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VOLUME 24 , ISSUE 3 ( March, 2023 ) > List of Articles


Assessment of Young Mothers’ Oral Hygiene Practices during Pregnancy and Their Knowledge of Children's Oral Health in Northern Greece

Efthimia Chalvatzoglou, Filomeni Anagnostou, Konstantinos Arapostathis, Vasiliki Boka, Aristidis Arhakis

Keywords : Children, Early childhood caries, Oral health, Oral hygiene practices, Pregnancy, Young mothers

Citation Information : Chalvatzoglou E, Anagnostou F, Arapostathis K, Boka V, Arhakis A. Assessment of Young Mothers’ Oral Hygiene Practices during Pregnancy and Their Knowledge of Children's Oral Health in Northern Greece. J Contemp Dent Pract 2023; 24 (3):202-206.

DOI: 10.5005/jp-journals-10024-3494

License: CC BY-NC 4.0

Published Online: 25-05-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Aim: The aim of the study was to assess maternal knowledge about oral health practices for children along with oral hygiene perceptions of mothers during pregnancy in the city of Thessaloniki, Greece. Materials and methods: This cross-sectional study was conducted among 300 newly delivered mothers who were admitted to the obstetrician/gynecological (OB/GYN) University Clinic in Thessaloniki, Greece, to give birth. A three-part, self-reported, 40-item questionnaire was designed, collecting socioeconomic data, perceptions, and practices regarding maternal oral hygiene during pregnancy and their knowledge in relation to children's oral health. Collected data were recorded, tabulated, and statistically analyzed with SPSS (Version 24.0), and p < 0.05 was accepted as statistically significant. Results: The sample consisted of mainly Greek, married, university alumni mothers less than 35 years of age. Self-reports of oral hygiene practices during gestation were sufficient but an inadequate level of regular dental visits was recorded. Poor knowledge was equally noted, regarding children's oral health, in the domains of fluoride toothpaste usage, the age of the first dental visit, supervised toothbrushing, nighttime breastfeeding, potential hazards of pacifier use, and thumb sucking. All factors were significantly associated with the mothers’ education level (p < 0.05). Conclusion: Newly-delivered mothers presented with a lack of knowledge regarding mother/caregiver-related risk factors associated with early childhood caries (ECC), the timing of establishing a dental home, and misconceptions about the safety of dental visits during pregnancy. Clinical significance: Healthcare professionals interacting with pregnant women or young mothers are a vital element to bridge the existing gap in knowledge and assist those socially and educationally deprived.

