Pregnancy Oral Care - Smiles-R-Us

NUTRITION:
Effect on fetal tooth development: What you eat now affects the development of your baby's teeth. Primary tooth development begins between the second and third month of pregnancy, and permanent teeth begin to form several months before birth. It is important for you to eat a well-balanced diet with enough protein, calcium, phosphorus, and vitamins (especially A, C, and D). Vitamin A helps to develop the tooth enamel (the hard, white substance covering the tooth); vitamin C is important in the formation of dentin (the inner tooth structure); and vitamin D aids in the absorption of calcium and phosphorus. A very low intake of these nutrients can result in malformation of the mouth and in the development of teeth that are more likely to decay.
Effect on mother's teeth: Sugars, which are easily fermented, can combine with harmful bacteria in the mouth and the sticky layer of plaque on the teeth. This combination results in the production of acid, which can dissolve the minerals in the enamel and dentin of teeth. A between-meal snack of sugary foods should always be followed by brushing the teeth or, at least, by rinsing the mouth with water. Avoid sipping sweetened carbonated drinks, nibbling on sugary foods, or sucking on hard candy or breath mints, throughout the day. Sweets that stick to teeth and gums (chewy candy, dried fruits, and sweetened baked goods like cakes and cookies) should be used only occasionally. Ideally, between-meal snacks should include crunchy, fresh fruits and vegetables. Though they don't actually clean the teeth, they promote saliva flow – which does! The enzyme in cheese is know to discourage plaque formation.

ORAL HYGIENE
There is a special need for good oral hygiene (brushing and flossing regularly) to prevent some dental disorders such as:
Dental caries or cavities: Decay is the result of repeated acid attacks on the tooth enamel, not from repeated pregnancies. Brushing and flossing daily to remove plaque can prevent damage to the teeth and costly dental work.
Pregnancy gingivitis: Unremoved plaque on your teeth can irritate the gums, making them red, tender, and likely to bleed easily when you brush. This condition is called gingivitis and can lead to more serious problems of the gums and bone that anchor your teeth in place. During pregnancy, gingivitis may occur more frequently due to a rise in estrogen levels. This exaggerates the reaction of gum tissues to the irritants in plaque. But remember, plaque is the major cause of gingivitis. Even though hormone changes are occurring, you can prevent gingivitis by keeping your teeth clean.

PROFESSIONAL DENTAL CARE
Regular dental visits should be continued throughout pregnancy to ensure the best possible care and to help keep your teeth and gums healthy. Be sure to inform your dentist and/or dental hygienist that you are pregnant when going for dental care. A complete dental history will be taken if you have not been to a dentist recently, and your dentist may talk with your physician. This information will help your dentist decide if it is necessary to modify the type of treatment to be given and determine the best time for treatment. Non-emergency (elective) treatment can be performed safely during pregnancy. The fourth to sixth month of pregnancy may be the most comfortable time for treatment.
Medications:
Some medications and anesthetics can be used during and after dental treatment to make your procedures more comfortable. Only those medications that have minimal or no side effects will be given. Your dentist may consult with your physician to best determine what medications can be given. You should inform your dentist of any prescription medication you are taking. This will help determine the type of drug, if any, that will be prescribed during or after treatment. It is important to follow directions for any medication you are given. If you have any concerns about the effect of any medication on your pregnancy, discuss them with your dentist and physician.

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