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Pregnancy And Your Oral Health

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Pregnancy And Your Oral Health

  1. 1. Pregnancy and Your Oral Health dr shabeel pn
  2. 2. When should I see the dentist? <ul><li>You could hurt yourself or your baby by NOT going to the dentist </li></ul><ul><li>Any time </li></ul><ul><ul><li>Check-ups and cleanings </li></ul></ul><ul><ul><li>Emergency care (including x-rays) </li></ul></ul><ul><li>Second trimester or first half of third best for procedures that require: </li></ul><ul><ul><li>Anesthesia </li></ul></ul><ul><ul><li>Medication </li></ul></ul><ul><ul><li>Time in the chair </li></ul></ul>
  3. 3. Safe Dental Treatment <ul><li>Most treatments considered safe </li></ul><ul><li>Acceptable drugs </li></ul><ul><ul><li>Dental anesthetics </li></ul></ul><ul><ul><li>Chlorhexidine rinse </li></ul></ul><ul><li>Give dentist your obstetrician’s contact information </li></ul><ul><li>Avoid </li></ul><ul><ul><li>Aspirin or ibuprofen </li></ul></ul><ul><ul><li>Tetracyclines, chloramphenicol </li></ul></ul>
  4. 4. Fetal Growth and Development <ul><li>Development of infant’s mouth </li></ul><ul><ul><li>4-5 weeks – primary tooth buds </li></ul></ul><ul><ul><li>4-7 weeks – lips </li></ul></ul><ul><ul><li>8-12 weeks – roof of mouth </li></ul></ul><ul><ul><li>12 weeks – primary teeth start to harden </li></ul></ul><ul><ul><li>6 months - permanent tooth buds </li></ul></ul>
  5. 5. Childhood Enamel Hypoplasia <ul><li>What is it? </li></ul><ul><ul><li>Deformed, weak enamel </li></ul></ul><ul><ul><li>Disruptions of tooth development </li></ul></ul><ul><ul><li>Teeth Can decay more easily </li></ul></ul><ul><li>Occurs in utero or early in life </li></ul><ul><li>Causes: </li></ul><ul><ul><li>Fever in the pregnant mother or infant </li></ul></ul><ul><ul><li>Low birth weight </li></ul></ul>Diann Bomkamp, RDH, BSDH, Missouri
  6. 6. Who Wants a $1,000,000 $mile? <ul><li>When is it safe to go to the </li></ul><ul><li>dentist during pregnancy? </li></ul><ul><li>When you need a check-up or a cleaning </li></ul><ul><li>Only during the second trimester </li></ul><ul><li>When something hurts </li></ul><ul><li>A and C </li></ul>
  7. 7. Changes During Pregnancy that Affect Oral Health <ul><li>Hormonal Affects </li></ul><ul><ul><li>Increased tooth mobility </li></ul></ul><ul><ul><li>Saliva changes </li></ul></ul><ul><ul><li>Increased bacteria </li></ul></ul><ul><ul><li>Gum problems </li></ul></ul>
  8. 8. Saliva changes <ul><li>Decreased buffers </li></ul><ul><li>Decreased minerals </li></ul><ul><li>Decreasing flow first and last trimester </li></ul><ul><li>Increased flow second trimester </li></ul><ul><li>More acidic </li></ul>
  9. 9. Increased Bacteria <ul><li>Increased acidity </li></ul><ul><ul><li>Increase in decay-causing bacteria </li></ul></ul><ul><li>Increased Snacking </li></ul><ul><ul><li>Morning sickness/low blood sugar </li></ul></ul><ul><ul><li>Between-meal snacks </li></ul></ul><ul><li>Increase in amount and frequency of starches/carbohydrates </li></ul><ul><ul><li>Crackers are commonly recommended </li></ul></ul><ul><ul><li>Promotes decay-causing bacteria </li></ul></ul>
  10. 10. Courtesy Proctor & Gamble
  11. 11. Increased Bacteria - Dental Decay Courtesy Diann Bomkamp, RDH, BSDH, Missouri
