Comparison of Clomiphene Citrate Alone and Clomiphene Plus Sildenafil Citrate to Improve Ovulation Induction in Patients with Unexplained Subfertility

Abstract

Objective: To assess the prevalence of periodontal diseases during the different trimesters of pregnancy.

Study Design: A cross-sectional study

Place and Duration of Study: This study was conducted at the Gynae / Obs OPD at HITEC-IMS Hospital, Taxila from 1^st December 2022 to 31^st May 2023.

Materials and Methods: A total of ninety pregnant females (30 = first trimester, 30= second trimester, 30= third trimester) were examined after taking informed written consent. Intra oral examination was performed to check the status of periodontium using gingival index (GI), simplified oral hygiene index (OHI-S), and community periodontal index (CPI) by dentists. Data was collected and recorded in a pre-determined proforma.

Results: Prevalence of 4-5 mm probing pocket depth increased between 2^nd and 3^rd trimesters. Gingival bleeding was found to be most prevalent in 3^rd trimester. Oral hygiene score increased with gestational age. Chi square test was used to find out correlation between different trimesters with periodontal disease status. P value was found to be statistically significant.

Conclusion: Majority of the patients in 2^nd and 3^rd trimester had periodontal disease which strongly suggest that the awareness of pregnant women regarding their oral hygiene remains limited.