Volume 12, Issue 3 (2024)                   Health Educ Health Promot 2024, 12(3): 471-476 | Back to browse issues page


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Samami M, Salari A, Sharami S, Jafari Sadatmahalle Z, Najar-Karimi F. Frequency of Pregnancy Tumors and Associated Factors in the Oral Cavity of Pregnant Women in Northern Iran. Health Educ Health Promot 2024; 12 (3) :471-476
URL: http://hehp.modares.ac.ir/article-5-75766-en.html
1- Department of Oral and Maxillofacial Medicine, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
2- “Dental Sciences Research Center” and “Department of Periodontics, School of Dentistry”, Guilan University of Medical Sciences, Rasht, Iran
3- “Reproductive Health Research Center” and “Department of Obstetrics and Gynecology, Al-Zahra Hospital, School of Medicine”, Guilan University of Medical Sciences, Rasht, Iran
4- Department of Oral and Maxillofacial Medicine, School of Dentistry, Alborz University of Medical Sciences, Karaj, Iran
Abstract:   (368 Views)
Aims: A pregnancy tumor, also known as pyogenic granuloma, is a reactive exophytic lesion that occurs in the oral cavity due to an intensified hyperplastic response in a localized area during pregnancy. These lesions can cause bleeding, pain, discomfort, and difficulties in eating, particularly when they are larger. This can lead to inadequate nutrition for the mother and hinder proper fetal development. This study aimed to examine the frequency of pregnancy tumors and associated factors among pregnant women at Al-Zahra Hospital in Rasht, Iran.
Instrument & Methods: This cross-sectional analytical study included 707 pregnant women referred to Al-Zahra Hospital in Rasht from 2022 to 2023. After collecting demographic and clinical information, intraoral examinations were conducted using a mouth mirror, probe, and tongue depressor. Data were analyzed by SPSS 28 using the independent t-test, Mann-Whitney U test, and Fisher’s exact test, at a significance level of p-value≤0.05.
Findings: The prevalence of pregnancy tumors among pregnant women was 0.8%. There was a significant relationship between the frequency of pregnancy tumors and oral hygiene indices, including the plaque index and gingival inflammation. Gingival inflammation (p=0.011), the number of quadrants with gingival inflammation (p<0.001), and the mean plaque index (p<0.001) were significantly higher in individuals with pregnancy tumors compared to the overall average.
Conclusion: The prevalence of pregnancy tumors among pregnant women is 0.8%.
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Article Type: Descriptive & Survey | Subject: Oral Health Education/Promotion
Received: 2024/06/23 | Accepted: 2024/09/29 | Published: 2024/10/8
* Corresponding Author Address: Department of Oral and Maxillofacial Medicine, School of Dentistry, Alborz University of Medical Sciences, 45m Golshahr, Ketoizade Square, Karaj, Iran. Postal Code: 3198684868 (mastane_fk91@yahoo.com)

