8]	Seraphim AP, Chiba FY, Pereira RF, et al.Relationship among periodontal disease, insulin resistance, salivary cor-tisol, and stress levels during pregnancy[J]. Braz Dent J, 2016, 27(2):123-127.
[9]	Jafarzadeh H, Sanatkhani M, Mohtasham N.Oral pyogenic granuloma: a review[J]. J Oral Sci, 2006, 48(4):167-175.
[10]	Yuan K, Jin YT, Lin MT.The detection and comparison of angiogenesis-associated factors in pyogenic granuloma by immunohistochemistry[J]. J Periodontol, 2000, 71(5):701-709.
[11]	Silk H, Douglass AB, Douglass JM, et al.Oral health during pregnancy[J]. Am Fam Physician, 2008, 77(8):1139-1144.
[12]	Jensen J, Liljemark W, Bloomquist C.The effect of female sex hormones on subgingival plaque[J]. J Periodontol, 1981, 52(10):599-602.
[13]	Kornman KS, Loesche WJ.Effects of estradiol and proges-terone on Bacteroides melaninogenicus and Bacteroides gin-givalis[J]. Infect Immun, 1982, 35(1):256-263.
[14]	Laine MA.Effect of pregnancy on periodontal and dental health[J]. Acta Odontol Scand, 2002, 60(5):257-264.
[15]	Henry F, Quatresooz P, Valverde-Lopez JC, et al.Blood vessel changes during pregnancy: a review[J]. Am J Clin Dermatol, 2006, 7(1):65-69.
[16]	Lindhe J, Brånemark PI.Changes in vascular permeability after local application of sex hormones[J]. J Periodont Res, 1967, 2(4):259-265.
[17]	Kanda N, Watanabe S.Regulatory roles of sex hormones in cutaneous biology and immunology[J]. J Dermatol Sci, 2005, 38(1):1-7.
[18]	Mariotti A.Sex steroid hormones and cell dynamics in the periodontium[J]. Crit Rev Oral Biol Med, 1994, 5(1):27-53.
[19]	Willershausen B, Lemmen C, Hamm G.Modulation of glycosaminoglycan- and collagen synthesis of human gin-gival fibroblasts by progesterone[J]. Dtsch Zahnarztl Z, 1991, 46(10):668-671.
[20]	Thomson ME, Pack AR.Effects of extended systemic and topical folate supplementation on gingivitis of pregnancy[J]. J Clin Periodontol, 1982, 9(3):275-280.
[21]	Laine M, Tenovuo J, Lehtonen OP.Pregnancy-related in-crease in salivary Streptococcus mutans, Lactobacilli and IgA[J]. Borderland Caries Periodont Dis, 1986(3):193-200.
[22]	Abrao AL, Leal SC, Falcao DP.Salivary and serum cortisol levels, salivary alpha-amylase and unstimulated whole saliva flow rate in pregnant and non-pregnant[J]. Rev Bras Ginecol Obstet, 2014, 36(2):72-78.
[23]	Kandan PM, Menaga V, Kumar RR.Oral health in pregnancy (guidelines to gynaecologists, general physicians, oral health care providers)[J]. J Pak Med Assoc, 2011, 61(10):1009-1014.
[24]	Boggess KA, Society for Maternal-Fetal Medicine Publica-tions Committee. Maternal oral health in pregnancy[J]. Ob-stet Gynecol, 2008, 111(4):976-986.
[25]	Hartnett E, Haber J, Krainovich-Miller B, et al.Oral health in pregnancy[J]. J Obstet Gynecol Neonatal Nurs, 2016, 45(4):565-573.
[26]	Russell SL, Mayberry LJ.Pregnancy and oral health: a review and recommendations to reduce gaps in practice and research[J]. MCN Am J Matern Child Nurs, 2008, 33(1):32-37.

孕期口腔疾病管理

Management of oral diseases during pregnancy

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[10]	施文元周学东. 人体口腔微生物群的相互作用[J]. 华西口腔医学杂志, 2010, 28(01): 1-4.
[11]	宋庆高,石冰,黄旭,李盛,鲁勇. 硬腭裸露对上颌骨生长发育影响的实验研究[J]. 华西口腔医学杂志, 2004, 22(01): 13-15.
[12]	胡德渝. 中国人口结构与口腔疾病的改变趋势[J]. , 2000, 18(02): 0-.
[13]	陈昭文，黄少宏. 饮水中钙量与口腔疾病的关系[J]. , 1994, 12(04): 0-.
[14]	冯军. 166例儿童口腔急诊分析报告[J]. , 1994, 12(03): 0-.