  1. Gonik B, Wilson E, Mayberry M, et al. Pregnant patient knowledge and behavior regarding perinatal oral health. Am J Perinatol 2017;34(7):663–667. DOI: 10.1055/s-0036-1597134.
  2. Aguilar Cordero MJ, Leon-Rios XA, Rivero-Blanco T, et al. Quality of life during pregnancy and its influence on oral health: A systematic review. J Oral Res 2019;8(1):74–81. DOI: 10.17126/joralres.2019.011.
  3. California Dental Association Foundation, and American College of Obstetricians and Gynecologists, District IX. Oral health during pregnancy and early childhood: Evidence-based guidelines for health professionals. J Calif Dent Assoc 2010;38(6):391–403, 405–40. PMID: 20645626.
  4. Shearer DM, Thomson WM, Broadbent JM, et al. Maternal oral health predicts their children's caries experience in adulthood. J Dent Res 2011;90(5):672–677. DOI: 10.1177/0022034510393349.
  5. Xiao J, Alkhers N, Kopycka-Kedzierawski DT, et al. Prenatal oral health care and early childhood caries prevention: A systematic review and meta-analysis. Caries Res 2019;53(4):411–421. DOI: 10.1159/000495187.
  6. Vadiakas G. Case definition, aetiology and risk assessment of early childhood caries (ECC): A revisited review. Eur Arch Paediatr Dent 2008;9(3):114–125. DOI: 10.1007/BF03262622.
  7. AAPD. Policy on early childhood caries (ECC): Classifications, consequences, and preventive strategies. Pediatr Dent 2018;40(6): 60–62. PMID: 32074852.
  8. Finlayson TL, Siefert K, Ismail AI, et al. Maternal self-efficacy and 1–5-year-old children's brushing habits. Community Dent Oral Epidemiol 2007;35(4):272–281. DOI: 10.1111/j.1600-0528.2007.00313.x.
  9. Wigen TI, Wang NJ. Caries and background factors in norwegian and immigrant 5-year-old children. Community Dent Oral Epidemiol 2010;38(1):19–28. DOI: 10.1111/j.1600-0528.2009.00502.x.
  10. Boka V, Arapostathis K, Vretos N, et al. Parental acceptance of behaviour-management techniques used in paediatric dentistry and its relation to parental dental anxiety and experience. Eur Arch Paediatr Dent 2014;15(5):333–339. DOI: 10.1007/s40368-014-0119-y.
  11. Schroth RJ, Brothwell DJ, Moffatt ME. Caregiver knowledge and attitudes of preschool oral health and early childhood caries (ECC). Int J Circumpolar Health 2007;66(2):153–167. DOI: 10.3402/ijch.v66i2.18247.
  12. 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):142–146. DOI: 10.1111/j.1601-5037.2011.00531.x.
  13. Gupta S, Jain A, Mohan S, et al. Comparative evaluation of oral health knowledge, practices and attitude of pregnant and non-pregnant women, and their awareness regarding adverse pregnancy outcomes. J Clin Diagn Res 2015;9(11):ZC26–ZC32. DOI: 10.7860/JCDR/2015/13819.6756.
  14. Keirse MJ, Plutzer K. Women's attitudes to and perceptions of oral health and dental care during pregnancy. J Perinat Med 2010;38(1): 3–8. DOI: 10.1515/jpm.2010.007.
  15. Dinas K, Achyropoulos V, Hatzipantelis E, et al. Pregnancy and oral health: Utilisation of dental services during pregnancy in Northern Greece. Acta Obstet Gynecol Scand 2007;86(8):938–944. DOI: 10.1080/00016340701371413.
  16. Ozen B, Ozer L, Başak F, et al. Turkish women's self-reported knowledge and behavior towards oral health during pregnancy. Med Princ Pract 2012;21(4):318–322. DOI: 10.1159/000334635.
  17. Rocha JS, Arima LY, Werneck RI, et al. Determinants of dental care attendance during pregnancy: A systematic review. Caries Res 2018;52(1–2):139–152. DOI: 10.1159/000481407.
  18. Muralidharan C, Merrill RM. Dental care during pregnancy based on the pregnancy risk assessment monitoring system in utah. BMC Oral Health 2019;19(1):237. DOI: 10.1186/s12903-019-0921-3.
  19. Arora A, Lucas D, To M, et al. How do mothers living in socially deprived communities perceive oral health of young children? A qualitative study. Int J Environ Res Public Health 2021;18(7):3521. DOI: 10.3390/ijerph18073521.
  20. Thomas A, Jacob A, Kunhambu D, et al. Evaluation of the knowledge and attitude of expectant mothers about infant oral health and their oral hygiene practices. J Int Soc Prev Community Dent 2015;5(5): 400–405. DOI: 10.4103/2231-0762.163405.
  21. Nagarajappa R, Kakatkar G, Sharda AJ, et al. Infant oral health: Knowledge, attitude and practices of parents in Udaipur, India. Dent Res J (Isfahan) 2013;10(5):659–665. PMID: 24348626.
  22. Ashkanani F, Al-Sane M. Knowledge, attitudes and practices of caregivers in relation to oral health of preschool children. Med Princ Pract 2013;22(2):167–172. DOI: 10.1159/000341764.
  23. Almoudi MM, Hussein AS, Doss JG, et al. Expectant mothers’ readiness to initiate preventive oral health care for their children. Saudi Journal for Dental Research 2016;7(2):118–126. DOI:
  24. Jaafar NH, Badr S. Assessment of expected mothers’ knowledge, attitude and practice regarding their oral hygiene and infants’ oral health. Egyptian Dental Journal 2018;64(1):53–60. DOI: 10.21608/EDJ.2018.76366.
  25. Dickson-Swift V, Kenny A, Gussy M, et al. The knowledge and practice of pediatricians in children's oral health: A scoping review. BMC Oral Health 2020;20(1):211. DOI: 01198-0.
  26. Kalyvas DI, Taylor CM, Michas V, et al. Dental of 5-year-old children and parents’ perceptions for oral health in the prefectures of athens and piraeus in the attica county of greece. Int J Paediatr Dent 2006;16(5):352–357. DOI: 10.1111/j.1365-263X.2006.00753.x.
  27. Virtanen JI, Vehkalahti KI, Vehkalahti MM. Oral health behaviors and bacterial transmission from mother to child: An explorative study. BMC Oral Health 2015;15:75. DOI: 10.1186/s12903-015-0051-5.
  28. Batra M, Shah AF, Virtanen JI. Integration of oral health in primary health care through motivational interviewing for mothers of young children: A pilot study. J Indian Soc Pedod Prev Dent 2018;36(1):86–92. DOI: 10.4103/JISPPD.JISPPD_19_17.
  29. Laitala ML, Vehkalahti MM, Virtanen JI. Frequent consumption of sugar-sweetened beverages and sweets starts at early age. Acta Odontol Scand 2018;76(2):105–110. DOI: 10.1080/00016357.2017.1387929.
  30. American Dental Association Council on Scientific Affairs. Fluoride toothpaste use for young children. J Am Dent Assoc 2014;145(2): 190–191. DOI: 10.14219/jada.2013.47.
  31. Sufia S, Chaudhry S, Izhar F, et al. Dental caries experience in preschool children: is it related to a child's place of residence and family income? Oral Health Prev Dent 2011;9(4):375–379. PMID: 22238736.
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