References
1. Hong HH, Chen YH, Cheng PJ, Chang MY, Chuang LL. Risk factors associated with periodontal disease and its impact on quality of life among pregnant women. J Obstet Gynaecol. 2023;43(2):2264382. [Link] [DOI:10.1080/01443615.2023.2264382]
2. Lomeli Martinez SM, Carrillo Contreras NG, Gómez Sandoval JR, Zepeda Nuño JS, Gomez Mireles JC, Varela Hernández JJ, et al. Oral pyogenic granuloma: A narrative review. Int J Mol Sci. 2023;24(23):16885. [Link] [DOI:10.3390/ijms242316885]
3. Khatibi M, Niromanesh S, Abhari SY, Falakaflaki N. Prevalence of pregnancy tumor (pyogenic granuloma) and related factors in pregnant women referred to Tehran Mirza Kuchak Khan Hospital during 2010-2011. Iran J Obstet Gynecol Infertil. 2013;16(71):1-6. [Persian] [Link]
4. Molania T, Salehabadi N, Zahedpasha S, Yazdani Charati J, Imani B, Ghasemi S, et al. Frequency of epulis gravidarum in pregnant. J Nurs Midwifery Sci. 2022;9(4):303-9. [Link]
5. Radwan-Oczko M, Hirnle L, Szczepaniak M, Duś-Ilnicka I. How much do pregnant women know about the importance of oral health in pregnancy? Questionnaire-based survey. BMC Pregnancy Childbirth. 2023;23(1):348. [Link] [DOI:10.1186/s12884-023-05677-4]
6. Sharma A, Mathur VP, Sardana D. Effective management of a pregnancy tumour using a soft tissue diode laser: A case report. Laser Ther. 2014;23(4):279-82. [Link] [DOI:10.5978/islsm.14-CR-02]
7. Tabatabaei Nejad ES, BigomTaheri J, Azimi S. Frequency of gingival pregnancy tumor in iran (confirmed by biopsy). J Int Oral Health. 2014;6(6):72-6. [Link]
8. Chamani G, Navabi N, Abdollahzadeh S. Prevalence of pregnancy tumor in pregnant women. J Dent. 2009;10(1):79-82. [Persian] [Link]
9. Patil S. Oral changes in pregnant and nonpregnant women: A case-control study. J Orofac Sci. 2013;5(2):118-22. [Link] [DOI:10.4103/0975-8844.124257]
10. Gil-Montoya JA, Rivero-Blanco T, Leon-Rios X, Exposito-Ruiz M, Pérez-Castillo I, Aguilar-Cordero MJ. Oral and general health conditions involved in periodontal status during pregnancy: A prospective cohort study. Arch Gynecol Obstet. 2023;308(6):1765-73. [Link] [DOI:10.1007/s00404-022-06843-3]
11. Ayobiyan N, Afsar N. The effect of aspirin on bleeding on probing in patients with gingivitis. J Dent. 2009;10(4):337-42. [Persian] [Link]
12. Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condtion. Acta Odontol Scand. 1964;22:121-35. [Link] [DOI:10.3109/00016356408993968]
13. Kia SJ, Vadiati Saberi B, Moonesan MR, Madani AR. Frequency of intra and extra oral manifestations of pregnant women in Rasht (2013). J Inflamm Dis. 2017;20(6):e155997. [Persian] [Link]
14. Saebi KH, Robati B. Evaluation of periodontium tissue in pregnancy period in referred patient to Mashhad dental University. J Mashhad Univ Med Sci Dent Coll. 1993;14:165-71. [Persian] [Link]
15. Meshram M, Durge K, Shirbhate U. An overview of oral pyogenic granuloma and its management: A case report. Cureus. 2023;15(11):e48305. [Link] [DOI:10.7759/cureus.48305]
16. Sonar PR, Panchbhai AS. Pyogenic granuloma in the mandibular anterior gingiva: A case study. Cureus. 2024;16(1):e52273. [Link] [DOI:10.7759/cureus.52273]
17. Al-Noaman AS. Pyogenic granuloma: Clinicopathological and treatment scenario. J Indian Soc Periodontol. 2020;24(3):233-6. [Link] [DOI:10.4103/jisp.jisp_132_19]
18. Flores DAF, López ENC. Relationship between oral health and nutrition during pregnancy, nursing, and the first two years of life. In: The role of nutrition in integral health and quality of life. Canada: Apple Academic Press; 2024. p. 409-54. [Link] [DOI:10.1201/9781003413585-18]
19. Kashetty M, Kumbhar S, Patil S, Patil P. Oral hygiene status, gingival status, periodontal status, and treatment needs among pregnant and nonpregnant women: A comparative study. J Indian Soc Periodontol. 2018;22(2):164-70. [Link] [DOI:10.4103/jisp.jisp_319_17]
20. Wu M, Chen SW, Su WL, Zhu HY, Ouyang SY, Cao YT, et al. Sex hormones enhance gingival inflammation without affecting IL-1β and TNF-α in periodontally healthy women during pregnancy. Mediators Inflamm. 2016;2016:4897890. [Link] [DOI:10.1155/2016/4897890]
21. Alnasser BH, Alkhaldi NK, Alghamdi WK, Alghamdi FT. The potential association between periodontal diseases and adverse pregnancy outcomes in pregnant women: A systematic review of randomized clinical trials. Cureus. 2023;15(1):e33216. [Link] [DOI:10.7759/cureus.33216]
22. Oliveira LJC, Cademartori MG, Sfreddo CS, Silveira MF, Barros FC, Correa MB, et al. Factors associated with periodontal diseases in pregnancy: Findings of the 2015 pelotas birth cohort study. Braz Oral Res. 2023;37:e110. [Link] [DOI:10.1590/1807-3107bor-2023.vol37.0110]
23. Gürsoy M, Pajukanta R, Sorsa T, Könönen E. Clinical changes in periodontium during pregnancy and post-partum. J Clin Periodontol. 2008;35(7):576-83. [Link] [DOI:10.1111/j.1600-051X.2008.01236.x]
24. Gil L, Mínguez I, Caffesse R, Llambés F. Periodontal disease in pregnancy: The influence of general factors and inflammatory mediators. Oral Health Prev Dent. 2019;17(1):69-73. [Link]
25. Shamsi M, Hidarnia A, Niknami S, karimi M. Effects of educational programs on DMFT plaque index and performance of pregnant women. J Mazandaran Univ Med Sci. 2013;23(100):62-72. [Persian] [Link]
26. Islam NAB, Haque A. Pregnancy-related dental problems: A review. Heliyon. 2024;10(3):e24259. [Link] [DOI:10.1016/j.heliyon.2024.e24259]
27. Carrillo-De-Albornoz A, Figuero E, Herrera D, Cuesta P, Bascones-Martínez A. Gingival changes during pregnancy: III. Impact of clinical, microbiological, immunological and socio-demographic factors on gingival inflammation. J Clin Periodontol. 2012;39(3):272-83. [Link] [DOI:10.1111/j.1600-051X.2011.01800.x]
28. Ojanotko‐Harri AO, Harri MP, Hurttia HM, Sewoón LA. Altered tissue metabolism of progesterone in pregnancy gingivitis and granuloma. J Clin Periodontol. 1991;18(4):262-6. [Link] [DOI:10.1111/j.1600-051X.1991.tb00425.x]
29. Aoun G. Pyogenic granuloma of the oral cavity: Clinical and histopathological features, etiopathogenesis, and management. J Health Sci Res. 2023;8(1):26-8. [Link] [DOI:10.7324/jhsr.2023.815]

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