Are educational tools in oral health programs for pregnant women effective in improving the oral status of mothers and babies? A systematic review

Q3 Dentistry

Evidence-based dentistry Pub Date : 2024-08-26 DOI:10.1038/s41432-024-01043-1

Natália Magno Von Helde, Mariana Leonel Martins, Mayara da Costa Motta, Tainá Fontes de Souza, Marcela Baraúna Magno, Lucianne Cople Maia, Andréa Fonseca-Gonçalves

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Abstract

To analyze, through a systematic review, the effectiveness of educational tools (ETs) in Oral Health Programs (OHPs) for pregnant women in improving their oral status and that of their babies. Searches were carried out in 5 electronic databases. Randomized (RCTs) and non-randomized clinical trials (CTs) were selected that included pregnant women exposed or not to ETs in OHPs, whose oral health status, in the pre- or postnatal period, or of their babies were verified. The types of ETs, outcomes, and results were extracted. Bias risk was assessed by ROBINS-I and RoB 2.0; and the certainty of the evidence (CE) by GRADE. A total of nine studies were included. Most used more than one ET (n = 8), with verbal guidance used in all (n = 9). Mothers showed a reduction in biofilm (n = 3), caries (n = 4) and periodontitis (n = 4). All studies with babies (n = 3) were successful in preventing caries. RCTs (n = 3) were classified as low risk of bias (n = 1), with concerns (n = 1) and high risk of bias (n = 1). CTs (n = 6) presented risk of bias as low (n = 2), serious (n = 1) and critical (n = 3). Studies about caries in babies showed high CE, and those who evaluated caries and periodontal parameters/biofilm in the mother had moderate and low CE, respectively. ETs as a strategy of OHPs for pregnant women can be effective in preventing caries in themselves and in their babies. However, despite the improvement of the mothers’ oral hygiene and gingival condition, the CE was low considering this parameter.

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孕妇口腔健康计划中的教育工具是否能有效改善母婴的口腔状况？系统综述。

目的通过系统综述，分析孕妇口腔健康计划（OHPs）中的教育工具（ETs）在改善孕妇及其婴儿口腔状况方面的有效性：方法：在 5 个电子数据库中进行搜索。方法：在 5 个电子数据库中进行了搜索，选择了随机临床试验（RCT）和非随机临床试验（CT），这些临床试验包括在口腔保健计划中接触或未接触 ET 的孕妇，其产前或产后的口腔健康状况或其婴儿的口腔健康状况得到了验证。提取了 ET 的类型、结果和结果。采用 ROBINS-I 和 RoB 2.0 评估偏倚风险；采用 GRADE 评估证据的确定性（CE）：结果：共纳入九项研究。大多数研究使用了一种以上的 ET（n = 8），所有研究都使用了口头指导（n = 9）。结果显示，母亲的生物膜（3 例）、龋齿（4 例）和牙周炎（4 例）均有所减少。所有针对婴儿的研究（n = 3）都成功预防了龋齿。研究性试验（n = 3）被归类为低偏倚风险（n = 1）、值得关注（n = 1）和高偏倚风险（n = 1）。CT 研究（n = 6）的偏倚风险分为低（n = 2）、严重（n = 1）和危急（n = 3）。有关婴儿龋齿的研究显示出较高的偏倚风险，而评估母亲龋齿和牙周参数/生物膜的研究分别显示出中等和较低的偏倚风险：结论：ETs 作为孕妇口腔保健的一种策略，可以有效预防孕妇及其婴儿的龋齿。然而，尽管母亲的口腔卫生和牙龈状况有所改善，但考虑到这一参数，CE 值较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Evidence-based dentistry Dentistry-Dentistry (all)

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Evidence-Based Dentistry delivers the best available evidence on the latest developments in oral health. We evaluate the evidence and provide guidance concerning the value of the author''s conclusions. We keep dentistry up to date with new approaches, exploring a wide range of the latest developments through an accessible expert commentary. Original papers and relevant publications are condensed into digestible summaries, drawing attention to the current methods and findings. We are a central resource for the most cutting edge and relevant issues concerning the evidence-based approach in dentistry today. Evidence-Based Dentistry is published by Springer Nature on behalf of the British Dental Association.