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
There are 2 major reasons women can have dental problems during pregnancy: Pregnancy gingivitis—During Is it safe to visit your dentist in pregnancy?
These conditions can be prevented and treated, so women should visit the dentist during pregnancy Myth: Dentists and dental hygienists do not need to know if a
Pregnant women need to be encouraged to go to the dentist and dental professionals need to make every effort to attend to the unique needs of pregnant patients
Cleanings and exams are safe and important and can be done anytime during Most women have no dental discomfort, but sometimes pregnancy can make
Separating fact from fiction For more information on your dental health visit ada au it changes during pregnancy, it could be harmful to your baby
The dentist should be informed about the pregnancy before can improve and maintain the health of the mother and the fetus When to see a doctor:
A concern for many women is that visiting the dentist during pregnancy puts however, generally not necessary and most dental work can be carried out
The Prenatal Dental Care program is for pregnant women during pregnancy can affect your health and possibly even This way, your visit will be
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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
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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