Oral and Dental Health in Pregnancy
10.10.2018


Lifetime effective and adequate care is necessary to ensure the continuity of oral and dental health. However, in women, oral care, puberty, which takes a certain part of their lives, breastfeeding, pregnancy, menstruation and menopause, show privilege in their periods.

How Does Pregnancy Affect Oral Health?

It is a false belief that the mother will lose one tooth during pregnancy and the loss of calcium from her mother's teeth during pregnancy. However, it is a fact that there will be some changes in oral health during pregnancy. The most important change is the increase in estrogen and progesterone hormone levels, which is associated with increased plaque accumulation on the teeth.

If the plaque is not removed, it causes gingivitis. This condition is called "pregnancy gingivitis." Gums are red, increased in volume, sensitive and bleeding. This table affects the majority of pregnant women at different severity in the 2nd trimester. If gingivitis already exists, it may increase in severity during pregnancy and progress to periodontitis if left untreated.

Pregnant women also have a risk of developing a elik pregnancy tumor Ham. These are inflammatory lesions caused by irritation of gum growth. It is usually left alone, but it should be taken by the dentist if it is uncomfortable to the patient or if it interferes with chewing, brushing and other oral care procedures.

Nutrition in pregnant women

Nutrition during pregnancy is very important for both the mother's and the baby's overall health and oral health. Good nutrition during pregnancy will affect the health of the baby as well as the mother. The baby's tooth development starts from the second month of pregnancy. Foods rich in calcium, phosphorus and vitamins should be taken for healthy tooth development. Mothers should avoid eating junk food from the first month of pregnancy. All nutrient residues, which are not removed from the mouth, accumulate on the teeth and accelerate the formation of caries.

There is no scientific evidence of calcium loss from the mother's teeth during pregnancy. In this period, the mother needs 1200inin1500 mg of calcium per day to ensure that the baby's and mother's bones are healthy. During pregnancy, women should take calcium-rich foods such as milk and dairy products and green leafy vegetables to meet their calcium requirements. If enough calcium cannot be obtained with the food, the amount required for the development of the baby is met from the mother's bones. There is no dissolution of calcium from the teeth. If adequate oral dental care is provided with good nutrition, a normal dental problem is not encountered during pregnancy.

Fruits and vegetables, cereals, milk and dairy products, meat, fish and eggs should be taken in a balanced way. Sugar should not be taken as much as possible (especially between meals), sticky sugar foods such as dried fruit and caramel should be avoided.

Can dental treatment be done during pregnancy?

Pregnancy can be examined in three periods;

· First quarter: This period is a period when the baby is very sensitive. Unnecessary interventions may cause miscarriage. However, in case of pain and / or if not intervened, the teeth that can cause more damage should be treated as urgent as in the treatment of canal and canal treatment. The dentist will provide treatment with drugs that do not harm the baby.
· Second trimester: In this period, it is not appropriate to postpone pregnancy until the end of pregnancy, fillings, canal treatments and so on. It is the most appropriate period for many treatments.

· Third trimester: During this period, the baby grew very much in the mother's womb and the birth approached. Just like the first trimester, the dentist will not intervene except for emergency treatment.

Is an Extra Mouth-Dental Care Necessary during Pregnancy?

· Daily mouth and dental care should not be interrupted.

· Have a complete oral examination before pregnancy to achieve optimal oral hygiene and gain the habit of maintaining it.

· Because there is a direct relationship between plaque accumulation and gingival diseases and hormonal changes during pregnancy.

· The hormone increase during pregnancy makes the oral mucosa more susceptible to external factors, especially against bacterial plaques.

· Effective tooth care should be avoided by using toothbrush and floss at least twice a day to prevent plaque build-up. Mouthwashes or mouthwash with warm salt water should be done. Especially warm salt water relaxes the gums and reduces gum sensitivity.

Dental Anesthesia in Pregnancy
Although many drugs have not been used or controlled during pregnancy, any side effects of local anesthetics used in dental treatments have not been reported.

· During treatment under anesthesia, the patient will not experience pain and experience less stress.

· Use of local anesthetics during pregnancy should be followed in accordance with the recommendations of the manufacturer for any tooth extraction or any intervention. There is no objection to use if there is no warning.

· The use of antibiotics, especially penicillin and its derivatives (amoxicilline, etc.), is known to be of no concern to the baby, but in the case of antibiotics the patient's gynecologist should be consulted.

· Tetracycline group antibiotics should not be taken. If tetracycline is taken during pregnancy, colorings occur in the teeth of the baby called "tetracycline colorings".

· Pay attention to the use of pain relievers and strictly follow the recommendations of the manufacturer.