Oral Health During Pregnancy


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  • Hello, my name is Lori and this is Shawna and we are here to talk to you about the importance of oral health especially during your pregnancy and how to best care for your teeth and overall health.
  • These are the points that we hope you take home from our presentation.
  • Have you ever wondered what the benefits are of having teeth and what their main purposes are?
  • There are three main parts of a tooth, each having an important role in keeping your teeth healthy
  • Have you ever run your tongue along your teeth and felt a fuzzy, slimy coating on them? This is called plaque
  • Red, swollen gums that hurt and bleed when brushing? Have you ever experienced this before?
  • When plaque is left to stay on the teeth and is not removed, the minerals in your saliva harden the plaque so that you cannot remove it! What now?
  • The main way to remove plaque from your teeth and gums is by brushing!
  • Did you ever think there was a right or wrong way to brush your teeth? Well there is!
  • 40% of the debris on your teeth is left if all you do is brush! And you thought that was good enough right?
  • While it may sound complicated, it’s really quite simple once you get the hang of it and is well worth the effort! Doing something for two weeks becomes a habit. Make this one of your daily habits!
  • Many think fluoride is just for kids..wrong! Many adults can and do benefit from the use of fluoride
  • Too much fluoride ingested during your pregnancy harms not only you, but your baby and their teeth.
  • X-rays are important in detecting cavities and other pathologic problems that can’t be seen otherwise.
  • Have you ever heard or ever said one of these things before!
  • Do your gums bleed or hurt right now! There is probably a good explanation for that! You’re pregnant!
  • What could happen to your gums during pregnancy besides gingivitis?
  • Your mouth is the passageway to the rest of your body. So the health of your mouth can and will affect the health of your unborn child.
  • If you answer yes to any of these questions, make an appointment to see your dental hygienist as soon as possible!
  • Are any of you smokers? It is a hard habit to break, now is the best time to do so!
  • Getting the proper nutrients during pregnancy is vital for your health and for your baby! You are what you eat!
  • Now that you are taking good care of your own teeth, it is time to think about baby and the development of their teeth, baby and permanent.
  • Although many don’t think so, taking care of baby’s mouth is important even before any teeth have appeared.
  • You would hate for your baby’s teeth to end up like this!
  • Oral Health During Pregnancy

    1. 1. Maintaining Oral Health During Pregnancy By: Shawna Jackson and Lori Winters
    2. 2. Objectives of this presentation <ul><li>Identify reasons for keeping your mouth healthy </li></ul><ul><li>Discuss what causes teeth and gums to become unhealthy </li></ul><ul><li>Demonstrate proper brushing and flossing techniques as well as identifying the benefits of both </li></ul><ul><li>Discuss oral complications that may arise during pregnancy and how to prevent </li></ul><ul><li>Demonstrate proper infant oral care </li></ul>
    3. 3. Teeth Why do we have them? <ul><li>Eating </li></ul><ul><li>Speaking </li></ul><ul><li>Esthetics </li></ul><ul><li>(smiling and self esteem) </li></ul>
    4. 4. Teeth Incisor - teeth in the very front, sharpest teeth, built to cut food and shaped to shovel the food toward the back of the mouth. . What are they all for?
    5. 5. Teeth <ul><li>Canine - </li></ul><ul><li>corners of the mouth, meant for grasping and tearing food, they have very long roots. </li></ul>What are they all for?
    6. 6. Teeth <ul><li>Premolar - </li></ul><ul><li>flat chewing surface because they're meant for crushing food. </li></ul><ul><li>Molar - </li></ul><ul><li>last teeth towards the back of your mouth, much bigger than the Premolars and have bigger, flatter chewing surfaces because their job is to chew and grind the food into smaller pieces. </li></ul>What are they all for?
