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Oral Health During Pregnancy

Dr. Sarah Deeds, DMD

Hot Topics:

* HORMONES

* DIET

* DENTAL VISITS

* GUMMY BEARS

* STRESS

* HABITS

* JUNIOR

HORMONES ESTROGEN & PROGESTERONE: *IMPORTANT ROLE IN INTERNAL HOUSING, BLOOD FLOW, GROWTH AND DEVELOPMENT, AND MILK

MACHINERY FOR BABY; STIMULATES PRODUCTION AND RELEASE OF OTHER IMPORTANT HORMONES

*HEIGHTENED ESTROGEN AND PROGESTERONE CAN LAY THE GROUNDWORK FOR GINGIVITIS

(REVERSIBLE)… LEFT UNTREATED CAN PROGRESS TO PERIODONTITIS (IRREVERSIBLE GUM DISEASE.)

*SOMETIMES, EVEN IN THE ABSENCE OF GUM DISEASE, THESE HORMONES CAN AFFECT THE BONE AND

LIGAMENTS AROUND THE TEETH, CAUSING THE TEETH TO FEEL LOOSER. (-MAYO CLINIC)

PROSTAGLANDINS *VARIETY OF ROLES IN THE BODY. STIMILATE RBC PRODUCTION, MINIMIZE BLOOD CLOTTING, REDUCE

NASAL STUFFINESS, ETC. Released by variety of stimuli (mechanical, chemical, thermal, bacterial)

*LABOR-INDUCING. (CAUSE THE UTERUS TO RELAX/ CONTRACT.) BECAUSE THEY ARE RELEASED IN

RESPONSE TO ORAL BACTERIA; HIGHER AMOUNTS FOUND IN WOMEN WITH PERIODONTAL DISEASE.

*ASSOCIATED WITH PRE-TERM BIRTH: BREATHING PROBLEMS, ANEMIA, JAUNDICE, MENTAL

RETARDATION, CEREBRAL PALSY, CONGESTIVE HEART FAILURE, MALNUTRITION.(-MASS DENTAL)

DIET

MORNING SICKNESS

*Many small meals throughout the day

*Crackers, Ginger Ale

(pH 4.4= ACIDIC)

BALANCE IF POSSIBLE

1 tsp

Baking soda

+

8 oz

Water

NEUTRAL RINSE

DENTAL VISITS * Recommended before, during and after!

* Let dental team know you are pregnant

* Ask OB if special precautions are needed

* Risks vs. Benefits weighed;

* 3 cleanings/yr with military dental insurance

* SAFE Digital x-rays (<½ radiation) + lead apron

* Prevention is key

* Healthy mom -> Healthier baby

2nd Trimester

GUMMY BEARS *Gingivitis- Up to 70% of expecting moms

*Bumps may arise on gums (75%), lips, tongue,

cheek, skin, nasal septum (may cause nose

bleeds), and beyond. Pink or red in color.

-Pregnancy “tumor” /(Pyogenic Granuloma)

-Most common in 1st trimester to 7th month

-Trauma, Poor oral hygiene

-Typically resolves after pregnancy

STRESS...

PHYSICAL MENTAL EMOTIONAL

BEHAVIORAL

STRESS

HEADACHES

INFECTIONS

MUSCLE TWITCHES

FATIGUE

SKIN IRRITATIONS

BREATHLESSNESS

GI UPSET

INCREASED HEART AND

BREATHING RATES

INCREASED BLOOD

PRESSURE AND SUGAR

WORRYING

NIGHTMARES

IMPAIRED

JUDEMENT

FORGETFUL

INDECISION

NEGATIVITE FOCUS

HASTY DECISIONS

LACK OF CONFIDENCE

FUSSY

IRRITABLE

DEPRESSED

APATHETIC

ALIENATED

APPREHENSIVE

ACCIDENT PRONE

DECREASED APPETITE

DECREASED SEX DRIVE

DRINKING /SMOKING MORE

INSOMNIA

RESTLESSNESS

CLENCHING/ GRINDING TEETH

http://www.ted.com/talks/paul_zak_trust_morality_and_oxytocin.html

HABITS *Smoking and alcohol consumption during

pregnancy can profoundly affect your child

*Healthy habits (balanced diet, good oral

hygiene) can have a positive impact

*Bacteria are TRANSFERABLE

*Sharing food/drink/eating utensils

*Kissing baby on mouth

*“Cleaning” dropped pacifier with your

mouth

JUNIOR * WHAT TO DO WHEN BABY ARRIVES?

- CHERISH EACH PRECIOUS MOMENT!!!!

* Brush teeth as they arrive (FLUORIDE-FREE)

* Floss teeth as they touch

* Limit JUICE; No bottle in the crib

* AAPD and ADA recommend that a child have his or her first

dental appointment by age one year (or when the first tooth

is visible).

- Introduction and Education; Address questions & concerns

Common Questions/ Statements:

1) I never had cavities before I got pregnant.

2) My baby took all the calcium from my teeth.

3) You lose a tooth for each child you have.

4) I have soft teeth...

What can I do to protect them?

THANK YOU!

CONGRATULATIONS!

The Children’s Dentist

(931) 551-4400

Dr. Sarah Deeds, DMD- General Dentist

(Board Certified Pediatric Dentists:

Dr. Lary Deeds, DMD

Dr. R. Michael Weaver, DDS - “Dr. Mike”)