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Pregnancy and Your Oral Health [insert presenter info]

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1 Pregnancy and Your Oral Health [insert presenter info]

2 When should I see the dentist? You could hurt yourself or your baby by NOT going to the dentist You could hurt yourself or your baby by NOT going to the dentist Any time Any time Check-ups and cleanings Check-ups and cleanings Emergency care (including x-rays) Emergency care (including x-rays) Second trimester or first half of third best for procedures that require: Second trimester or first half of third best for procedures that require: Anesthesia Anesthesia Medication Medication Time in the chair Time in the chair

3 Safe Dental Treatment Most treatments considered safe Most treatments considered safe Acceptable drugs Acceptable drugs Dental anesthetics Dental anesthetics Chlorhexidine rinse Chlorhexidine rinse Give dentist your obstetricians contact information Give dentist your obstetricians contact information Avoid Avoid Aspirin or ibuprofen Aspirin or ibuprofen Tetracyclines, chloramphenicol Tetracyclines, chloramphenicol

4 Fetal Growth and Development Development of infants mouth Development of infants mouth 4-5 weeks – primary tooth buds 4-5 weeks – primary tooth buds 4-7 weeks – lips 4-7 weeks – lips 8-12 weeks – roof of mouth 8-12 weeks – roof of mouth 12 weeks – primary teeth start to harden 12 weeks – primary teeth start to harden 6 months - permanent tooth buds 6 months - permanent tooth buds

5 Childhood Enamel Hypoplasia What is it? What is it? Deformed, weak enamel Deformed, weak enamel Disruptions of tooth development Disruptions of tooth development Teeth Can decay more easily Teeth Can decay more easily Occurs in utero or early in life Occurs in utero or early in life Causes: Causes: Fever in the pregnant mother or infant Fever in the pregnant mother or infant Low birth weight Low birth weight Diann Bomkamp, RDH, BSDH, Missouri

6 Who Wants a $1,000,000 $mile? When is it safe to go to the dentist during pregnancy? A. When you need a check-up or a cleaning B. Only during the second trimester C. When something hurts D. A and C

7 Changes During Pregnancy that Affect Oral Health Hormonal Affects Hormonal Affects Increased tooth mobility Increased tooth mobility Saliva changes Saliva changes Increased bacteria Increased bacteria Gum problems Gum problems

8 Saliva changes Decreased buffers Decreased buffers Decreased minerals Decreased minerals Decreasing flow first and last trimester Decreasing flow first and last trimester Increased flow second trimester Increased flow second trimester More acidic More acidic

9 Increased Bacteria Increased acidity Increased acidity Increase in decay-causing bacteria Increase in decay-causing bacteria Increased Snacking Increased Snacking Morning sickness/low blood sugar Morning sickness/low blood sugar Between-meal snacks Between-meal snacks Increase in amount and frequency of starches/carbohydrates Increase in amount and frequency of starches/carbohydrates Crackers are commonly recommended Crackers are commonly recommended Promotes decay-causing bacteria Promotes decay-causing bacteria

10 Courtesy Proctor & Gamble

11 Increased Bacteria - Dental Decay Courtesy Diann Bomkamp, RDH, BSDH, Missouri

12 Courtesy Proctor & Gamble

13 Who Wants a $1,000,000 $mile? What is a cavity? A. A large hole in the head B. A disease C. A hole in the tooth D. Both B and C

14 Increased Bacteria Increased food supply Increased food supply Increased hormones Increased hormones Gingival fluid and saliva contain hormones Gingival fluid and saliva contain hormones Cause gums to swell, bleed easily, and secrete more fluid Cause gums to swell, bleed easily, and secrete more fluid Bacteria use hormones for energy to grow and multiply Bacteria use hormones for energy to grow and multiply Decreased immune response limits ability to fight bacteria Decreased immune response limits ability to fight bacteria

15 Gum Problems Pregnancy Gingivitis Pregnancy Gingivitis Red edges Red edges Swollen or puffy Swollen or puffy Tender Tender Bleed easily during brushing Bleed easily during brushing Courtesy of Phoenix College

16 Gum Problems - Pregnancy Granuloma Courtesy of Univ. of Southern California

17 Gum Problems - Pregnancy Granuloma Courtesy of Univ. of Southern California

18 Gum Changes - Pregnancy Granuloma Courtesy of Univ. of Southern California

19 Who Wants a $1,000,000 $mile? A. Red, scaly patches B. Black, hairy patches C. Bleeding, swelling or tenderness D. None of the above Some signs of gum disease are…

20 Changes During Pregnancy that Affect Oral Health Morning sickness Morning sickness Difficulty with hygiene Difficulty with hygiene Gum disease Gum disease Tooth decay Tooth decay Vomiting Vomiting Esophogeal Reflux (heartburn) Esophogeal Reflux (heartburn) Acid exposure Acid exposure Irritation of the gums Irritation of the gums Weakening of tooth enamel Weakening of tooth enamel Dental erosion Dental erosion

21 Treatment for Acid Exposure Do NOT brush immediately after vomiting Do NOT brush immediately after vomiting Rinse Rinse Water with baking soda Water with baking soda Antacid Antacid Plain water Plain water Eat some cheese Eat some cheese Ask about fluoride Ask about fluoride

22 Oral Diseases Can Effect Pregnancy Preterm, low birth weight (LBW) linked to periodontal disease Preterm, low birth weight (LBW) linked to periodontal disease Thorough calculus (tartar) removal in pregnant women with periodontitis may reduce pre-term births Thorough calculus (tartar) removal in pregnant women with periodontitis may reduce pre-term births

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 Prevention: Oral Hygiene Reduce the amount of bacteria in your mouth Reduce the amount of bacteria in your mouth Brushing and flossing Brushing and flossing Antibacterial mouth rinses Antibacterial mouth rinses Xylitol gum or mints Xylitol gum or mints Keep routine dental visits Keep routine dental visits

25 Prevention: Nutrition for Oral Health Eat well-balanced meals Eat well-balanced meals B vitamins, especially folate (folic acid) B vitamins, especially folate (folic acid) Vitamin C Vitamin C Calcium Calcium Snack smart Snack smart Avoid starchy or high carbohydrate snacks Avoid starchy or high carbohydrate snacks Raw fruits and vegetables Raw fruits and vegetables Dairy products Dairy products

26 Who Wants a $1,000,000 $mile? Oral diseases can be prevented by… A.Using fluoride rinse B.Brushing 2-3 times a day C.Eating nutritious foods D.A and B E.All of the above

27 Acknowledgements MAJ Georgia dela Cruz Dental Staff Officer Directorate of Health Promotion & Wellness US Army Center for Health Promotion & Preventive Medicine Additional graphics or information provided by the following: Diann Bomkamp, RDH, BSDH, Missouri WI Dept. of Health and Family Services University of Southern California Phoenix College Proctor & Gamble Dr. Luke Shwart, Calgary Health Region


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