    7. 7. Teeth What makes a tooth a tooth? <ul><li>Enamel - White outer surface of tooth, Calcified surface that is stronger than bone. </li></ul>
    8. 8. Teeth What makes a tooth a tooth? <ul><li>Dentin- Surface directly beneath enamel that is less calcified, similar to bone, becomes visible with excessive wear to the teeth. </li></ul>
    9. 9. Teeth What makes a tooth a tooth? <ul><li>Pulp - Inner most part of the tooth, houses the nerve and blood supply to the tooth. Damage could cause the tooth to die. </li></ul>
    10. 10. When Trouble Strikes... <ul><li>Plaque - </li></ul><ul><li>A sticky film that forms on your teeth from the bacteria, food, and saliva in your mouth. </li></ul>
    11. 11. When Trouble Strikes... In the BEFORE picture, you can see the buildup of plaque on these teeth with the aid of a disclosing agent. The AFTER picture shows the removed plaque. Before After
    12. 12. When Trouble Strikes... Without proper care, the acid from this bacteria eats away at your tooth to cause cavities. Plaque can be removed by brushing and flossing. plaque-
    13. 13. When Trouble Strikes... <ul><li>Gingivitis - </li></ul><ul><li>Caused by the accumulation of plaque on the tooth and under the gum tissue. </li></ul><ul><li>gingivitis </li></ul><ul><li>healthy </li></ul>
    14. 14. When Trouble Strikes... <ul><li>Gingivitis - </li></ul><ul><li>Causes the gums to become red, inflamed, and to bleed and hurt when brushing. </li></ul>
    15. 15. When Trouble Strikes... <ul><li>Tartar - </li></ul><ul><li>Plaque that is not removed will sit on the teeth and below the gums, will harden or mineralize, thus forming tartar. </li></ul>
    16. 16. When Trouble Strikes... <ul><li>Tartar is also an irritant to the gum tissue that can cause gingivitis </li></ul><ul><li>Tartar can only be removed by your dental hygienist. </li></ul>before after
    17. 17. What are the Benefits of Brushing? <ul><li>Brushing removes plaque and food debris that sits on your teeth </li></ul><ul><li>Brushing also keeps your gum tissue healthy </li></ul><ul><li>Brushing promotes a clean and healthy environment in your mouth </li></ul>
    18. 18. Brushing <ul><li>Brush twice daily with a soft bristled toothbrush </li></ul><ul><li>When brushing, make sure that half the bristles are on the gums and half on the tooth </li></ul>
    19. 19. Brushing <ul><li>Brush in a small circular motions, with light pressure </li></ul><ul><li>Brush for 2-3 minutes </li></ul><ul><li>Don’t forget to brush your tongue </li></ul>
    20. 20. What are the Benefits of Flossing? <ul><li>Flossing reaches where the tooth brush cannot </li></ul><ul><li>Floss cleans between the teeth, a popular area of cavities to form </li></ul><ul><li>Flossing also removes the plaque and debris below the gum line </li></ul>
    21. 21. Flossing <ul><li>Floss at least once a day, preferably before going to bed </li></ul><ul><li>Use an arm’s length piece of floss </li></ul><ul><li>Wrap around middle fingers leave ½” between fingers, and use index fingers as your guide </li></ul>
    22. 22. Flossing <ul><li>Don’t snap into the gums, instead use a gentle see-saw motion </li></ul><ul><li>Once in between the teeth, wrap floss around the tooth in a “c” formation and move in up/down motion </li></ul>
    23. 23. Benefits of Fluoride <ul><li>Fluoride is a mineral </li></ul><ul><li>Helps fight decay in areas where enamel has started to breakdown </li></ul><ul><li>Prevents decay by strengthening the enamel </li></ul>
