{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T10:18:09Z","timestamp":1777025889193,"version":"3.51.4"},"reference-count":34,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background: This study aimed to subjectively assess the changes in the oral health status of pregnant women, to find out their attitudes and knowledge about possible changes in the oral cavity that occurred during pregnancy, and their influence on the outcomes of pregnancy. Methods: 112 pregnant women who visited the Republican Siauliai Hospital during their pregnancy participated in the study. An anonymous self-administered questionnaire was used to conduct the research, surveying their demographic characteristics, oral health changes and habits during pregnancy, and awareness of possible negative pregnancy outcomes. Results: The study involved 112 pregnant women, with 35 in the first trimester, 28 in the second, and 48 in the third trimester. The findings revealed that pregnant women do not take sufficient care of their oral health: more than half of the respondents did not visit an oral care specialist during pregnancy; 22.3% of women reported brushing their teeth only once a day or less; and 35.7% did not clean interdental surfaces at all. Statistically, significantly more urban women believed there is a relationship between maternal oral health and adverse pregnancy outcomes than women living in rural areas (p = 0.013). While significant oral health changes were not observed in the first trimester, more women in the second and third trimesters reported issues such as bleeding gums, swelling, plaque accumulation, tartar, and caries (p &lt; 0.001). Conclusions: The attitude of women towards oral health during pregnancy and their understanding of the possible risks for unfavorable pregnancy outcomes are insufficient. Notably, oral health issues become more prominent in the second and third trimesters, necessitating appropriate oral care to reduce the incidence of oral and dental diseases during pregnancy. This underscores the importance of educational and preventive public health policies focused on oral care for pregnant women, aimed at increasing awareness and promoting practices that safeguard both maternal and fetal health.<\/jats:p>","DOI":"10.3390\/medicina60091431","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T03:45:21Z","timestamp":1725248721000},"page":"1431","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Survey of Lithuanian Pregnant Women\u2019s Knowledge about Periodontal Disease, Its Prevalence and Possible Influence on Pregnancy Outcomes"],"prefix":"10.3390","volume":"60","author":[{"given":"Egle","family":"Ramanauskaite","sequence":"first","affiliation":[{"name":"Clinic of Dental and Oral Pathology, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4417-3221","authenticated-orcid":false,"given":"Vita","family":"Maciulskiene","sequence":"additional","affiliation":[{"name":"Clinic of Dental and Oral Pathology, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nomeda","family":"Baseviciene","sequence":"additional","affiliation":[{"name":"Clinic of Dental and Oral Pathology, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rugile","family":"Anuzyte","sequence":"additional","affiliation":[{"name":"Clinic of Dental and Oral Pathology, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1093\/epirev\/mxx006","article-title":"Periodontal disease, tooth loss, and cancer risk","volume":"39","author":"Michaud","year":"2017","journal-title":"Epidemiol. Rev."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1902\/jop.2015.140520","article-title":"Update on Prevalence of Periodontitis in Adults in the United States: NHANES 2009 to 2012","volume":"86","author":"Eke","year":"2015","journal-title":"J. Periodontol."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Ababneh, K.T., Abu Hwaij, Z.M.F., and Khader, Y.S. (2012). Prevalence and risk indicators of gingivitis and periodontitis in a Multi-Centre study in North Jordan: A cross sectional study. BMC Oral Health, 12.","DOI":"10.1186\/1472-6831-12-1"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1111\/j.1600-051X.2005.00739.x","article-title":"Factors related to utilization of dental services during pregnancy","volume":"32","author":"Guthmiller","year":"2005","journal-title":"J. Clin. Periodontol."},{"key":"ref_5","first-page":"33","article-title":"Consideration of Oral Health and Periodontal Diseases during Pregnancy: Knowledge and Behaviour Among French Pregnant Women","volume":"19","author":"Petit","year":"2021","journal-title":"Oral Health Prev. Dent."},{"key":"ref_6","first-page":"164654","article-title":"Relationship between periodontal diseases and preterm birth: Recent epidemiological and biological data","volume":"1","author":"Huck","year":"2011","journal-title":"J. Pregnancy"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"114","DOI":"10.2174\/1874210600903010114","article-title":"The Influence of Sex Steroid Hormones on Gingiva of Women","volume":"3","author":"Markou","year":"2009","journal-title":"Open Dent. J."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Wang, Q., W\u00fcrtz, P., Auro, K., M\u00e4kinen, V.P., Kangas, A.J., Soininen, P., Tiainen, M., Tynkkynen, T., Jokelainen, J., and Santalahti, K. (2016). Metabolic profiling of pregnancy: Cross-sectional and longitudinal evidence. BMC Med., 14.","DOI":"10.1186\/s12916-016-0733-0"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1902\/jop.2009.080012","article-title":"Persson GR Does Pregnancy Have an Impact on the Subgingival Microbiota?","volume":"80","author":"Adriaens","year":"2009","journal-title":"J. Periodontol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1111\/j.1600-051X.2009.01516.x","article-title":"Gingival changes during pregnancy: II. Influence of hormonal variations on the subgingival biofilm","volume":"37","author":"Figuero","year":"2010","journal-title":"J. Clin. Periodontol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"264","DOI":"10.4274\/jtgga.galenos.2018.2018.0139","article-title":"Oral care in pregnancy","volume":"20","author":"Yenen","year":"2019","journal-title":"J. Turk. Ger. Gynecol. Assoc."