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Oral Health and Pregnancy
During pregnancy, oral and dental care requires special attention. Oral health is a
part of general health, and it is of even greater importance during
this period
because it concerns both the mother and the fetus.
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The changing hormone levels in pregnancy directly affect gum problems, and
indirectly, tooth decay.
Pregnancy gingivitis usually starts at the second month of gestation and reaches
the highest level at the eighth month, and heals spontaneously after birth. They
originate from pyogenic granuloma and disappear after 1-2 months
Pregnant women bleed more readily due to the effect of pregnancy hormones
(estrogen, progesterone), and may consequently avoid brushing their teeth. As a result, bacterial plaque increases. Therefore, in pregnancy, the mouth needs more
care.
Saliva flow decreases. For these reasons, the formation of caries increases during
this period
Mothers can neglect their own oral and dental health care while they are dealing
with the health of the baby, which in turn causes a deterioration of oral health. For these reasons, it is necessary to pay more attention to dental health care during
this period
Nutrition during this period affects the health of the mother, as well as the baby,
that is going to be born. The effect of vitamins A and D on enamel formation is
known
Daily oral and dental care should be continued non-stop. A full oral examination must be done before gestation to achieve optimal oral hygiene and gain the habit of maintaining it because there is a direct relationship between hormonal changes during pregnancy and plaque accumulation and gingival diseases. The hormone increase during pregnancy makes the mouth mucosa more sensitive to external factors, especially against bacterial plaques.
Effective dental care should be obtained by using toothbrushes and dental floss at
least twice a day. Gargling with mouthwashes or warm salty water must be performed. Warm salty water relaxes gums and reduces gum sensitivity.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC68837…
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