Oral health care during pregnancy is often avoided and misunderstood by patients and clinicians. It is very important to the mom to be to get regular checkups throughout the pregnancy. Many oral manifestations can occur at anytime, such as gingivitis, pregnancy tumors and Periodontitis. Periodontitis is associated with preterm birth and low birth weight, cariogenic bacteria in mothers can also lead to increased caries in the infant. Every pregnant should be examined for possible oral health risks, educated on proper oral hygiene and take any necessary action on any problems that have occurred. During the second trimester it is safe to provide restorative treatment, take xrays, and provide periodontal treatment. As clinicians, it …show more content…
About “one half of women with preexisting gingivitis have significant exacerbation during pregnancy”(Silk et al., 2008). Gingivitis in pregnancy is caused by fluctuations of estrogen, progesterone levels, oral flora and a decreased immune response. To manage gingivitis, thorough oral hygiene measures are taken including tooth brushing and flossing. Patients with severe gingivitis may need professional cleaning and a prescription mouth rinses such as chlorhexidine may be prescribed. Periodontal disease can occur if gingivitis is not managed.
The second most common problem associated with pregnancy is morning sickness. The oral cavity is exposed to gastric acid that can erode the enamel. Later on during pregnancy upward pressure from the gravid uterus can cause or exacerbate acid reflux. To reduce erosion of teeth, have patients with a teaspoon of baking soda in a cup of water after vomiting can neutralize acid. After vomiting, patients should be advised not to brush their teeth immediately …show more content…
These women are at a high risk because of carvings that are sugary and are frequently consumed throughout the day. Increased acidity and limited attention to their oral health is a contributing factor. Pregnant patients can decrease their risk of caries by brushing twice daily with fluoride toothpaste and limiting sugary foods intake.
Pregnancy tumor is another less common problem that can occur during pregnancy. This occurs in about 5% of pregnancies. It is a benign tumor caused by increased progesterone, local irritants and bacteria. Pregnancy tumors are most common after the first trimester. They grow rapidly and typically stay throughout whole pregnancy. They will recede after delivery, but sometimes they do need to be removed.
Teeth can become loose during pregnancy, even when gum disease isn’t present. This happens because of increased levels of progesterone and estrogen affecting the periodontium. Clinicians should reassure patients that the condition is temporary, and will not cause tooth