Use of natural remedies to treat oral diseases among female patients in Al Madinah, western Saudi Arabia.

Background The study aimed to investigate natural remedies use (NRU) for oral diseases among female patients. Methods Dental patients attending the female section of Taibah University Dental Hospital were invited to complete an online questionnaire which explored demographic data, and pattern of NRU for oral diseases. Results A total of 540 patients participated in the survey. A total of 232 patients (43%) used natural remedies to treat oral diseases. The most commonly cited reasons for NRU were financial reasons (n=79, 34.1%). The practice had a statistically significant association with older participants (p=0.003), and those working as employees (p=0.031). Most of the natural remedies used (n=17) were herbal, with cloves (71.1%) and miswak (26.7%) being the most frequently reported. Acute dental pain (n=157, 67.7%) and halitosis (n= 51, 22%) were the most frequently cited oral conditions associated with NRU. A percentage of 87.1% of patients using natural remedies (n=202) perceived improvement of symptoms upon use of natural remedies, however, 2.2% (n=5) reported complications. Conclusions Substantial proportion of patients use natural remedies to treat their oral disease. Patients were mostly satisfied with natural remedies in terms of effectiveness and lack of complications.

Why do Women avoid Dental Visits During Pregnancy? A Cross- Sectional Survey in Al Madinah, Western Saudi Arabia

Objective: To investigate why women avoid dental visits during pregnancy and to explore the possible association between this attitude and relevant socio-demographic factors. Material and Methods: An online questionnaire was distributed to pregnant women during their routine visits to antenatal clinics in Al Madinah, Saudi Arabia. The questionnaire explored socio-demographic factors of age, education, employment status and nationality. It also explored misconceptions/ reasons for avoiding dental visits during pregnancy. Results: A total of 360 pregnant women participated, and their mean age was 30.08 years (range=18-52 years, SD=5.96). The most commonly cited misconception/reason for avoiding dental visits was "local anesthesia is not safe during pregnancy", followed by "transportation is difficult" and lastly, "dental treatment is not safe during pregnancy", (43.6%, 37.5%, 18.9%, respectively). Illiterate participants were statistically significantly associated with the misconception of "unsafe dental treatment during pregnancy" (p=0.002), whereas school-level and unemployed participants were statistically significantly associated with the misconception of "unsafe local anesthesia during pregnancy" (p=0.02, p=0.036 respectively). Conclusion: Pregnant women avoid dental visits mainly due to the misconception that local anesthesia is not safe during pregnancy. Difficult transportation seems to be another important deterrent in preventing pregnant women to visit dentists in this geographic area. Changing the misconceptions should be the starting point in addressing this public health problem and this should involve the three parties involved: pregnant women, oral healthcare providers and obstetric care providers.

Assessing Expectant Mothers' Knowledge and Beliefs about Oral Healthcare During Infancy and Pregnancy: A Cross Sectional Survey in Saudi Arabia

Objective: To evaluate expectant mothers' knowledge and beliefs on oral healthcare of infants. It also aimed at exploring their knowledge on oral health care during pregnancy and the possible relationship between oral health and adverse pregnancy outcomes. Material and Methods: A cross-sectional, questionnaire-based survey was conducted among expectant mothers attending antenatal clinics in Al Madinah, Saudi Arabia in summer, 2017. Questions collected data on sociodemographic characteristics of the study sample as well as basic knowledge on oral healthcare during pregnancy and infancy. There were also questions on knowledge about adverse pregnancy outcomes that may be associated with poor oral health. Results: A convenient sample of 360 pregnant women participated in the study. A percentage of 79.7% showed a good level of knowledge in oral healthcare of infants while a percentage of 8.9% only showed a good level of knowledge in oral healthcare during pregnancy and pregnancy outcomes. Education level and employment status were significantly associated the good level of knowledge in oral healthcare of infants (p=0.000, and 0.002 respectively). Conclusion: Most of expectant mothers, particularly educated and employed ones, have good knowledge on oral healthcare of infants, however, the majority lacked sufficient knowledge on pregnancy outcomes and oral healthcare during pregnancy.