Keeping routine dental cleaning and checkup appointments during pregnancy is usually a good idea. Preventive, diagnostic and restorative dental treatment are typically safe throughout pregnancy. When treating pregnant patients, it might be helpful for the patient and dentist to reach out to the obstetrician to develop a working relationship should consultation be needed later. Questions to ask might include:
When is the expected delivery date?
Is this a high-risk pregnancy? If so, are there any special concerns or contraindications?
Is there a recommended medication for pain control?
During pregnancy, several oral health conditions are more common:
Gingivitis can result from hormonal changes. Hormones from pregnancy can cause an exaggerated immune response to plaque bacteria in the gum tissues.
Dental caries (tooth decay) may occur due to changes in diet such as increased snacking due to cravings, increased acidity in the mouth due to vomiting, dry mouth or poor oral hygiene stemming from nausea and vomiting.
Pyogenic granuloma (also known as granuloma gravidarum) is a round growth on the gum tissue, that may develop in a pregnant patient due to hormonal changes.
Erosion of enamel can happen from frequent vomiting as a result of morning sickness. It is advisable to avoid toothbrushing immediately after vomiting, which exposes the teeth to stomach acids. Instead, one should opt for rinsing with a diluted solution of 1 cup water and 1 teaspoon of baking soda to neutralize the acid.
Due to the increased risks of gingivitis and tooth decay, good daily oral hygiene is so important during pregnancy. It is so important to brush twice a day with a soft-bristled brush for two minutes, using a fluoride-containing toothpaste, and cleaning between the teeth once a day.
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