Awareness of pregnant women and mothers of infants in Poland in the field of prevention of diseases of the oral cavity of children

Aleksandra Jankowska, Wojciech Frąckiewicz, Milena Mrozińska, Monika Szmidt-Kądys, Agnieszka Kus-Bartoszek, Anna Jarząbek


Introduction: During pregnancy, the future mother’s body undergoes changes that affect the health of her oral cavity. During this period a woman should visit a dentist and adopt proper dietary and hygienic habits. The health awareness and knowledge of the future mother about the prevention of oral diseases are necessary to delay the colonization of the child’s oral cavity with cariogenic bacteria and thus prevent caries and its complications.
The aim of the study was to assess the awareness of pregnant women and mothers of infants in Poland regarding the prevention of children’s oral diseases.
Materials and methods: A survey of 125 pregnant women and mothers of infants was conducted.
Results: The study shows that the majority of women (84.8%) were convinced of the need to see a dentist during pregnancy. A similar percentage (88.8%) knew that both preventive and therapeutic procedures could be performed during this period. Two thirds of the women correctly answered the question of which oral hygiene procedures should be performed by the future mother. Only 38.4% of the respondents knew that the condition of the pregnant woman’s teeth can influence the development of caries in the child, and 54.4% of the respondents knew about the possibility of transfer of cariogenic bacteria from the mother’s oral cavity to the child’s oral cavity. 52.8% of women would take their child to the dentist on time, i.e. between 6–12 months of age. Half of the respondents believed that the use of fluoride was safe, and even fewer – 46.4% – believed that a child could use fluoride toothpaste. The main source of information on children’s oral health for the women surveyed was the Internet (53.6%).
Conclusions: The study showed that health awareness and oral health knowledge among pregnant women and mothers of young children are inadequate and that dentists need to intensify educational efforts.


caries prevention; oral hygiene; pregnant women; children

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Livingston HM, Dellinger TM, Holder R. Considerations in the management of the pregnant patient. Spec Care Dentist 1998;18(5):183-8.

Uhlen MM, Tveit AB, Stenhagen KR, Mulic A. Self-induced vomiting and dental erosion – a clinical study. BMC Oral Health 2014;14:92.

Hartnett E, Haber J, Krainovich-Miller B, Bella A, Vasilyeva A, Lange Kessler J. Oral Health in Pregnancy. J Obstet Gynecol Neonatal Nurs 2016;45(4):565-73.

Misan N, Paczkowska K, Szmyt M, Kapska K, Tomczak L, Bręborowicz GH, et al. Nutritional behavior in pregnancy. Ginekol Pol 2019;90(9):527-33.

Rio R, Sampaio-Maia B, Pereira ML, Silva MJ, Azevedo Á. Pregnancy as a Period of Enhanced Risk for Non-Cavitated Caries Lesions. Oral Health Prev Dent 2020;18:387-93.

Silva de Araujo Figueiredo C, Gonçalves Carvalho Rosalem C, Costa Cantanhede AL, Abreu Fonseca Thomaz ÉB, Fontoura Nogueira da Cruz MC. Systemic alterations and their oral manifestations in pregnant women. J Obstet Gynaecol Res 2017;43(1):16-22.

Wagner Y, Heinrich-Weltzien R. Risk factors for dental problems: Recommendations for oral health in infancy. Early Hum Dev 2017;114:16-21.

Saadaoui M, Singh P, Al Khodor S. Oral microbiome and pregnancy: A bidirectional relationship. J Reprod Immunol 2021;145:103293.

Wagner Y, Heinrich-Weltzien R. Risk factors for dental problems: Recommendations for oral health in infancy. Early Hum Dev 2017;114:16-21.

Nakai Y, Shinga-Ishihara C, Kaji M, Moriya K, Murakami-Yamanaka K, Takimura M. Xylitol gum and maternal transmission of mutans streptococci. J Dent Res 2010;89(1):56-60.

Salli K, Lehtinen MJ, Tiihonen K, Ouwehand AC. Xylitol’s Health Benefits beyond Dental Health: A Comprehensive Review. Nutrients 2019;11(8):1813.