  12. 12. Courtesy Proctor & Gamble
  13. 13. Who Wants a $1,000,000 $mile? What is a cavity? D. Both B and C C. A hole in the tooth B. A disease A. A large hole in the head
  14. 14. Increased Bacteria <ul><li>Increased food supply </li></ul><ul><li>Increased hormones </li></ul><ul><ul><li>Gingival fluid and saliva contain hormones </li></ul></ul><ul><ul><li>Cause gums to swell, bleed easily, and secrete more fluid </li></ul></ul><ul><ul><li>Bacteria use hormones for energy to grow and multiply </li></ul></ul><ul><li>Decreased immune response limits ability to fight bacteria </li></ul>
  15. 15. Gum Problems <ul><li>Pregnancy Gingivitis </li></ul><ul><ul><li>Red edges </li></ul></ul><ul><ul><li>Swollen or puffy </li></ul></ul><ul><ul><li>Tender </li></ul></ul><ul><ul><li>Bleed easily during brushing </li></ul></ul>Courtesy of Phoenix College
  16. 16. Gum Problems - Pregnancy Granuloma Courtesy of Univ. of Southern California
  17. 17. Gum Problems - Pregnancy Granuloma Courtesy of Univ. of Southern California
  18. 18. Gum Changes - Pregnancy Granuloma Courtesy of Univ. of Southern California
  19. 19. Who Wants a $1,000,000 $mile? Some signs of gum disease are… D. None of the above C. Bleeding, swelling or tenderness B. Black, hairy patches A. Red, scaly patches
  20. 20. Changes During Pregnancy that Affect Oral Health <ul><li>Morning sickness </li></ul><ul><ul><li>Difficulty with hygiene </li></ul></ul><ul><ul><ul><li>Gum disease </li></ul></ul></ul><ul><ul><ul><li>Tooth decay </li></ul></ul></ul><ul><ul><li>Vomiting </li></ul></ul><ul><li>Esophogeal Reflux (heartburn) </li></ul><ul><li>Acid exposure </li></ul><ul><ul><li>Irritation of the gums </li></ul></ul><ul><ul><li>Weakening of tooth enamel </li></ul></ul><ul><ul><li>Dental erosion </li></ul></ul>
  21. 21. Treatment for Acid Exposure <ul><li>Do NOT brush immediately after vomiting </li></ul><ul><li>Rinse </li></ul><ul><ul><li>Water with baking soda </li></ul></ul><ul><ul><li>Antacid </li></ul></ul><ul><ul><li>Plain water </li></ul></ul><ul><li>Eat some cheese </li></ul><ul><li>Ask about fluoride </li></ul>
  22. 22. Oral Diseases Can Effect Pregnancy <ul><li>Preterm, low birth weight (LBW) linked to periodontal disease </li></ul><ul><li>Thorough calculus (tartar) removal in pregnant women with periodontitis may reduce pre-term births </li></ul>
  23. 23. Spontaneous preterm birth in pregnant women with gum disease Jeffcoat et al. (2003) Periodontal disease and preterm birth: results of a pilot intervention study. Spontaneous Preterm Births
  24. 24. Prevention: Oral Hygiene <ul><li>Reduce the amount of bacteria in your mouth </li></ul><ul><ul><li>Brushing and flossing </li></ul></ul><ul><ul><li>Antibacterial mouth rinses </li></ul></ul><ul><ul><li>Xylitol gum or mints </li></ul></ul><ul><li>Keep routine dental visits </li></ul>
  25. 25. Prevention: Nutrition for Oral Health <ul><li>Eat well-balanced meals </li></ul><ul><ul><li>B vitamins, especially folate (folic acid) </li></ul></ul><ul><ul><li>Vitamin C </li></ul></ul><ul><ul><li>Calcium </li></ul></ul><ul><li>Snack smart </li></ul><ul><ul><li>Avoid starchy or high carbohydrate snacks </li></ul></ul><ul><ul><li>Raw fruits and vegetables </li></ul></ul><ul><ul><li>Dairy products </li></ul></ul>

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