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Open AccessArticle

Oral Health in Women with a History of High Gestational Diabetes Risk

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Department of Oral and Maxillofacial Diseases and Helsinki University Hospital, University of Helsinki, PB 700, 00029 HUS, Finland
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Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, PO Box 20, 00014 Helsinki, Finland
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Department of General Practice and Primary Health Care, University of Eastern Finland, PO Box 1627, 70211 Kuopio, Finland
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Department of Obstetrics and Gynaecology, University of Helsinki and Helsinki University Hospital, PO Box 140, 00029 HUS, Helsinki, Finland
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Folkhälsan Research Center, University of Helsinki, PO Box 20, 00014 Helsinki, Finland
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Department of Obstetrics and Gynecology, National University Singapore, Yong Loo Lin School of Medicine, 1E Kent Ridge Road, Singapore 119228, Singapore
*
Author to whom correspondence should be addressed.
Dent. J. 2019, 7(3), 92; https://doi.org/10.3390/dj7030092
Received: 29 May 2019 / Revised: 21 August 2019 / Accepted: 27 August 2019 / Published: 3 September 2019
(This article belongs to the Special Issue Dental Hygiene and Epidemiology Volume 2)
We studied oral health in 115 women with and without a history of gestational diabetes (GDM), expecting poorer oral health in the GDM group. Full-mouth examinations were performed 5 years postpartum and the number of teeth, total dental index (TDI) and decayed, missing, filled teeth (DMFT) index were calculated. Bleeding on probing (BOP), probing depth (PD), visible plaque index (VPI), and clinical attachment level (CAL) were recorded. The periodontal inflammatory burden index (PIBI) was calculated. Panoramic radiographs were taken and signs of infections recorded. Oral health habits, symptoms and participants’ own opinion of oral health were recorded with questionnaires. At the time of examination, 45% of the women had a history of GDM in the index pregnancy. Mild periodontitis (62%) and bleeding on probing (46%) were common. VPI (13% and 17%, p = 0.009) and PIBI (13.1 and 17.5, p = 0.041) were lower among women with a history of GDM compared with those with no history of GDM. There was no difference between groups in DMFT scores. All women reported good subjective oral health. Thus, contrary to our hypothesis, women with a history of GDM showed better oral health parameters than women without a history of GDM. View Full-Text
Keywords: gestational diabetes; oral health; periodontitis gestational diabetes; oral health; periodontitis
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Poulsen, H.; Meurman, J.H.; Kautiainen, H.; Heikkinen, A.M.; Huvinen, E.; Koivusalo, S.; Eriksson, J.G. Oral Health in Women with a History of High Gestational Diabetes Risk. Dent. J. 2019, 7, 92.

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