Posts for tag: pregnancy
If you’re pregnant, you may find yourself pondering decisions you didn’t have to think about before. Should you have that glass of wine… or skip it, because of the alcohol; go for the sushi… or avoid uncooked foods; take the pain reliever… or live with the headache. And if you have a toothache — or even if you’re overdue for a checkup and a cleaning — you may also be wondering whether having dental treatment (especially treatment that might involve local anesthetics) is safe for you and your developing baby.
Fortunately, a study that recently appeared in the Journal of the American Dental Association (JADA) should let expectant moms breathe a little easier. The research concludes that it’s safe for pregnant women to undergo dental treatment, including procedures that use local anesthetics.
And that’s good news indeed, because while maintaining good oral health during pregnancy is critical for the developing baby, many expectant moms experience problems during this period.Â Some common issues include a higher risk of tooth decay due to increased carbohydrate consumption, and sore or bleeding gums from a condition called pregnancy gingivitis.
According to the study’s lead author, Aharon Hagai, D.M.D., "[Pregnancy] is a crucial period of time in a woman’s life, and maintaining oral health is directly related to good overall health." Yet, as Dr. Hagai notes, pregnant women sometimes avoid the dentist even if they have a problem. So his team set out to determine whether having dental treatment with anesthesia affected the outcome of pregnancies. They compared a total of 1,004 women, some of whom had dental treatment with local anesthesia, and some who did not.
The research showed there was no significant difference between the two groups. This applied in terms of both major medical problems (such as cleft palate, heart defects or cerebral palsy) and other issues, including low birth weight and preterm delivery. Dr. Hagai summed it up this way: "We aimed to determine if there was a significant risk associated with dental treatment with anesthesia and pregnancy outcomes. We did not find any."
So if you’re pregnant, there’s one less thing to worry about. Go ahead and schedule your routine dental check up — and remember that it is particularly important to have cleanings during pregnancy. Â If you experience changes in your oral health, don’t hesitate to come in for an office visit and cleaning; that way, you can make sure your hormonal changes are not playing havoc with your gums. There is an old saying in some cultures that for every child a woman has, she loses a tooth. Don’t let that happen to you.
If you have questions about oral health and pregnancy, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine article “Expectant Mothers: Dental facts you need to know” and “Pregnancy and Oral Health.”
During pregnancy, a mother has many health concerns for both her baby and herself. Though it may not seem as important, dental health and development should be on that list of concerns, for both you and your baby. In fact, your baby's tooth development is already well underway just a few weeks after conception. Pregnancy can also present challenges to your own dental health that definitely deserves your attention and care.
Taking care of your own dietary needs and dental health is also the best thing you can do for your baby. The baby growing within you needs calcium, phosphorus, vitamins and other minerals for the healthy development of teeth and bones. That can only come from you eating a balanced diet rich in these nutrients.
During pregnancy, you are also more susceptible to gingivitis (inflammation of the gums) or other gum diseases because of the normal increase in the level of the hormone progesterone. In fact, some studies seem to indicate that severe gum disease might even raise the risk for premature birth and a low birth weight. It's important then to practice good dental hygiene during your pregnancy: brushing your teeth at least twice a day with an American Dental Association (ADA) approved fluoridated toothpaste, flossing and using an ADA approved mouth rinse that deters the buildup of plaque and the occurrence of gingivitis. Our office is also happy to provide you instruction on proper brushing and flossing technique to help you gain the most benefit from your daily hygiene.
By paying close attention to your own dental health and diet, you are actually doing the very best you can to provide your baby a solid foundation for a lifetime of good oral health.
If you would like more information on protecting your and your baby's 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 “Expectant Mothers: Dental facts you need to know.”
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.”
When her daughter Ashby was born in 2007, Nancy O'Dell was overjoyed; but she found the experience of pregnancy to be anxiety-provoking. O'Dell is host of the popular entertainment news show Entertainment Tonight.
After her baby was born she compiled her memories and thoughts into a book for first-time pregnant mothers. The book, “Full of Life: Mom to Mom Tips I Wish Someone Had Told Me When I Was Pregnant,” covers a wide range of topics — including oral health during pregnancy.
“While my dental health has always been relatively normal, pregnancy did cause me some concern about my teeth and gums. With my dentist's advice and treatment, the few problems I had were minimized,” O'Dell told Dear Doctor magazine. An example of her experience is a craving for milk that started at about the time the baby's teeth began to form. She felt that her body was telling her to consume more calcium.
As often happens with pregnant mothers, she developed sensitive gums and was diagnosed with “pregnancy gingivitis,” the result of hormonal changes that increase blood flow to the gums.
“I love to smile,” said O'Dell, “and smiles are so important to set people at ease, like when you walk into a room of people you don't know. When you genuinely smile you're able to dissolve that natural wall that exists between strangers.”
During Nancy O'Dell's interview with Dear Doctor magazine, the former co-anchor of Access Hollywood and new co-anchor of Entertainment Tonight could not resist her journalistic instincts to turn the tables so that she could learn more about a baby's oral health. Here are just some of the facts she learned from the publisher of Dear Doctor about childhood tooth decay, pacifier use and what the right age is for a child's first visit to the dentist.
Many moms-to-be and parents or caregivers of young children are surprised to learn that around age 1 is the ideal time to schedule a child's first visit to the dentist. This visit is crucial because it sets the stage for the child's oral health for the rest of his or her life. It can also be quite beneficial for the parents, too, as they can be reassured that there are no problems with development and that the child's teeth appear to be growing properly. And if by chance we identify any concerns, we will discuss them with you as well as any necessary treatment strategies.
Nancy also wanted to learn more about pacifiers — specifically, if it is a good idea for parents to encourage their use. Obviously, children are born with a natural instinct for sucking, so giving a child a pacifier seems totally harmless. Pacifiers definitely have some advantages; however, if used for too long — past the age of 18 months — they can cause long-term changes in the child's developing mouth (both the teeth and the jaws).
Another problem that parents and caregivers need to be aware of is baby bottle syndrome. This is a condition that develops in children who are perpetually sucking on a baby bottle filled with sugary fluids such as formula, fruit juices, cola or any liquids containing a large amount of sugar, honey or other sweeteners. It is important to note that a mother's own breast milk or cow's milk are good choices for feeding babies, as they both contain lactose, a natural sugar that is less likely to cause decay. However, if these liquids are placed in a bottle and a child is allowed to suck on it throughout the night, they, too, can promote tooth decay. The key is to feed your child properly while avoiding all-night feedings and liquids loaded with sugar.
To read the entire Dear Doctor magazine article on Nancy O'Dell as well as to learn more about a baby's oral health, continue reading “Nancy O'Dell — A life full of smiles.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination, listen to your concerns, answer your questions and discuss any necessary treatment options.