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?
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 gumline. 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 toothbrushing 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?
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.
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February 16, 2006