Park
Cities Dental
"The
Art and Science of a Healthy Smile"
Pregnancy and Oral
Health
How does pregnancy affect my
oral health?
It's a myth that calcium is lost from the mother's teeth
and "one tooth is lost with every pregnancy" But you may experience
some changes in your oral health during pregnancy. The primary change is
a surge in hormones-particularly an increase in estrogen and progesterone-
which is linked to an increase in the amount of plaque on your teeth.
How does a build-up of plaque
affect me?
If the plaque isn't removed, it can cause gingivitis-red,
swollen, tender gums that are more likely to bleed. So-called "pregnancy
gingivitis" affects most pregnant women to some degree, and generally
begins to surface in the second trimester. If you already have gingivitis,
the condition is likely to worsen during pregnancy. If untreated, gingivitis
can lead to periodontal disease, a more serious form of gum disease. Pregnant
women are also at risk for developing pregnancy tumors, inflammatory, benign
growths that develop when swollen gums become irritated. Normally, the
tumors are left alone and will usually shrink on their own. But if a tumor
is very uncomfortable and interferes with chewing, brushing or other oral
hygiene procedures, the dentist may decide to remove it.
How can I prevent these problems?
You can prevent gingivitis by keeping your teeth clean,
especially near the gum line. You should brush with fluoride toothpaste
at least twice a day and after each meal when possible. You should also
floss thoroughly each day. If tooth brushing causes morning sickness, rinse
your mouth with water or with anti-plaque and fluoride mouthwashes. Good
nutrition-particularly plenty of vitamin C and B12-help keep the oral cavity
healthy and strong. More frequent cleanings from the dentist will help
control plaque and prevent gingivitis. Controlling plaque also will reduce
gum irritation and decrease the likelihood of pregnancy tumors.
When should I see my dentist?
If you're planning to become pregnant or suspect you're
pregnant, you should see a dentist right away. Otherwise, you should schedule
a check- up in your first trimester for a cleaning. Your dentist will assess
your oral condition and map out a dental plan for the rest of your pregnancy.
A visit to the dentist also is recommended in the second trimester for
a cleaning, to monitor changes and to gauge the effectiveness of your oral
hygiene. Depending on the patient, another appointment may be scheduled
early in third trimester, but these appointments should be kept as brief
as possible.
Are there any procedures I should
avoid?
Non-emergency procedures generally can be performed throughout
pregnancy, but the best time for any dental treatment is the fourth through
six month. Women with dental emergencies that create severe pain can be
treated during any trimester, but your obstetrician should be consulted
during emergencies that require anesthesia or when medication is being
prescribed. Only X-rays that are needed for emergencies should be taken
during pregnancy. Lastly, elective procedures that can be postponed should
be delayed until after the baby's birth.