    24. 24. Forms of Fluoride <ul><li>Fluoride is found in most any toothpaste </li></ul><ul><li>Over-the-counter rinses, like ACT </li></ul><ul><li>Fluoride is also found in many cities water sources </li></ul>
    25. 25. Forms of Fluoride <ul><li>At the dentist a stronger dose of fluoride is either rinsed or brushed on </li></ul><ul><li>Dentist can also prescribe rinses for at home use </li></ul>
    26. 26. Use of Fluoride <ul><li>Fluoride should be brushed on or rinsed with after brushing and flossing </li></ul><ul><li>You shouldn’t eat or drink anything for thirty minutes afterwards </li></ul>
    27. 27. Too much of a good thing <ul><li>Fluoride is not meant to be ingested. Too much fluoride can cause an upset stomach. </li></ul><ul><li>Too much fluoride, when ingested, could also affect the baby’s teeth adversely, causing enamel defects or discoloration. </li></ul>
    28. 28. x-rays <ul><li>The taking of dental radiographs during pregnancy continues to be a controversial issue. </li></ul><ul><li>It should be noted, however, that a pregnant patient who is properly shielded can safely receive dental x-rays at any time. </li></ul>
    29. 29. old wives tales <ul><li>You lose a tooth for every pregnancy </li></ul><ul><li>Babies drain the calcium from your teeth </li></ul><ul><li>Every time you are pregnant your gums bleed and you have problems with them </li></ul><ul><li>False to all: Meticulous oral hygiene with fluoride regimen will help to prevent all tooth and gum problems experienced during pregnancy </li></ul>
    30. 30. Pregnancy Gingivitis <ul><li>Gingivitis- inflammation or swelling of the gum tissues caused by increase in plaque accumulation </li></ul><ul><li>Results in red, swollen, sensitive gums that bleed easily </li></ul>
    31. 31. Pregnancy Gingivitis <ul><li>During pregnancy the body’s response to dental plaque can be exaggerated due to an increase in hormone levels and preexisting problems can be worsened </li></ul>
    32. 32. Pregnancy Gingivitis <ul><li>First seen in second month of pregnancy and peaks in the last trimester </li></ul><ul><li>Meticulous oral hygiene can decrease these risks dramatically </li></ul>
    33. 33. Pregnancy Tumor <ul><li>Also know as pyogenic granuloma. </li></ul><ul><li>Rare, usually painless lesion, develops on gums in response to plaque </li></ul><ul><li>Non-cancerous </li></ul>
    34. 34. Pregnancy Tumor <ul><li>Subside shortly after childbirth </li></ul><ul><li>No treatment is required unless causes problems with eating, speaking, or swallowing </li></ul><ul><li>If treatment is needed, it is surgically removed </li></ul>
    35. 35. When Trouble Strikes... Without the removal of plaque and tartar, bacteria will continue to grow and thrive above and below the gum line, thus causing damage to and eventually destroying the structures that hold your teeth in your mouth periodontal disease
    36. 36. When Trouble Strikes... periodontal disease
    37. 37. Pregnancy and Periodontal Disease Periodontal disease : Progressive disease that results in loss of attachment, bone, and surrounding structures. *Some forms of periodontal disease are due to the progression of gingivitis
    38. 38. Disease Stages
    39. 39. Pregnancy and Periodontal Disease <ul><li>The bacteria from periodontal disease can enter the blood stream and travel to major organs and begin new infections: </li></ul><ul><li>Increase risk of heart disease and stroke </li></ul><ul><li>Increase a woman's risk of having a pre-term, low birth weight baby </li></ul><ul><li>Pose a serious threat to people whose health is compromised by diabetes </li></ul>
