Oral health knowledge and practices of antenatal mothers in Hospital Universiti Sains Malaysia


Muhammad Azim Syahmi Kamaruddin(1), Norsamsu Arni Samsudin(2*)

(1) School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, 16150 Kota Bharu, Kelantan
(2) Pediatric Dentistry Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, 16150 Kota Bharu, Kelantan
(*) Corresponding Author


Mothers play a very significant role in influencing the oral health status of the family. Many studies have highlighted the importance of good oral health during pregnancy. This study aimed to assess knowledge, self-perceived oral health status, and practices of antenatal mothers in Hospital Universiti Sains Malaysia, Kelantan, Malaysia. A total of 76 antenatal mothers visiting Obstetrics & Gynaecology specialist clinic at Hospital USM were involved in this cross-sectional survey study. The questionnaires contained items related to oral health knowledge, self-perceived dental problems, barriers to seeking dental care, oral hygiene habits, perceptions of oral health, and access to dental care. Majority (98.7%) agreed that their oral health was important as part of general health. About 58% of them had answered correctly regarding oral health knowledge. Most respondents had self-perceptions of having dental problems during pregnancy, including cavitated teeth (34.4%) and sensitive teeth (20.5%). Regarding practice, only 35.3% visited a dentist in the last six months. Time constraints (52.4%) and safety concerns regarding dental treatment (26.2%) were the main barriers to seek dental care. Many (90%) brushed their teeth at least twice daily with adult fluoridated toothpaste, while some used mouthwash daily (36.8%) and flossed their teeth (11.8%). Antenatal mothers had an average level of knowledge regarding oral health, experienced dental problems during pregnancy and lacked awareness of a regular dental visit. Hence, there is a need for more vigorous oral health promotion, which also include antenatal care providers, to improve oral health awareness among antenatal mothers.


antenatal mother; oral health knowledge; practice; pregnancy

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1. Saddki N, Yusoff A, Hwang YL. Factors associated with dental visit and barriers to utilisation of oral health care services in a sample of antenatal mothers in Hospital Universiti Sains Malaysia. BMC Public Health. 2010; 10: 75. doi: 10.1186/1471-2458-10-75

2. Saied-Moallemi Z, Virtanen JI, Ghofranipour F, Murtomaa H. Influence of mother’s oral health knowledge and attitudes on their children’s dental health. European Archives of Paediatric Dentistry. 2008; 9(2): 79-83. doi: 10.1007/BF03262614

3. Oral Health Division Ministry of Health Malaysia. Oral Healthcare for Antenatal Mothers. 2010; MOH/K/GIG/12.2004 (GU).

4. Wu M, Chen SW, Jiang SY. Relationship between gingival inflammation and pregnancy. Mediators Inflamm. 2015; 623427. doi: 10.1155/2015/623427

5. Jeganathan S, Purnomo J, Houtzager L, Batterham M, Begley K. Development and validation of a three-item questionnaire for dietitians to screen for poor oral health in people living with human immunodeficiency virus and facilitate dental referral. Nutrition & Dietetics. 2010; 67: 177–181. doi: 10.1111/j.1747-0080.2010.01452.x

6. Saini R, Saini S, Saini SR. Periodontitis: A risk for delivery of premature labor and low birth weight infants. J Nat Sci Biol Med. 2011; 2(1): 50–52. doi: 10.4103/0976-9668.82321

7. George A, Johnson M, Blinkhorn A, Ajwani S, Bhole S, Yeo AE, Ellis S. The oral health status, practices and knowledge of pregnant women in south-western Sydney. Aust Dent J. 2013; 58(1): 26-33. doi: 10.1111/adj.12024

8. Ibrahim E, Bhaskaran S. The interaction and effects between pregnancy and oral health. Thesis of Oakland University; 2018. Retrieved from http://hdl.handle.net/10323/4782

9. Chacko V, Shenoy R, Prasy HE, Agarwal S. Self-reported awareness of oral health and infant oral health among pregnant women in Mangalore, India - a prenatal survey. International Journal of Health and Rehabilitation Sciences. 2013; 2(2): 109-115.

10. Detman LA, Cottrell BH, Denis-Luque MF. Exploring dental care misconceptions and barriers in pregnancy. Birth. 2010; 37(4): 318-324. doi: 10.1111/j.1523-536X.2010.00427.x

11. Hashim R, Akbar M. Gynecologists’ knowledge and attitudes regarding oral health and periodontal disease leading to adverse pregnancy outcomes. J Int Soc Prev Community Dent. 2014; 4(3): 166-172. doi: 10.4103/2231-0762.149028

12. Esa R, Savithri V, Humphris G, Freeman R. The relationship between dental anxiety and dental decay experience in antenatal mothers. Eur J Oral Sci. 2010; 118(1): 59–65. doi: 10.1111/j.1600-0722.2009.00701.x

13. Bamanikar S, Kee LK. Knowledge, attitude and practice of oral and dental healthcare in pregnant women. Oman Med J. 2013; 28(4): 288-291. doi: 10.5001/omj.2013.80

14. Keirse MJN, 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. Deghatipour M, Ghorbani Z, Ghanbari S. Oral health status in relation to socioeconomic and behavioral factors among pregnant women: a community-based cross-sectional study. BMC Oral Health. 2019; 19(117). doi: 10.1186/s12903-019-0801-x

DOI: https://doi.org/10.22146/majkedgiind.45958

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