[PDF] Dental Care in Pregnancy - American College of Nurse-Midwives




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Pregnant women should make a dental appointment early in pregnancy Oral Health care is safe during all trimesters and should not be postponed or avoided 

[PDF] Dental Care in Pregnancy - American College of Nurse-Midwives

There are 2 major reasons women can have dental problems during pregnancy: Pregnancy gingivitis—During Is it safe to visit your dentist in pregnancy?

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[PDF] Dental Care in Pregnancy - American College of Nurse-Midwives 40949_7Dental_Care_Pregnancy.pdf

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Dental Care in Pregnancy

Why is dental care in pregnancy important?

Duringpregnancy, youare morelikelyto haveproblemswithyourteethorgums. If youhaveaninfection in yourteethorgums,thechanceofyourbaby beingpremature(born early)or havinglowbirth weight maybe slightlyhigher than ifyourteethandgumsare healthy

What is periodontal disease?

Periodontaldiseaseisan infection in the mouthcausedbybacteria.Thebacteriausethesugaryoueat to make acid.Thatacidcandestroytheenamel(protective)coatingonyo urteeth,whichcancausetoothdecay(cavities)

or even toothloss. Periodontaldiseasecanbegin withgumswellingandbleeding, calledgingivitis. Ifit isnot

treated, gingivitiscanspreadfrom thegumsto thebonesthatsupport the teeth andto otherpartsofthemouth. However,yourdentistcan treatperiodontaldiseaseeven whenyouarepregnant. Why are pregnant women more at risk for periodontal disease? There are2major reasonswomencan havedentalproblemsduringpregnancy: Pregnancy gingivitis-Duringpregnancy, changesin hormonelevelsallowbacteria togrowinthemouth and gumsmore easily. Thismakesperiodontaldiseasemorecommon whenyouarepregnant. Nausea and vomiting-Pregnant women mayhavenausea andvomitingor"morningsickness,"especiallyin thefirsttrimester.Thestomachacids fromvomitingcan alsobreakdown the enamelcoatingofthe teeth.

Is it safe to visit your dentist in pregnancy?

Dentalcare issafeduringpregnancyandimportantfor the health ofyouandyourbaby. Yourdentistcan help youimprove the health ofyourmou thduringpregnancy. Yourdentistcan alsofindandtreatproblemswith yourteethandgums.

What should you know before you see the dentist?

? Makesureyourdentistknowsthatyouarepregnant.Ifmedicationsfor infection orforpain are needed,your dentistcanprescribeonesthat aresafeforyouandyourbaby. ? Tell yourdentistaboutanychangesyouhavenoticedsinceyoubecamepregnant andaboutanymedications orsupplementsyouare taking. ?

Routine

x-raysshouldbeavoidedinpregnancy,butitmaybenecessaryifthereisaproblemoranemergency. Yourbody should becoveredwith aleadapron toprotectyouandyourbaby. ? Dentalworkcanbedonesafelyat anypoint inpregnancy. If possible,it isbesttodelaytreatmentsandpro- ceduresuntilafter thefirsttrimester.

1526-9523/09/$36.00 doi:10.1111/jmwh.12108c?2014 bytheAmericanCollegeofNurse-Midwives

1

American College of Nurse-Midwives

www .s harewithwomen . or gTips for Improving Your Dental Health

What to do Why this helps

Brushyourteethtwiceadaywith asoft-bristled

toothbrush.Flossonceaday. Regularly cleaningyourteethhelpstopreventplaquebuildup,whichcausesgum diseaseandtoothdecay. Useasoft-bristledtoothbrushbecauseyourgumsare morelikelytobleedinpregnancy. Thisbleedingiscommon inpregnancy becauseofthechangesinyourhormones, yourbloodvessels,andthe amount ofbloodyouhaveinyourbody.

Usetoothpaste andmouth rinsethatcontains

fluoride.

Fluoridehelpsto removeplaqueandstrengthen enamel.

Chewsugarlessorxylitol-containinggum2to3

timesaday. Xylitolisasugar-freesweetener.Unlikesugar,xylitolisnotchangedinto acidby bacteria on the teeth.Chewinggumwithxylitolhelpstodecreasetheamount ofplaqueonyourteethandmakesit easier to removetheplaquewhen brushing.

Rinseyourmouth with a teaspoon ofbakingsoda

mixedin acupofwater ifyouvomit or have morningsickness. If possible,tryto wait one houraftervomitingbeforebrushingyourteeth. Whenyouvomit,stomachacids come incontactwithyourteeth.Rinsingwith bakingsodachangesthe acids sotheydonothurtyourteeth.Whenyoubrush right aftervomiting,itcancausetheprotectiveliningofthe teeth to wear away. Limit how muchsugaryoueat.Sugarchangesto acidandplaqueonteeth,whichcanleadtoperiodontaldisease andtoothdecay.Whenyoueatsugaryfoodsoften,yourteetharemore exposedtodamage.

Choosenutritious snacks likerawfruits,

vegetables, yogurt,orcheese. Nutritious foodsare healthyforyouandyourbabyandcontainless sugar thatcan damageyourteeth.

Drinkwater orlow-fat milk. Avoidbeveragesthat

arecarbonatedorcontain alot ofsugar,like sodaorjuice. Water orlow-fat milkhydratesyouandcontainslittleornosugar.

For More Information

AmericanDental Association: Pregnancy

http://www.mouthhealthy.org/en/pregnancy/

March ofDimes: Dental Health DuringPregnancy

http://www.marchofdimes.com/pregnancy/dental-health-during-pregnancy.aspx ispagemaybereproducedfornoncommercialusebyhealthcareprofessionalstosharewithclients.Any otherreproductionissubjecttotheJournalofMidwifery&Women's Health'sapproval.?einformationand

recommendations appearing on this page are appropriate in most instances, but they are not asubstitute

formedicaldiagnosis.Forspecic informationconcerning your personalmedicalcondition,theJournalof Midwifery&Women's Healthsuggests that youconsult your health care provider.

2Volume00, No. 00, xxxx 2014


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