    40. 40. Pregnancy and Periodontal Disease <ul><li>Preterm Low Birth Weight Births </li></ul><ul><li>Smoking, alcohol use, and drug use contribute to mothers having babies that are born prematurely at a low birth weight. </li></ul><ul><li>Evidence suggests a new risk factor – periodontal disease. </li></ul><ul><li>Pregnant women who have periodontal disease may be seven times more likely to have a baby that is born too early and too small. </li></ul>
    41. 41. Pregnancy and Periodontal Disease <ul><li>Preterm Low Birth Weight Births </li></ul><ul><li>Periodontal disease triggers increased levels of biological fluids that induce labor. </li></ul><ul><li>Women whose periodontal condition worsens during pregnancy may have an even higher risk. </li></ul><ul><li>All infections are cause for concern among pregnant women because they pose a risk to the health of the baby. </li></ul>
    42. 42. Pregnancy and Periodontal Disease Take a Self-Evaluation Quiz Persistent swollen, red or bleeding gums, tooth sensitivity, and bad breath are warning signs of periodontal (gum) disease -- a serious infection that, left untreated, can lead to tooth loss. <ul><ul><ul><li>Do you ever have pain in your mouth? </li></ul></ul></ul><ul><ul><ul><li>Do your gums ever bleed when you brush your teeth or when you eat hard food? </li></ul></ul></ul><ul><ul><ul><li>Have you noticed any spaces developing between your teeth? </li></ul></ul></ul><ul><ul><ul><li>Do your gums ever feel swollen or tender? </li></ul></ul></ul><ul><ul><ul><li>Have you noticed that your gums are receding (pulling back from your teeth) or your teeth appear longer than before? </li></ul></ul></ul><ul><ul><ul><li>Do you have persistent bad breath? </li></ul></ul></ul><ul><ul><ul><li>Have you noticed pus between your teeth and gums? </li></ul></ul></ul><ul><ul><ul><li>Have you noticed any change in the way your teeth fit together when you bite? </li></ul></ul></ul><ul><ul><ul><li>Do you ever develop sores in your mouth? </li></ul></ul></ul>
    43. 43. Smoking <ul><li>When you light your cigarette in pregnancy, you're not the only one who smokes - Your baby does to! </li></ul><ul><li>Not a good habit anyway, smoking can have serious consequences for your baby if you keep it up throughout your pregnancy. </li></ul>
    44. 44. Smoking <ul><li>Some good reasons to quit while you are pregnant: </li></ul><ul><li>More likely to have a healthier pregnancy and a healthier baby </li></ul><ul><li>Cope better with the birth </li></ul><ul><li>Your baby will cope better with any birth complication </li></ul><ul><li>Your baby is less likely to be born too early and have to face the additional breathing, feeding and health problems which so often go with prematurity </li></ul>
    45. 45. Smoking <ul><li>More good reasons to quit while you are pregnant: </li></ul><ul><li>Your baby is less likely to be born underweight and have extra problems in keeping warm </li></ul><ul><li>It will be better for your baby later too as children whose parents smoke are more likely to suffer later on from illnesses like asthma </li></ul><ul><li>You will reduce the risk of SIDS for your baby </li></ul>
    46. 46. Smoking Recently the question has arose among the public as to whether a woman should totally quit smoking cold turkey or gradually cut back their tobacco usage. It has been noted in talking with individuals in the OB/GYN profession that women should quit smoking as soon as they discover they are pregnant.
