Posts for tag: pregnancy

By Orthodontics for Children and Adults
December 01, 2014
Category: Oral Health
Tags: pregnancy   pediatric care  
EightReasonstoTakeGoodCareofYourTeethWhenPregnant

A pregnant woman has a lot to think about while preparing to welcome a new member of her family. It's important to think about her oral health as well. She is sharing her body with the developing infant, so problems with her health — including her dental health — can affect the baby. The following facts will help you understand the relationship between oral health and pregnancy.

  1. A baby's primary (baby) teeth begin to form during the sixth week of pregnancy. They begin to form their enamel (the hard outer layer of the teeth) and dentin layer (just under the enamel) at about the third or fourth month. The calcium, phosphorous, and protein that are needed for these structures must all be provided by the mother's diet.
  2. A good diet for a pregnant mother, in order to provide for both her needs and those of the fetus (the developing baby), includes whole grains, fruits, vegetables — including green leafy vegetables — proteins and dairy products. A doctor may also recommend iron and/or folic acid supplements.
  3. If the mother's diet does not provide enough calcium for the baby's bones and teeth, it will come from calcium stored in her bones — not from her teeth. The old idea that a mother's teeth lose calcium during pregnancy has been found to be a myth.
  4. Progesterone, a normal female hormone, is elevated during pregnancy. This hormone stimulates production of prostaglandins, substances that cause inflammation in gum tissues if the bacteria that cause periodontal (gum) disease are present. The resulting swelling, redness, and sensitive gum tissues, called pregnancy gingivitis, are common during the second to eighth months of pregnancy.
  5. The bacteria involved in periodontal disease can affect whole body conditions such as heart disease and strokes, diabetes, and respiratory diseases. The inflammation resulting from such bacteria can also cause premature delivery (birth before 37 weeks of pregnancy) or low birth weight in the baby.
  6. Periodontal disease is also related to pre-eclampsia, or high blood pressure, during pregnancy.
  7. Dental x-rays do not expose the mother to very high radiation, but in any case every precaution is taken to minimize exposure to the fetus. These include a leaded apron that shields the baby from exposure.
  8. Most drugs commonly used in dentistry, including local anesthetics, can safely be given to pregnant women without affecting the fetus. However, it is important to let your dentist know you are pregnant before embarking on any treatment to make sure anything that is done will be safe for the fetus and its developing teeth.

Contact us today to schedule an appointment to discuss your questions about pregnancy and your oral health. You can also learn more by reading the Dear Doctor magazine article “Pregnancy and Oral Health.”

By Orthodontics for Children and Adults
March 24, 2014
Category: Oral Health
Tags: oral health   pregnancy  
MythorFactTestYourKnowledgeaboutPregnancyandOralHealth

Already read every “What to Expect” book twice over? Think you know something about how pregnancy affects your teeth and gums — and vice versa? OK, ace — test your knowledge by taking the quiz below. No peeking at the answers!

Myth or fact: The calcium in baby's teeth comes from mom's teeth.

MYTH. Calcium is needed to build baby's teeth and bones, but it should come primarily from the mother's diet, not her body. If an expectant mom's diet contains too little calcium, however, this essential mineral may be supplied from calcium stored in her bones. That's one reason why a proper diet — with an adequate intake of dairy products, plus dietary supplements, if recommended — is important throughout pregnancy.

Myth or fact: Developing symptoms of periodontal disease is common during pregnancy.

FACT. The levels of many hormones, including progesterone, are higher during pregnancy. When periodontal disease is present, progesterone stimulates the body to produce prostaglandins, which cause inflammation of blood vessels in the gum tissue. This can result in a disease called pregnancy gingivitis. Excess growths of gum tissue called “pregnancy tumors” may also develop. These benign growths are probably related to dental plaque.

Myth or fact: Untreated dental infections pose a risk to the fetus as well as the mother.

FACT. Studies have shown that pregnant women with severe periodontal disease are at greater risk for preterm birth and low birth weight babies, and may be susceptible to an increased rate of pre-eclampsia, a serious complication. This seems to be due to the fact that oral bacteria can trigger inflammatory responses in other parts of the body — even the placenta. That's why a dental evaluation is so important at the first sign of a potential problem.

Myth or fact: All moms should take fluoride supplements to help their babies form strong teeth.