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"5002","DOI":"10.1128\/JB.00542-10","article-title":"Wade WG The human oral microbiome","volume":"192","author":"Dewhirst","year":"2010","journal-title":"J. Bacteriol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1111\/iej.12710","article-title":"Association between apical periodontitis and cardiovascular diseases: A systematic review of the literature","volume":"50","author":"Febbraio","year":"2017","journal-title":"Int. Endod. J."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.puhe.2007.07.004","article-title":"Associations between periodontal diseases and systemic diseases: A review of the inter-relationships and interactions with diabetes, respiratory diseases, cardiovascular diseases and osteoporosis","volume":"122","author":"Kuo","year":"2008","journal-title":"Public Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1177\/1084822316651658","article-title":"Oral Health: The Oral-Systemic Health Connection","volume":"29","author":"Alpert","year":"2017","journal-title":"Home Health Care Manag. Pract."},{"key":"ref_16","first-page":"30","article-title":"The effects of oral health on systemic health","volume":"65","author":"Kane","year":"2017","journal-title":"Gen. Dent."},{"key":"ref_17","first-page":"CD005297","article-title":"Treating periodontal disease for preventing adverse birth outcomes in pregnant women","volume":"6","author":"Middleton","year":"2017","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.diabres.2018.04.028","article-title":"Longitudinal association between periodontitis and development of diabetes","volume":"141","author":"Joshipura","year":"2018","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1177\/154405910808700418","article-title":"Oral health and mortality risk from pneumonia in the elderly","volume":"87","author":"Awano","year":"2008","journal-title":"J. Dent. Res."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e12189","DOI":"10.1111\/jicd.12189","article-title":"Significant increase of oral bacteria in the early pregnancy period in Japanese women","volume":"8","author":"Fujiwara","year":"2017","journal-title":"J. Investig. Clin. Dent."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"de Sousa Massoni, R.S., Aranha, A.M.F., Matos, F.Z., Guedes, O.A., Borges, \u00c1.H., Miotto, M., and Porto, A.N. (2019). Correlation of periodontal and microbiological evaluations, with serum levels of estradiol and progesterone, during different trimesters of gestation. Sci. Rep., 9.","DOI":"10.1038\/s41598-019-48288-w"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e12389","DOI":"10.1111\/mcn.12389","article-title":"Nausea and vomiting in early pregnancy: Effects on food intake and diet quality","volume":"13","author":"Crozier","year":"2017","journal-title":"Matern. Child Nutr."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.earlhumdev.2016.09.007","article-title":"Preeclampsia; short and long-term consequences for mother and neonate","volume":"102","author":"Bokslag","year":"2016","journal-title":"Early Hum. Dev."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1902\/jop.2009.090351","article-title":"Periodontal Diseases, Preterm Births, and Low Birth Weight: Findings from a Homogeneous Cohort of Women in Madagascar","volume":"81","author":"Tenenbaum","year":"2010","journal-title":"J. Periodontol."},{"key":"ref_25","unstructured":"(2023, December 03). Available online: https:\/\/sam.lrv.lt\/uploads\/sam\/documents\/files\/Nesciosios-atmintine.pdf."},{"key":"ref_26","unstructured":"Kap\u016bstait\u0117, S. (2023). N\u0117\u0161\u010diosioms Skirt\u0173 Virtuali\u0173 Mokym\u0173 Apie Burnos Sveikat\u0105 Efektyvumo Tyrimas. [Ph.D. Dissertation, Vilniaus Universitetas]."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"12","DOI":"10.5200\/sm-hs.2017.003","article-title":"odontolog\u0173, aku\u0161eri\u0173 ir n\u0117\u0161\u010di\u0173j\u0173 suvokimo bei \u017eini\u0173 apie burnos lig\u0173 gydym\u0105 bei profilaktik\u0105 n\u0117\u0161tumo metu \u012fvertinimas kauno mieste","volume":"27","author":"Gutpetris","year":"2017","journal-title":"Sveik. Moksl."},{"key":"ref_28","first-page":"26","article-title":"Comparative Evaluation of Oral Health Knowledge, Practices and Attitude of Pregnant and Non-Pregnant Women, and Their Awareness Regarding Adverse Pregnancy Outcomes","volume":"9","author":"Gupta","year":"2015","journal-title":"J. Clin. Diagn. Res."},{"key":"ref_29","first-page":"261","article-title":"KAP assessment of oral health and adverse pregnancy outcomes among pregnant women in Hyderabad, India","volume":"11","author":"Avula","year":"2013","journal-title":"Oral Health Prev. Dent."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"18","DOI":"10.5897\/JDOH2018.0232","article-title":"The importance of pH, salivary flow and different dental caries risk factors in pregnant women","volume":"10","author":"Joel","year":"2018","journal-title":"J. Dent. Oral Hyg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/j.aime.2020.04.021","article-title":"Salivary factors related to caries in pregnancy","volume":"151","author":"Yousefi","year":"2020","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"167","DOI":"10.2334\/josnusd.48.167","article-title":"Oral pyogenic granuloma: A review","volume":"48","author":"Jafarzadeh","year":"2006","journal-title":"J. Oral. Sci."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.jobcr.2019.10.005","article-title":"Cognizance & oral health status among pregnant females\u2014A cross sectional survey","volume":"10","author":"Agarwal","year":"2020","journal-title":"J. Oral Biol. Craniofac. Res."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.1111\/idh.12210","article-title":"Self-reported periodontal conditions among Dutch women during pregnancy","volume":"15","author":"Stelmakh","year":"2017","journal-title":"Int. J. Dent. Hyg."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/9\/1431\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:46:42Z","timestamp":1760111202000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/9\/1431"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,1]]},"references-count":34,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["medicina60091431"],"URL":"https:\/\/doi.org\/10.3390\/medicina60091431","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,1]]}}}