Söderling E, Isokangas P, Pienihäkkinen K, Tenovuo J, Alanen P. Influence of maternal xylitol consumption on mother-child transmission of mutans streptococci: 6-year follow-up. Caries Res 2001;35(3):173-7.

Reis DM, Pitta DR, Ferreira HM, de Jesus MCP, de Moraes ME, Soares MG. Health education as a strategy for the promotion of oral health in the pregnancy period. Cien Saude Colet 2010;15(1):269-76.

Olczak-Kowalczyk D, Szczepańska J, Kaczmarek U, editors. Modern age dentistry Development. Otwock: Med Tour Press International; 2017. p. 856.

Hwang SS, Smith VC, McCormick MC, Barfield WD. Racial/ethnic disparities in maternal oral health experiences in 10 states, pregnancy risk assessment monitoring system, 2004-2006. Matern Child Health J 2011;15(6):722-9.

Olczak-Kowalczyk D, editor. Monitorowanie stanu zdrowia jamy ustnej populacji polskiej w latach 2016–2020: Uwarunkowania stanu zdrowia jamy ustnej i uszkodzenia urazowe zębów u dzieci i młodzieży w Polsce w 2020 roku. Warszawa: Warszawski Uniwersytet Medyczny; 2021. p. 291.

Plutzer K, Spencer AJ. Efficacy of an oral health promotion intervention in the prevention of early childhood caries. Community Dent Oral Epidemiol 2008;36(4):335-46.

Kloetzel MK, Huebner CE, Milgrom P. Referrals for dental care during pregnancy. J Midwifery Womens Health 2011;56(2):110-7.

Lee H, Tranby E, Shi L. Dental Visits during Pregnancy: Pregnancy Risk Assessment Monitoring System Analysis 2012–2015. JDR Clin Trans Res 2022;7(4):379-88.

Hashim R. Self-reported oral health, oral hygiene habits and dental service utilization among pregnant women in United Arab Emirates. Int J Dent Hyg 2012;10(2):142-6.

George A, Johnson M, Blinkhorn A, Ajwani S, Bhole S, Yeo AE, et al. The oral health status, practices and knowledge of pregnant women in south-western Sydney. Aust Dent J 2013;58(1):26-33.

Petit C, Benezech J, Davideau JL, Hamann V, Tuzin N, Huck O. Consideration of Oral Health and Periodontal Diseases During Pregnancy: Knowledge and Behaviour Among French Pregnant Women. Oral Health Prev Dent 2021;19(1):33-42.

Bushehab NME, Sreedharan J, Reddy S, D’souza J, Abdelmagyd H. Oral Hygiene Practices and Awareness of Pregnant Women about the Effects of Periodontal Disease on Pregnancy Outcomes. Int J Dent 2022;2022:5195278.

Haas DA, Pynn BR, Sands TD. Drug use for the pregnant or lactating patient. Gen Dent 2000;48(1):54-60.

Haas DA. An update on local anesthetics in dentistry. J Can Dent Assoc 2002;68(9):546-51.

Codato LA, Nakama L, Cordoni L Jr, Higasi MS. Atenção odontológica à gestante: papel dos profissionais de saúde. Ciên Saúde Colet 2011;16(4):2297-301.

Doucède G, Dehaynin-Toulet E, Kacet L, Jollant B, Tholliez S, Deruelle P, et al. Dents et grossesse, un enjeu de santé publique [Tooth and pregnancy, a public health issue]. Presse Med 2019;48(10):1043-50.

Gupta N, Chhetry M. Knowledge and Practices of Pregnant Women regarding Oral Health in a Tertiary Care Hospital in Nepal. JNMA J Nepal Med Assoc 2019;57(217):184-8.

Köhler B, Andréen I. Mutans streptococci and caries prevalence in children after early maternal caries prevention: a follow-up at 19 years of age. Caries Res 2012;46(5):474-80.

Marinho VC, Higgins JP, Sheiham A, Logan S. Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2003;2003(1):CD002278.

Amit, Mital P, Hooja N, Mital P, Salvi A, Fatima A. Oral and dental health knowledge, attitude and practice among pregnant women. Sch Acad J Biosci 2014;2(9):627-32.

Stelmakh V, Slot DE, van der Weijden GA. Self-reported periodontal conditions among Dutch women during pregnancy. Int J Dent Hyg 2017;15(4):e9-15.

