Modern Illness

Pregnancy and Gum Disease

December 31st, 2008

Pregnant women have many concerns for their health and the health of their unborn babies. One concern is for premature birth or low birth weight babies. Studies have recently suggested that there may be a connection between premature birth/low birth babies and the presence of gum disease. There is more research currently being done to confirm those studies but it is recommended that pregnant women adhere to proper oral hygiene in order to prevent gum disease. A healthy mouth means that bacteria have one less chance of entering the body, which promotes better health for the mom-to-be and a healthier mom-to-be means a healthier baby.

Women who schedule pre-pregnancy exams with their gynecologists to prepare for pregnancy should also schedule an appointment with their dentist to check for the presence of gum disease. Caught early, gum disease can be reversed.

Women may experience "pregnancy gingivitis" during their sixth or seventh month of pregnancy that may last through the eighth month. This is due to the hormones of pregnancy that increase the flow of blood to the gum tissues, making them more sensitive to irritants like food particles and plaque. Symptoms of pregnancy gingivitis include:

Reddened, inflamed gums

Swollen or bleeding gums

Large lumps called Pregnancy tumors (noncancerous)

It is very important to inform the dentist about being pregnant so precautions can be taken during dental x-rays and also special instructions can be given regarding oral care.

It is important that during the first trimester dental x-rays, anesthetics, pain antibiotics, or pain medications not be given, unless during emergency situations.

The last 3 months of pregnancy it will become increasingly uncomfortable for the mom-to-be to sit for long periods of time in a dental chair, so any procedures should be done before pregnancy or delayed until after the delivery.

Pregnant women may be more apt to gag during dental procedures.

The dentist will need to know about any medications you are taking, and any medical concerns you may be experiencing. Your dentist may need to consult with your obstetrician if dental procedures need to be done during your pregnancy, or if a dental emergency arises.

Oral Hygiene During Pregnancy Should Include:

Regular dental checkups

Teeth cleaned and examined before pregnancy if possible

Brush teeth a minimum of 2 times a day with fluoride toothpaste and a soft toothbrush.

Floss daily

Limit both starchy and sweet snacks

Avoid or limit soda consumption

Eat healthy meals and snacks that include vegetables, fruits and also milk, cheese, dried beans, and leafy green vegetables for adequate amounts of calcium needed for your teeth and the developing teeth of your unborn baby

Good communication between your obstetrician and dentist is essential

Seek dental care if you experience excessive bleeding from the gums, facial swelling, pain or sensitivity of gums or teeth.

As is the case with just about everything during pregnancy, what the pregnant woman does has an effect on not only on her health but on the health of her baby too. This makes oral health twice as important.

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