12

2018

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10

The importance of oral care during pregnancy

During pregnancy, nearly 70% of expectant mothers experience gum bleeding, and about 10% suffer from gingival hyperplasia, periodontitis, wisdom teeth issues, and pericoronitis. In some cases, the gums may even grow to a tumor-like size, known as pregnancy tumors. These can easily bleed and, in severe cases, hinder eating. Most pregnant mothers are reluctant to see a dentist during pregnancy due to concerns about miscarriage, preterm birth, or the effects of medication on the fetus. 1. Reasons why pregnant women are prone to oral diseases: ✓ 1. Changes in endocrine levels, with increased secretion of estrogen and progesterone, leading to heightened gum response to local stimuli. ✓ 2. Nausea and vomiting during pregnancy result in more acidic saliva. ✓ 3. Increased frequency of eating. ✓ 4. Preference for sweet and sour foods.

Author:

Nearly 70% of pregnant women experience gum bleeding during pregnancy, and nearly 10% have gingival hyperplasia, periodontitis, wisdom teeth issues, or pericoronitis. In some cases, the gums can grow to a tumor-like size, known as pregnancy tumors. They are prone to bleeding and can severely hinder eating; most pregnant mothers are afraid to see a dentist during pregnancy, worrying about miscarriage, premature birth, or the effects of medication on the fetus.
1. Reasons why pregnant women are prone to oral diseases
✓1. Endocrine changes, increased secretion of estrogen and progesterone, enhance the gums' response to local stimuli.
✓2. Nausea and vomiting lead to acidic saliva.
✓3. Increased frequency of eating.
✓4. Preference for sweet and sour foods.
✓5. Neglect of oral hygiene.
2. The hazards of oral diseases during pregnancy
✓1. Harm to the mother's own health.
✓2. Reduced nutrient intake and inappropriate medication can affect fetal development.
✓3. Chronic oral infections can cause bacterial infections and inflammation in the mother, leading to adverse pregnancy outcomes such as miscarriage, premature birth, and low birth weight.
✓4. Since the development of the baby's teeth begins before birth, the mother's health during pregnancy can directly affect the future oral health of the fetus.
3. Pregnant mothers have a very weak awareness of oral health care.
✓1. Reduced brushing frequency due to nausea and bleeding while brushing.
✓2. Not brushing teeth after eating sweets at night.
✓3. Unaware that oral diseases are related to fetal health.
✓4. Due to oral diseases during pregnancy, the proactive visit rate is extremely low, only 3%.
✓5. Over 90% of pregnant women have not received oral health education during pregnancy.
4. Oral preparation before pregnancy
✓1. A comprehensive oral and X-ray examination should be conducted 6 months before pregnancy to obtain personalized oral health guidance.
✓2. Remove tartar and maintain periodontal health.
✓3. Actively prevent and treat dental and pulp diseases.
✓4. Extract residual roots, crowns, and wisdom teeth that may cause pericoronitis.
✓5. Repair missing teeth to restore chewing function.
5. The best treatment timing for oral diseases during pregnancy
✓1. If no oral examination was done before pregnancy, one should see a dentist promptly after discovering the pregnancy and inform the doctor that you are pregnant.
✓2. Oral examinations should be conducted every three months during pregnancy.
✓3. Generally, dentists only handle emergencies in early pregnancy (1-3 months) and late pregnancy (7-9 months).
✓4. Mid-pregnancy (4-6 months) is the best time for oral treatment.
6. The concept of oral health care during pregnancy
✓1. Prevention is better than treatment.
✓2. Early treatment is better than late treatment.
✓3. Treatment is better than no treatment.
✓4. Do not easily extract the first tooth; try to keep the dental arch intact.

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