    47. 47. Nutrition during Pregnancy <ul><li>Pregnancy is the most nutritionally demanding time of a woman's life. Your body needs enough nutrients every day to support the growth of your baby. </li></ul><ul><li>Pregnant women need more calories and essential nutrients than other women. </li></ul><ul><li>If the nourishment needed for baby's developing tissues and organs is not enough, he/she may not develop normally. </li></ul>
    48. 48. Nutrition during Pregnancy <ul><li>Protein is needed for the buildup of your uterus, breasts, blood supply, and baby's tissues. </li></ul><ul><li>Low protein intake is related to smaller-than-average babies who may have health problems. </li></ul><ul><li>Folate is required for protein tissue construction. Low folate levels are linked to birth defects, such as spina bifida. </li></ul><ul><li>Foods high in folate are the dark green veggies. </li></ul><ul><li>Calcium is needed by your baby for strong bones. If calcium is not supplied by the mother's diet, calcium is taken from the mother's long bones, not the teeth, for the baby. </li></ul>
    49. 49. Nutrition during Pregnancy <ul><li>Low Zinc levels during pregnancy are associated with long labor and small babies who may have health problems. </li></ul><ul><li>Iron deficiency is common in pregnant women. Both mother and baby need iron for developing blood supplies. It is practically impossible to get enough iron from food. Doctors usually recommend supplements. </li></ul>
    50. 50. Nutrition during Pregnancy <ul><li>Pregnant women should make sure to include in their diets : </li></ul><ul><ul><ul><li>Sufficient calories for adequate weight gain </li></ul></ul></ul><ul><ul><ul><li>A variety of foods from each food group </li></ul></ul></ul><ul><ul><ul><li>Regular meals and snacks </li></ul></ul></ul><ul><ul><ul><li>30 grams of dietary fiber </li></ul></ul></ul><ul><ul><ul><li>10 or more cups of water each day </li></ul></ul></ul><ul><ul><ul><li>Salt to taste </li></ul></ul></ul>
    51. 51. Nutrition during Pregnancy <ul><li>The Food Guide Pyramid recommendations are as follows : </li></ul><ul><li>9 servings per day of bread, cereal, rice, and pasta </li></ul><ul><li>4 servings per day of vegetables </li></ul><ul><li>3 servings per day of fruits </li></ul>
    52. 52. Nutrition during Pregnancy <ul><li>The Food Guide Pyramid recommendations are as follows : </li></ul><ul><li>3 servings per day of milk, yogurt, and cheese </li></ul><ul><li>3 servings per day of meat, poultry, fish, beans, eggs, and nuts </li></ul><ul><li>Fats, oils, and sweets should be used sparingly </li></ul>
    53. 53. Important to Remember <ul><li>If nausea and vomiting is a problem, it is important to frequently brush or rinse with water. The acid could cause erosion of the teeth. </li></ul><ul><li>If you are craving sweets, this could cause an increase in cavities. So, just remember to snack on raw veggies and fruits. </li></ul>
    54. 54. What to Expect from your Hygienist <ul><li>Scheduling appointments in the second trimester. Best time for routine care. </li></ul><ul><li>Shorter appointments and changing positions on the chair for your comfort needs. </li></ul>
    55. 55. Infant Oral Care <ul><li>Important even before baby has teeth </li></ul><ul><ul><li>*after feeding, wipe out baby’s mouth with warm washcloth or gauze </li></ul></ul>
    56. 56. Infant Oral Care <ul><li>When teeth have erupted : </li></ul><ul><ul><li>*brush baby’s teeth with a infant brush along with a non-fluorinated tooth and gum gel twice daily </li></ul></ul><ul><ul><li>*use small amount </li></ul></ul>
    57. 57. Baby Bottle Decay <ul><li>Never put your child to bed with a bottle of anything but water. </li></ul><ul><li>The sugar in milk and juice will pool and constantly coat the teeth causing decay. </li></ul>
    58. 58. Baby's First Dental Visit <ul><li>Check for oral risks </li></ul><ul><li>Recommend the correct type of prevention for the child </li></ul><ul><li>Answer any questions </li></ul><ul><li>Decide on follow up exams </li></ul>
    59. 59. What did you learn?? What are you not able to take care of on your own? A. Plaque removal B. Flossing properly C. Tartar removal D. Brushing properly
    60. 60. What did you learn?? Fluorosis is something only you can get from too much fluoride. True False
    61. 61. What did you learn?? Pregnancy gingivitis is something that happens to everyone when they are pregnant and can not be reversed. True False
    62. 62. What did you learn?? Pregnancy makes you (more/less) susceptible to periodontal disease?
    63. 63. What did you learn?? Periodontal disease is associated with all of the following conditions, except: A. Pre-term, low birth weight baby B. Diabetes C. Heart Problems D. Asthma