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Increased Oral Care Needs and Third Molar Symptoms in Women with Gestational Diabetes Mellitus: A Finnish Gestational Diabetes Case–Control Study

Author

Listed:
  • Jenni Pukkila

    (PEDEGO Research Unit, Medical Research Centre Oulu, Oulu University Hospital, University of Oulu, 90220 Oulu, Finland
    Population Health, Public Health and Welfare, Finnish Institute for Health and Welfare, 00271 Helsinki and 90220 Oulu, Finland)

  • Sanna Mustaniemi

    (PEDEGO Research Unit, Medical Research Centre Oulu, Oulu University Hospital, University of Oulu, 90220 Oulu, Finland
    Population Health, Public Health and Welfare, Finnish Institute for Health and Welfare, 00271 Helsinki and 90220 Oulu, Finland)

  • Shilpa Lingaiah

    (PEDEGO Research Unit, Medical Research Centre Oulu, Oulu University Hospital, University of Oulu, 90220 Oulu, Finland
    Population Health, Public Health and Welfare, Finnish Institute for Health and Welfare, 00271 Helsinki and 90220 Oulu, Finland)

  • Olli-Pekka Lappalainen

    (Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, University of Helsinki, 00290 Helsinki, Finland)

  • Eero Kajantie

    (PEDEGO Research Unit, Medical Research Centre Oulu, Oulu University Hospital, University of Oulu, 90220 Oulu, Finland
    Population Health, Public Health and Welfare, Finnish Institute for Health and Welfare, 00271 Helsinki and 90220 Oulu, Finland
    Children’s Hospital, Helsinki University Hospital, University of Helsinki, 00290 Helsinki, Finland
    Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, 7028 Trondheim, Norway)

  • Anneli Pouta

    (PEDEGO Research Unit, Medical Research Centre Oulu, Oulu University Hospital, University of Oulu, 90220 Oulu, Finland
    Department of Government Services, Finnish Institute for Health and Welfare, 00271 Helsinki, Finland)

  • Risto Kaaja

    (Internal Medicine, Institute of Clinical Medicine, Turku University Hospital, University of Turku, 20521 Turku, Finland)

  • Johan G. Eriksson

    (Technology and Research, Agency for Science, Singapore Institute for Clinical Sciences, Singapore 117609, Singapore
    Department of Obstetrics and Gynaecology and Human Potential Translational Research Programme, Young Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
    Department of General Practice and Primary Health Care, Helsinki University Hospital, University of Helsinki, 00290 Helsinki, Finland
    Folkhälsan Research Center, 00250 Helsinki, Finland)

  • Hannele Laivuori

    (Adolescent and Maternal Health Research, Center for Child, Faculty of Medicine and Health Technology, Tampere University, 33520 Tampere, Finland
    Department of Obstetrics and Gynaecology, Tampere University Hospital, 33520 Tampere, Finland
    Medical and Clinical Genetics, Helsinki University Hospital, University of Helsinki, 00290 Helsinki, Finland
    Institute for Molecular Medicine Finland, Helsinki Institute of Life Science, University of Helsinki, 00290 Helsinki, Finland)

  • Mika Gissler

    (Department of Knowledge Brokers, Finnish Institute for Health and Welfare, 00271 Helsinki, Finland
    Department of Molecular Medicine and Surgery, Karolinska Institute, 104 35 Stockholm, Sweden
    Region Stockholm, Academic Primary Health Care Centre, 113 65 Stockholm, Sweden)

  • Marja Vääräsmäki

    (PEDEGO Research Unit, Medical Research Centre Oulu, Oulu University Hospital, University of Oulu, 90220 Oulu, Finland
    Population Health, Public Health and Welfare, Finnish Institute for Health and Welfare, 00271 Helsinki and 90220 Oulu, Finland)

  • Elina Keikkala

    (PEDEGO Research Unit, Medical Research Centre Oulu, Oulu University Hospital, University of Oulu, 90220 Oulu, Finland
    Population Health, Public Health and Welfare, Finnish Institute for Health and Welfare, 00271 Helsinki and 90220 Oulu, Finland)

Abstract

(1) Hyperglycemia and oral pathology accelerate each other in diabetes. We evaluated whether gestational diabetes mellitus (GDM) is associated with self-reported increased oral health care needs and oral symptoms, including third molar symptoms, during pregnancy. (2) Pregnant women with ( n = 1030) and without GDM ( n = 935) were recruited in this multicenter Finnish Gestational Diabetes study in 2009–2012. Of the women with GDM, 196 (19.0%) receiving pharmacological treatment, 797 (77.0%) receiving diet treatment and 233 (23.0%) with recurrent GDM were analyzed separately. Oral health was assessed using structured questionnaires and analyzed by multivariable logistic regression adjusted for background risk factors. (3) Women with GDM were more likely to report a higher need for oral care than controls (31.1% vs. 24.5%; odds ratio (OR) 1.39; 95% confidence interval (CI) 1.14–1.69), particularly women with recurrent GDM (38.1% vs. 24.5%; OR 1.90; 95% CI 1.40–2.58). Women with pharmacologically treated GDM (46.9%) more often had third molar symptoms than controls (36.1%; OR 1.57; 95% CI 1.15–2.15) than women with diet-treated GDM (38.0%; OR 1.47; 95% CI 1.07–2.02). (4) GDM is associated with perceived oral care needs. Third molar symptoms were associated with pharmacologically treated GDM.

Suggested Citation

  • Jenni Pukkila & Sanna Mustaniemi & Shilpa Lingaiah & Olli-Pekka Lappalainen & Eero Kajantie & Anneli Pouta & Risto Kaaja & Johan G. Eriksson & Hannele Laivuori & Mika Gissler & Marja Vääräsmäki & Elin, 2022. "Increased Oral Care Needs and Third Molar Symptoms in Women with Gestational Diabetes Mellitus: A Finnish Gestational Diabetes Case–Control Study," IJERPH, MDPI, vol. 19(17), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10711-:d:899874
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