How does a build-up of plaque affect me?
If the plaque isn't removed, it can cause gingivitis-red, swollen, tender gums that are more likely to bleed.
So-called "pregnancy gingivitis" affects most pregnant women to some degree, and generally begins to surface in
the second trimester. If you already have gingivitis, the condition is likely to worsen during pregnancy. If untreated,
gingivitis can lead to periodontal disease, a more serious form of gum disease.
Pregnant women are also at risk for developing pregnancy tumors, inflammatory, benign growths that develop when
swollen gums become irritated. Normally, the tumors are left alone and will usually shrink on their own. But if a
tumor is uncomfortable and interferes with chewing, brushing or other oral hygiene procedures, the dentist may
decide to remove it.
How can I prevent these problems?
You can prevent gingivitis by keeping your teeth clean, especially near the gumline. You should brush with fluoride
toothpaste at least twice a day and after each meal when possible. You should also floss thoroughly each day. If
tooth brushing causes morning sickness, rinse your mouth with water or with anti-plaque and fluoride mouthwashes.
Good nutrition-particularly plenty of vitamin C and B12-help keep the oral cavity healthy and strong. More frequent
cleanings from the dentist will help control plaque and prevent gingivitis. Controlling plaque also will reduce gum
irritation and decrease the likelihood of pregnancy tumors.
When should I see my dentist?
If you're planning to become pregnant or suspect you're pregnant, you should see a dentist right away. Otherwise,
you should schedule a check-up in your first trimester for a cleaning. Your dentist will assess your oral condition
and map out a dental plan for the rest of your pregnancy. A visit to the dentist also is recommended in the second
trimester for a cleaning, to monitor changes and to gauge the effectiveness of your oral hygiene. Depending on the
patient, another appointment may be scheduled early in the third trimester, but these appointments should be kept
as brief as possible.
Are there any procedures I should avoid?
Non-emergency procedures generally can be performed throughout pregnancy, but the best time for any dental
treatment is the fourth through six month. Women with dental emergencies that create severe pain can be treated
during any trimester, but your obstetrician should be consulted during emergencies that require anesthesia or when
medication is being prescribed. Only X-rays that are needed for emergencies should be taken during pregnancy.
Lastly, elective procedures that can be postponed should be delayed until after the baby's birth. |
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