Dental Consultation GuideGeneral MedicinePatient Experience

Can I visit a Dentist in Pregnancy?

dentist and pregnancy

In between trips to the doctor, hospital tours and setting up the nursery, don’t let visiting the dentist fall off your pregnancy to-do list before your child comes. Getting a regular dental checkup during pregnancy is safe and important for your dental health. You can take care of oral cleaning and mild procedures like cavity fillings before your baby is born, but your dentist can also help you with any pregnancy-related dental symptoms you might be experiencing. 

Pregnancy causes several hormonal changes in a women’s body. The link between pregnancies has its effect on periodontal disease and vice-versa. Recent evidence states that periodontal disease after the systemic health of the patient and elevates the risk for low birth weight, preterm infants. Can I visit a Dentist in Pregnancy?

Visit dentist during pregnancy

Dental Issues Identified by Dentist During Pregnancy

Pregnancy Gingivitis

Seen in 30-100%of all pregnant women. Its characterized by redness, puffy gums increased bleeding. It ranges from mild to severe forms. This is mainly due to elevated hormonal levels which causes an exaggerated response to plaque. Anterior region and inter proximal sites of the mouth, more often affected.

Pyegenic Granuloma

Also known as pregnancy tumors, occur in 0.2% to 9.6% of pregnancies. Most commonly seen in 2nd or 3rd month of pregnancies. In addition Clinically, they bleed only and are hyperplastic and nodular. May sessile or pedenculated and ulcerated. The lesion occurs in an area of gingivitis. Its associated with poor oral hygiene. Hence, Alveolar bone loss not associated with pyogenic granuloma of pregnancy.

Don’t let the word ‘tumour’ worry you as these growths are not cancerous. A pregnancy tumour is an extreme inflammatory reaction to a local irritation of food lodgement. The tumours occur in up to 10% of pregnant women and often in women who also have pregnancy gingivitis.

Periodontal disease and pre-term, low-birth weight infants

Untreated periodontal disease in pregnant is a risk factor for preterm (<37 weeks of gestation), low-birth –weight (<2500 gms) infants. The results by translocation of bacterial products like (LPS) and the action of maternally produced inflammatory mediators. Inflammatory mediators such as PGE2 and TNF-alpha, raised to high levels by the infection process which may cause premature labor. Mothers with the most severe periodontal disease delivered the most prematurely, at 32 weeks. It’s unclear whether treating gum disease reduces the risk of preterm birth but there is a co-relation between pregnancy and gum diseases.

𝐈𝐧 𝐭𝐡𝐢𝐬 𝐯𝐢𝐝𝐞𝐨 𝐃𝐫. 𝐂𝐡𝐢𝐫𝐚𝐠 𝐂𝐡𝐚𝐦𝐫𝐢𝐚 𝐝𝐢𝐬𝐜𝐮𝐬𝐬𝐞𝐬 𝐰𝐡𝐚𝐭 𝐏𝐲𝐨𝐫𝐫𝐞𝐡𝐞𝐚 𝐢𝐬 𝐚𝐧𝐝 𝐢𝐭𝐬 𝐞𝐟𝐟𝐞𝐜𝐭𝐢𝐯𝐞 𝐭𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐚𝐧𝐝 𝐦𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐩𝐭𝐢𝐨𝐧𝐬.

To avoid the pregnancy related oral issues it is advised to seek dental consultation or visit a dentist before pregnancy.

Apart from the clinical findings other oral manifestation include Xerostomia, enamel erosion. In addition establishing a healthy oral environment and maintaining optimal oral hygiene levels are primary objectives in a pregnant patient. Hence the second trimester is the safest period for getting routine dental care.

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