Pregnancy is a unique time in a woman’s life and is characterized by complex physiological changes.
Oral Health and Pregnancy
There are so many things to think about during pregnancy that sometimes the teeth and gums get a backseat. Brushing and flossing contribute to a woman’s overall health. If the mouth is healthy, then it is more likely that the woman’s body is healthy, and this can contribute to a healthy baby. Increasing evidence suggests that mouth health correlates to overall health.
Unfortunately, oral health problems are common in pregnancy. Gingivitis, ¿ characterized by bleeding gums, is one common but reversible problem. Gingivitis occurs more frequently during pregnancy because the increased level of hormones exaggerates the way the gums react to plaque. However, it is still plaque, not hormones, that is the major cause of gingivitis. If left untreated, gingivitis can lead to periodontal disease, which is characterized by a breakdown of the bone that supports teeth, and can be irreversible.
Therefore, it is essential that pregnant mothers continue to receive dental cleanings and examinations and not postpone treatment.
Contrary to popular belief, dental care is safe and highly recommended during pregnancy. Needed treatment can be provided throughout pregnancy; however, the time period between the 12th week and 24th week is ideal. Even x-rays can be safely taken during pregnancy, though many providers would probably wait to take non-urgent x-rays until after delivery.
Useful tips in case you experience nausea, vomiting or an exaggerated gag reflex:
Brush teeth at least twice daily with a fl uoride toothpaste, and fl oss daily. Use a very small amount, or a “smear,†of bland-tasting toothpaste. Drink plenty of water throughout the day to help rinse the mouth of debris and stimulate salivary fl ow. The use of a non-alcoholic fl uoride mouthwash to supplement tooth brushing and fl ossing is also recommended. A teaspoon of baking soda mixed with a cup of water can be used as a rinse to help neutralize acid after episodes of vomiting. Chewing sugarless or gum containing xylitol throughout the day, especially after eating, will help neutralize acids and strengthen teeth. Food choices are especially important during pregnancy, not only for the health of the baby but for the health of the mother. Craving of sweets increases during pregnancy, which can have a bad eff ect on the teeth. Therefore, limit foods containing sugar to mealtimes only, and not between meals. Choose water or low-fat milk as a beverage, and avoid carbonated, sugary beverages. Choose fruit rather than fruit juice. Pregnancy is a time to refl ect on the miracle of life. It is a time to become more motivated to make healthier changes. Appropriate dental prevention during pregnancy may reduce poor birth outcomes and decrease the transmission of dental bacteria to the child. Pregnancy is the perfect stage to start the practices that can contribute to the best possible oral health for the newborn.