Anagnostou F, Chalvatzoglou E, Arhakis A, Boka V, Arapostathis K, Kotsanos N. Do Maternal Beliefs, Knowledge and Practices for Own and Young Child Oral Care Reflect on Actual Child Oral Health? J Contemp Dental Pract 2023;24(3):147-52.

Takahashi R, Ota E, Hoshi K, Naito T, Toyoshima Y, Yuasa H, et al. Fluoride supplementation (with tablets, drops, lozenges or chewing gum) in pregnant women for preventing dental caries in the primary teeth of their children. Cochrane Database Syst Rev 2017;10(10):CD011850.

Grzesiak I, Kaczmarek U. Pro-health knowledge of mothers and awareness of the state of health their children up to 3 years old. Dent Med Probl 2004;41:59-66.

Huebner CE, Riedy CA. Behavioral determinants of brushing young children’s teeth: implications for anticipatory guidance. Pediatr Dent 2010;32(1):48-55.

Chala S, Houzmali S, Abouqal R, Abdallaoui F. Knowledge, attitudes and self-reported practices toward children oral health among mother’s attending maternal and child’s units, Salé, Morocco. BMC Public Health 2018;18(1):618.

Pollick H. The Role of Fluoride in the Prevention of Tooth Decay. Pediatr Clin North Am 2018;65(5):923-40.

Staszczyk M, Krzyściak W, Gregorczyk-Maga I, Kościelniak D, Kołodziej I, Jamka-Kasprzyk M, et al. The effectiveness of using the toothpastes with a different fluoride content on the early childhood caries (ECC) reduction – systematic review. New Med 2020;4:143-54. doi: 10.25121/NewMed.2020.24.4.143.

Mika A, Mitus-Kenig M, Zeglen A, Drapella-Gasior D, Rutkowska K, Josko-Ochojska J. The child’s first dental visit. Age, reasons, oral health status and dental treatment needs among children in Southern Poland. Eur J Paediatr Dent 2018;19(4):265-70.

International Association of Paediatric Dentistry. Children 0–2 years of age: Frequently Asked Questions. (13.10.2023).

Turska-Szybka A, Grudziąż-Sękowska J, Olczak-Kowalczyk D. Czynniki ryzyka próchnicy wczesnego dzieciństwa i indywidualna ocena poziomu ryzyka na podstawie CAMBRA. Nowa Stom 2011;16(3):119-27.

Wrzesińska-Narożniak W, Zboińska K, Erdmańczyk M, Sulińska M, Kus-Bartoszek A, Jarząbek A. Analiza wiedzy i zachowań prozdrowotnych rodziców korzystających z różnych źródeł informacji, dotyczących zdrowia jamy ustnej u dzieci najmłodszych. Mag Stom 2023;1:62-72.

Ben David M, Callen Y, Eliasi H, Peretz B, Odeh-Natour R, Ben David Hadani M, et al. Oral Health and Knowledge among Postpartum Women. Children (Basel) 2022;9(10):1449.

Viswanath S, Asokan S, Pollachi-Ramakrishnan G. First dental visit of children – A mixed-method approach. Int J Paediatr Dent 2021;31(2):212-22.

Burgette JM, Dahl ZT, Yi JS, Weyant RJ, McNeil DW, Foxman B, et al. Mothers’ Sources of Child Fluoride Information and Misinformation From Social Connections. JAMA Netw Open 2022;5(4):e226414.

Frąckiewicz W, Niewczas G, Załęska K, Ziętek M, Ludwiczak M, Jurkowska E, et al. Impact of the COVID-19 pandemic on pro-health behaviors in the field of oral health, hygiene habits and attitude to dental care among Polish children and youth in the opinion of their parents. Pomeranian J Life Sci 2023;69(1):13-7. doi: 10.21164/pomjlifesci.910.

Zimba O, Gasparyan AY. Designing, Conducting, and Reporting Survey Studies: A Primer for Researchers. J Korean Med Sci 2023;38(48):e403.


Copyright (c) 2024 Aleksandra Jankowska, Wojciech Frąckiewicz, Milena Mrozińska, Monika Szmidt-Kądys, Agnieszka Kus-Bartoszek, Anna Jarząbek

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