Pregnant women represent a special group of patients for a dental treatment. So, as a result of a change in women's endocrine profile during pregnancy and microbial landscape of oral cavity, the so-called physiological immunological immunodeficiency develops, due to which the risk of nosogeny of dental diseases increases. This state is temporary but requires attention and certain actions.
Gum inflammation during pregnancy (also known as pregnancy gingivitis) is very common but not inevitable. Current research shows that the disease develops in less than 1% of women who had no gingivitis before pregnancy. In this case, if before pregnancy gums inflammation has already been observed then the frequency increases to 36-100% of cases.
An increase in the tendency to inflammation caused by endocrine changes is due to their effect on the blood vessels of the gums, bacterial substrate of the dental plague, as well as on the local immune response to bacterial stimuli.
Toxemia of pregnancy is also an additional factor contributing to the nosogeny of gum infections because the expectant mother feels bad and pays less attention to individual oral hygiene and less thoroughly brushes her teeth. Plague, which accumulates even more than usually, worsens the general dental situation.
There is a "vicious circle" which a dentist-periodontologist of our clinic could break. The expectant mothers are treated by a specially trained doctor Volynskaya E.V. assisted by professional procedure and use of properly selected oral care products.
What can you feel?
The gums become very red, bleed, increase in volume, especially in interdental spaces. These changes facilitate the accumulation of bacteria on the teeth surfaces that are below the level of the gums, which, in turn, contributes to inflammation.
Usually, gingivitis disappears in 3 months after maternity. Without a doubt, a control visit to a dentist and / or periodontologist is recommended to assess the condition of the gums and to make sure that the inflammation has not only decreased but completely disappeared. However, for women whose periodontitis was diagnosed before pregnancy, only signs of inflammation are reduced but the risk of progression of periodontal tissue diseases remains.
How does the disease change and what are the risks?
If a woman had gingivitis or parodynthitis before pregnancy, there is also an additional risk of complications of pregnancy, in particular, the probability of premature birth increases. According to various data the risk of such complications varies from 2.30 to 5.28 times for mothers who have been diagnosed with periodontitis.
What has to be done?
Any disease of the oral cavity of a pregnant woman (and not only) can and should be treated, and do not listen to those who say otherwise!
An optimal solution is a systematic visit to a dentist (at least once a year with a preventive purpose and at least 2 times a year for professional hygiene).
The sound decision will be to estimate the state of the oral cavity in order to prevent the inflammatory process before the pregnancy. If periodontitis, caries or other dental diseases are diagnosed they need to be treated and sanitized (to eliminate focus of chronic infection) before conception of a child. In this case you protect yourself and a baby, and during pregnancy confine yourself to only preventive examinations of a dentist.
Pay attention to the fact that during physiological delivery, the sterile fetus contacts with the mother's parturient canal microflora. Accordingly, baby will receive microflora directly from mother and relatives who surround him/her during daily contacts. That is why it is recommended for both parents to sanitate oral cavity while planning pregnancy, and their relatives are advised to visit the dental hygienist (for the professional hygiene).
A pregnant woman, along with her dentist or periodontologist, should take care of the proper personal hygiene of the oral cavity. Toothbrush, interdental brushes and / or dental floss and timely professional hygiene are key factors in the control and prevention of gingivitis and other dental diseases. On the other hand, visiting a dentist during pregnancy can prevent, identify and, if necessary, treat the symptoms of gingivitis. Studies have shown that periodontal treatment during the second trimester of pregnancy has a beneficial effect on the condition of the mother’s gum and does not harm the fetus.
Inflammatory symptoms, especially bleeding gums, diminish or even disappear after childbirth. However, despite this, it is necessary to continue to carry out proper personal hygiene of the oral cavity and to be under control of a dentist / periodontologist since the disease symptoms may not be felt by a woman.
During pregnancy a woman should visit a dentist / periodontologist according to an individual schedule developed for her by a doctor.
Usually the dental examination schedule for a pregnant woman consists of 4 visits and looks like this:
1st time - on 6-8 WOG
2nd time – on 16-18 WOG
3rd time – on 26-28 WOG
4th time – on 36-38 WOG.
Before the birth of a child, the dentist / periodontologist will teach the expectant mother how to care for her baby's cavity and milk teeth, will make aware of and pick up do-it-yourself dental care products, will tell about modern methods of prophylaxis of dental diseases. Visit to Elizaveta Viktorovna, a specialist of our clinic in managing the pregnant women, is a pleasure for the expectant mother: it is always positive, pleasant, with good mood and, most importantly, effective. Being the mother of the small child, she fully understands the peculiar features and needs of future mothers, and as a dentist, she knows how to effectively, quickly and pleasantly meet them.
You are planning to have a child, you already expect a baby or have not yet had a dentist who can be trusted, appoint for a consultation to Elizaveta Victorovna by phone (044) 333-49-37.
Materials courtesy of the Ukrainian Academy of Periodontology and Oksana Shkerea, PhD, the Department of theNational Medical University named after Bogomolets, were used in this article.