Background: This study aimed to subjectively assess the changes in the oral health status of pregnant women, to find out their attitudes and knowledge about possible changes in the oral cavity that occurred during pregnancy, and their influence on the outcomes of pregnancy. Methods: 112 pregnant women who visited the Republican Siauliai Hospital during their pregnancy participated in the study. An anonymous self-administered questionnaire was used to conduct the research, surveying their demographic characteristics, oral health changes and habits during pregnancy, and awareness of possible negative pregnancy outcomes. Results: The study involved 112 pregnant women, with 35 in the first trimester, 28 in the second, and 48 in the third trimester. The findings revealed that pregnant women do not take sufficient care of their oral health: more than half of the respondents did not visit an oral care specialist during pregnancy; 22.3% of women reported brushing their teeth only once a day or less; and 35.7% did not clean interdental surfaces at all. Statistically, significantly more urban women believed there is a relationship between maternal oral health and adverse pregnancy outcomes than women living in rural areas (p = 0.013). While significant oral health changes were not observed in the first trimester, more women in the second and third trimesters reported issues such as bleeding gums, swelling, plaque accumulation, tartar, and caries (p < 0.001). Conclusions: The attitude of women towards oral health during pregnancy and their understanding of the possible risks for unfavorable pregnancy outcomes are insufficient. Notably, oral health issues become more prominent in the second and third trimesters, necessitating appropriate oral care to reduce the incidence of oral and dental diseases during pregnancy. This underscores the importance of educational and preventive public health policies focused on oral care for pregnant women, aimed at increasing awareness and promoting practices that safeguard both maternal and fetal health.

Background and Objectives: The use of proanthocyanidins (PACNs) alongside standard periodontal treatment procedures can improve periodontal and peri-implant tissue healing. The present study aimed to evaluate the effect of different concentrations of Pelargonium sidoides root extract (PSRE) on periodontal tissue proliferation in comparison with chlorhexidine digluconate (CHX). Materials and Methods: A cell culture study was performed using human gingival fibroblast (HGF-1) and human periodontal ligament fibroblast (HPDLF) lines. The HGF-1 cell line was exposed to CHX (the gold standard treatment in periodontal diseases) and PSRE at concentrations of up to 800 μg/mL, which were compared with negative controls. HGF-1 viability and proliferation were evaluated using fluorescence tests and the PrestoBlue assay, respectively. In addition, the cell proliferation induction ability of PSRE was evaluated by treating HGF-1 and HPDLF cells with PSRE at 25 and 50 μg/mL concentrations and measuring the TGFβ-1 levels using TGFβ-1 ELISA. Results: When comparing the effects of the 25 μg/mL PSRE treatment to the control, a statistically significant difference in HGF-1 cell growth was observed (0.297 ± 0.048 (mean ± SE) and 0.203 ± 0.01, respectively; p = 0.006). The strongest cytotoxic effect on HGF-1 cells was observed with CHX (0.007 ± 0.006, p < 0.001 vs. control). The HGF-1 and HPDLF cells showed statistically significant increases in TGFβ-1 levels when treated with PSRE at 25 and 50 μg/mL compared with the control (352.38 ± 31.32 (mean ± SE) and 330.99 ± 26.53 versus 161.07 ± 15.11 in HGF-1 cells; 397.53 ± 18.1 and 399.91 ± 27.61 versus 137.7 ± 16.54 in HPDLF cells, p < 0.001). Additionally, no negative effects were detected at low PSRE concentrations (less than 100 μg/mL). Conclusions: The results of this study suggested that PACNs may promote HGF-1 and HPDLF cell proliferation. In contrast, CHX showed cytotoxic effects.