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Pukkila, J., Mustaniemi, S., Lingaiah, S., Lappalainen, O.-P., Kajantie, E., Pouta, A., Kaaja, R., Eriksson, J. G., Laivuori, H., Gissler, M., Vääräsmäki, M., & Keikkala, E. (2022). Increased oral care needs and third molar symptoms in women with gestational diabetes mellitus: A finnish gestational diabetes case–control study. International Journal of Environmental Research and Public Health, 19(17), 10711. https://doi.org/10.3390/ijerph191710711

Increased oral care needs and third molar symptoms in women with gestational diabetes mellitus : a finnish gestational diabetes case–control study

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Author: Pukkila, Jenni1,2; Mustaniemi, Sanna1,2; Lingaiah, Shilpa1,2;
Organizations: 1PEDEGO Research Unit, Medical Research Centre Oulu, Oulu University Hospital, University of Oulu, 90220 Oulu, Finland
2Population Health, Public Health and Welfare, Finnish Institute for Health and Welfare, 00271 Helsinki and 90220 Oulu, Finland
3Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, University of Helsinki, 00290 Helsinki, Finland
4Children’s Hospital, Helsinki University Hospital, University of Helsinki, 00290 Helsinki, Finland
5Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, 7028 Trondheim, Norway
6Department of Government Services, Finnish Institute for Health and Welfare, 00271 Helsinki, Finland
7Internal Medicine, Institute of Clinical Medicine, Turku University Hospital, University of Turku, 20521 Turku, Finland
8Technology and Research, Agency for Science, Singapore Institute for Clinical Sciences, Singapore 117609, Singapore
9Department of Obstetrics and Gynaecology and Human Potential Translational Research Programme, Young Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
10Department of General Practice and Primary Health Care, Helsinki University Hospital, University of Helsinki, 00290 Helsinki, Finland
11Folkhälsan Research Center, 00250 Helsinki, Finland
12Adolescent and Maternal Health Research, Center for Child, Faculty of Medicine and Health Technology, Tampere University, 33520 Tampere, Finland
13Department of Obstetrics and Gynaecology, Tampere University Hospital, 33520 Tampere, Finland
14Medical and Clinical Genetics, Helsinki University Hospital, University of Helsinki, 00290 Helsinki, Finland
15Institute for Molecular Medicine Finland, Helsinki Institute of Life Science, University of Helsinki, 00290 Helsinki, Finland
16Department of Knowledge Brokers, Finnish Institute for Health and Welfare, 00271 Helsinki, Finland
17Department of Molecular Medicine and Surgery, Karolinska Institute, 104 35 Stockholm, Sweden
18Region Stockholm, Academic Primary Health Care Centre, 113 65 Stockholm, Sweden
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 1.9 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2023030730297
Language: English
Published: Multidisciplinary Digital Publishing Institute, 2022
Publish Date: 2023-03-07
Description:

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.

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Series: International journal of environmental research and public health
ISSN: 1661-7827
ISSN-E: 1660-4601
ISSN-L: 1661-7827
Volume: 19
Issue: 17
Article number: 10711
DOI: 10.3390/ijerph191710711
OADOI: https://oadoi.org/10.3390/ijerph191710711
Type of Publication: A1 Journal article – refereed
Field of Science: 3121 General medicine, internal medicine and other clinical medicine
313 Dentistry
Subjects:
diabetes
gestational
molar
oral health
self-report
third
women’s health
Article
Funding: This research received no external funding. The FinnGeDi study was funded by several institutions and foundations [17]: the Academy of Finland, Diabetes Research Foundation, Foundation for Pediatric Research, Juho Vainio Foundation, Novo Nordisk Foundation, Signe and Ane Gyllenberg Foundation, Sigrid Jusélius Foundation, Yrjö Jahnsson Foundation, Finnish Medical Foundation, Research Funds of Oulu University Hospital (state grants), Research Funds of Helsinki University Hospital (state grants), Medical Research Center Oulu and the Finnish Institute for Health and Welfare.
Copyright information: © 2022 by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
  https://creativecommons.org/licenses/by/4.0/