MYTH (for now). The benefits of parental fluoride supplements are poorly studied, and at present remain controversial. Although baby's teeth begin forming in the second month, fluoride works best after the teeth have erupted in the mouth. So, at present, this practice isn't recommended by the American Academy of Pediatric Dentistry.

Myth or fact: Once your baby is born, it's OK to feed them pre-chewed food or slobber over them.

Myth (we gave that one away). First of all, it's gross. Second, while your baby isn't born with the bacteria that cause tooth decay, this behavior can transmit them from you to her, causing dental problems down the road. So don't do it. But do come in for a dental evaluation as soon as you know you're expecting. And have a safe and healthy pregnancy!

If you would like more information about pregnancy and oral health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Pregnancy and Oral Health,” and “Expectant Mothers.”

By Orthodontics for Children and Adults
December 20, 2013
Category: Oral Health
Tags: oral health   pregnancy  
MakeOralHealthcareaPriorityDuringPregnancy

A woman during pregnancy naturally pays close attention to her general health, instinctively knowing it affects her developing baby. Ironically, it's also common for a woman during pregnancy to neglect her dental health, due to new physical restraints and fatigue that make regular tasks more difficult and tiring.

But pregnancy is no time to drop your guard: due to hormonal changes, a woman is more susceptible to disease and tooth decay. This can lead to increased sensitivity and gum inflammation that may develop into what's known as pregnancy gingivitis. This is of great concern during pregnancy, as the oral bacteria responsible for gum disease can cross over from mother to baby through the placenta. This could cause an inflammatory response by the mother's body that might result in a preterm birth with a low birth weight for the baby.

There are some things you should do to maintain vigilance. First, you should schedule an appointment with us at the beginning of your pregnancy to discuss and prepare a dental care plan. We can advise you more fully about how pregnancy affects your dental health and what we can both do about it.

A healthy diet from the beginning and throughout pregnancy will provide your child with the nutritional building blocks for his or her developing teeth, which begin to form around the sixth week. You may also develop cravings for certain foods, especially sugary or starchy snacks, which increase your risk of tooth decay. If at all possible, try to limit your intake of these kinds of foods or substitute raw fruits, vegetables or dairy products instead.

Oral hygiene is critical during this time in your life. Daily gentle brushing with a soft bristle toothbrush and flossing will help reduce the level of bacteria that causes gum inflammation. And, if you do notice sensitivity, swelling or bleeding from the gums, you should visit us as soon as possible for examination and treatment. It's also very important during your pregnancy that you schedule regular cleaning appointments. Because of hormonal changes, it's common for gum inflammation to become exaggerated making you more vulnerable to bone loss.

Remember: caring for your oral health when you are pregnant is just as important for your baby as it is for you.

If you would like more information on the relationship between pregnancy and oral health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Pregnancy and Oral Health.”

LearningAbouttheRelationshipBetweenYourPregnancyHormonesAndGumDisease

The beloved title of “mother” unfortunately does not come with a manual. If it did, it would certainly contain a section in which mothers-to-be could learn about the impact that pregnancy has on both their general and oral health. For example, did you know that during pregnancy the normally elevated levels of female hormone progesterone can cause inflammation in blood vessels within the gum tissues making the gums bleed? It typically occurs in response to less than adequate daily oral hygiene; however, it is just one important fact that all pregnant women should know.

There are numerous studies that have revealed that oral health during pregnancy can have a significant impact on the child growing inside you, and in particular, it has a direct relationship on your baby's developing and future oral health.

Periodontal (gum) disease can also be a factor in your baby's birth weight. In fact, there are a variety of studies supporting a positive link between pre-term delivery and low birth weight babies in the presence of severe periodontal disease in pregnant women. And there is also a correlation between the severity of periodontal disease and the possibility of an increased rate of pre-eclampsia or high blood pressure during pregnancy. This is another reason why it is important to see a dentist for an evaluation of your oral and dental health as soon as you know you are pregnant.

Please note that the goal of sharing these facts is not to scare you, but rather inform you so that you can be an educated mother-to-be. After all, you should be as healthy as possible for the most important job in the world and this includes both your oral and general health. Learn more about your body and discover the many relationships between mother and child as you read the Dear Doctor article, “Pregnancy And Oral Health.” Or if you want to schedule an appointment to discuss your questions, contact us today.