In Pregnancy, gingivitis may occur as a consequence of changes in hormone. If not treated at time can result in loss of bone support and subsequently need to remove it. Periodontitis has also been associated with poor pregnancy outcomes including Preterm Birth and and Low Birth Weight. Pregnancy tumor, a swollen bleeding gums in between the teeth due plaque accumulation, sticky bacteria that forms on teeth. Dental caries is also one of the result as during Pregnancy, acid is more than usual. Call us for the best treatment:- Dr. Rajat Sachdeva +919818894041,01142464041 drrajatsachdeva@gmail.com Follow us on:- • Google+ link: https://goo.gl/vqAmvr • Facebook link: https://goo.gl/tui98A • Youtube link: https://goo.gl/mk7jfm • Linkedin link: https://goo.gl/PrPgpB • Slideshare link : http://goo.gl/0HY6ep • Twitter Page : https://goo.gl/tohkcI Learn More:- • www.sachdevadentalcare.com • www.dentalclinicindelhi.com • www.dentalimplantindia.co.in • www.dentalcoursesdelhi.com • www.facialaestheticsdelhi.com

2.  Oral health is an important component
of general health and should be
maintained during pregnancy and
through a woman’s lifespan.
 When a women is pregnant she
undergoes certain physiologic changes
in almost all organ systems in her body
carried by her hormones.
 These changes of pregnancy do
influence the oral health of a women.

3.  They both are dependent in a vice-versa way i.e.
pregnancy alters oral health and an altered oral
health can affect pregnancy. Periodontal diseases
causes abnormal immunologic changes which
result in various complications during pregnancy.
 Oral bacteria colonize the placenta which leads to
an inflammatory response, hence resulting in the
adverse outcomes related to pregnancy.

5. Some women do complaint of bleeding gums while brushing or
flossing during their pregnancy. Also known as, “Pregnancy
gingivitis” caused by a rise in the hormone progesterone which
can contribute to an increase in the flow of blood to gum tissues
making them more sensitive, swollen and more likely to bleed.

6.  Although these changes can occur anytime during
the pregnancy but they are more severe during
the second trimester.
 These hormonal changes can make it easier for
certain gingivitis-causing bacteria to accumulate
and can make gums more tender. If left untreated,
gingivitis can lead to more chronic gum diseases.
 Rinsing with saltwater (i.e, 1 teaspoon of salt in 1
cup of warm water) may help with the irritation.

7.  Occasionally during the second trimester, some
pregnant women will develop a localised swelling
on the gum, known as a pregnancy epulis or
pregnancy granuloma.

8.  A pregnancy epulis will often bleed easily, and can
appear red, raw-looking raspberry-like. and
inflamed appearance. They are generally not
painful.
 These are harmless tumour and do not have the
potential to become cancerous.
 If left alone, the epulis will usually become smaller
or disappear after childbirth.

9.  Pregnant women may be eating more carbohydrates than
usual, this can cause tooth decay.
 Morning sickness can increase the amount of acid oral cavity
is exposed to, which can eat away at the outer covering of
tooth increasing the chances of decay.

10.  Erosion of tooth enamel may be more common
because of increased exposure to gastric acid
from vomiting secondary to morning sickness,
hyperemesis gravidarum, or gastric reflux during
late pregnancy.
 Rinsing with a baking soda solution (ie, a
teaspoon of baking soda dissolved in a cup of
water) may help neutralize the associated acid

12.  Tooth mobility may be experienced during
pregnancy due to transient loosening of the
periodontal ligament.
 Erosion of teeth during pregnancy as a result
of increased exposure to gastric acid during
morning sickness.
 Enamel erosion caused by frequent vomiting
can also cause irritation of gingiva.

13.  Pregnancy cravings may increase a woman’s
exposure to cariogenic foods, leading to a higher
caries rate or more rapidly progressive caries.
 There is an increase in the facial pigmentation,
which is called ‘melasma’ or “mask of pregnancy”,
these are bilateral brown patches on the mid-facial
region. These facial changes begin during the first
trimester and are believed to be related to an
increase in the serum levels of oestrogen and
progesterone.

15.  Excessive bacteria in case of gingivitis or periodontitis
can enter the bloodstream through the gums. If this
happens, the bacteria can travel to the uterus,
triggering the production of hormones called
prostaglandins, which are suspected to induce
premature labor.
 Poor oral hygiene during pregnancy can lead to peri-
natal complications, such as low birth weight and
premature delivery as well as poor oral health in
children.

16.  Do visit for regular check-ups at respective
dental clinic
 Use a soft toothbrush and floss gently to prevent
injury to delicate gum tissues
 Use an antiplaque toothpaste twice a day and
floss daily and rinse with an alcohol-free
mouthwash
 Rinse your mouth to keep acids from affecting
your teeth and gums
 Follow a healthy diet including plenty of calcium,
phosphorus, protein, and vitamins A, C and D.

17.  Despite the lack of evidence that prenatal oral health care
improves pregnancy outcomes, ample evidence shows that
oral health care during pregnancy is safe and should be
recommended to improve the oral and general health of the
woman.
 Improved oral health of the woman may decrease
transmission of potentially cariogenic bacteria to infants and
reduce children’s future risk of caries.
 For many women, a good dentist will create a unique
opportunity to educate women throughout their lifespan,
including during pregnancy, about the importance of dental
care and good oral hygiene.

18. @surgicalmasterrajat
@dentalcoursesdelhi
drrajatsachdeva
drrajatsachdeva
drrajatsachdeva

19. To book an appmt. contact
Dr.Rajat Sachdeva
Dr Sachdeva’s Dental
Aesthetic & Implant
Institute
I 101, Ashok Vihar Phase 1,
Delhi- 110052
Contact us at
Phone : +919818894041
01142464041

20. THANK
YOU