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

Jenni Pukkila; Sanna Mustaniemi; Shilpa Lingaiah; Olli Pekka Lappalainen; Eero Kajantie; Anneli Pouta; Risto Kaaja; Johan G. Eriksson; Hannele Laivuori; Mika Gissler; Marja Vääräsmäki; Elina Keikkala

doi:10.3390/ijerph191710711

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

Jenni Pukkila, Sanna Mustaniemi, Shilpa Lingaiah, Olli Pekka Lappalainen, Eero Kajantie, Anneli Pouta, Risto Kaaja, Johan G. Eriksson, Hannele Laivuori, Mika Gissler, Marja Vääräsmäki, Elina Keikkala

Research output: Contribution to journal › Article › Scientific › peer-review

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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.

Original language	English
Article number	10711
Number of pages	16
Journal	International Journal of Environmental Research and Public Health
Volume	19
Issue number	17
DOIs	https://doi.org/10.3390/ijerph191710711
Publication status	Published - 2022
Publication type	A1 Journal article-refereed

Funding

Statistician Paula Pesonen is acknowledged for her advice on statistical analyses. Nurse coordinator Tiina Kemppainen and research nurse Sarianna Vaara are acknowledged for their help with practical arrangements. We are grateful to the participants of the FinnGeDi study and the staff of the participating hospitals for their collaboration.

Keywords

diabetes
gestational
molar
oral health
self-report
third
women’s health

Publication forum classification

Publication forum level 1

ASJC Scopus subject areas

Pollution
Public Health, Environmental and Occupational Health
Health, Toxicology and Mutagenesis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/ijerph191710711Licence: CC BY

ijerph-19-10711-v3Final published version, 1.88 MBLicence: CC BY

https://urn.fi/URN:NBN:fi:tuni-202209287318Licence: CC BY

Cite this

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), Article 10711. https://doi.org/10.3390/ijerph191710711

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

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.",

keywords = "diabetes, gestational, molar, oral health, self-report, third, women{\textquoteright}s health",

author = "Jenni Pukkila and Sanna Mustaniemi and Shilpa Lingaiah and Lappalainen, {Olli Pekka} and Eero Kajantie and Anneli Pouta and Risto Kaaja and Eriksson, {Johan G.} and Hannele Laivuori and Mika Gissler and Marja V{\"a}{\"a}r{\"a}sm{\"a}ki and Elina Keikkala",

note = "Funding Information: Statistician Paula Pesonen is acknowledged for her advice on statistical analyses. Nurse coordinator Tiina Kemppainen and research nurse Sarianna Vaara are acknowledged for their help with practical arrangements. We are grateful to the participants of the FinnGeDi study and the staff of the participating hospitals for their collaboration. Publisher Copyright: {\textcopyright} 2022 by the authors.",

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doi = "10.3390/ijerph191710711",

language = "English",

volume = "19",

journal = "International Journal of Environmental Research and Public Health",

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Pukkila, J, Mustaniemi, S, Lingaiah, S, Lappalainen, OP, Kajantie, E, Pouta, A, Kaaja, R, Eriksson, JG, 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, vol. 19, no. 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. / Pukkila, Jenni; Mustaniemi, Sanna; Lingaiah, Shilpa et al.
In: International Journal of Environmental Research and Public Health, Vol. 19, No. 17, 10711, 2022.

Research output: Contribution to journal › Article › Scientific › peer-review

TY - JOUR

T1 - Increased Oral Care Needs and Third Molar Symptoms in Women with Gestational Diabetes Mellitus

T2 - A Finnish Gestational Diabetes Case–Control Study

AU - Pukkila, Jenni

AU - Mustaniemi, Sanna

AU - Lingaiah, Shilpa

AU - Lappalainen, Olli Pekka

AU - Kajantie, Eero

AU - Pouta, Anneli

AU - Kaaja, Risto

AU - Eriksson, Johan G.

AU - Laivuori, Hannele

AU - Gissler, Mika

AU - Vääräsmäki, Marja

AU - Keikkala, Elina

N1 - Funding Information: Statistician Paula Pesonen is acknowledged for her advice on statistical analyses. Nurse coordinator Tiina Kemppainen and research nurse Sarianna Vaara are acknowledged for their help with practical arrangements. We are grateful to the participants of the FinnGeDi study and the staff of the participating hospitals for their collaboration. Publisher Copyright: © 2022 by the authors.

PY - 2022

Y1 - 2022

N2 - (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.

AB - (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.

KW - diabetes

KW - gestational

KW - molar

KW - oral health

KW - self-report

KW - third

KW - women’s health

U2 - 10.3390/ijerph191710711

DO - 10.3390/ijerph191710711

M3 - Article

C2 - 36078430

AN - SCOPUS:85137606834

SN - 1661-7827

VL - 19

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

IS - 17

M1 - 10711

ER -

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

Abstract

Funding

Keywords

Publication forum classification

ASJC Scopus subject areas

UN SDGs

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