Dental care during pregnancy
2019-09-23

How does pregnancy affect dental health? What are the main rules for dental care during pregnancy?

During pregnancy, a woman’s body requires a lot of minerals, especially during the second trimester when the baby’s musculoskeletal system is beginning to form. If a pregnant woman is malnourished and does take mineral supplements, the body ‘takes’ these minerals from the woman’s bones, muscles and teeth. This results in a higher risk of developing caries or periodontal diseases. Another condition related to pregnancy is gingival bleeding. This results from alterations in the female hormones of the body, which ends spontaneously after pregnancy provided that one’s personal oral hygiene is good.

It is important to have a regular oral check-up with your dental hygienist or dentist during your pregnancy. Pregnant woman, according to the pregnancy care calendar, should check their oral health at the beginning of the pregnancy. If treatment is required, it is generally performed in the second trimester of the pregnancy, when the miscarriage risk is lowest. According to the given situation, the oral hygienist or dentist will recommend dental care measures and explain the importance of individual hygiene, i.e. morning and evening brushing, the use of interdental floss and chlorhexidine-free rinsing liquids. During the first trimester of the pregnancy, a woman often feels sick in the morning when using a toothbrush. We then recommend at least rinsing with a rinse aid and, if possible, moving to a toothbrush in the afternoon.

Are there any procedures that should be avoided during pregnancy?

As few painful and stressful situations as possible should be performed during pregnancy. For this reason, it is very important to complete teeth treatments before pregnancy, if they are planned. If a situation emerges where dental treatment is necessary, it is a good idea for the dentist to cooperate with the pregnancy supervisor. The most dangerous condition is an acute infection with suppuration. The main task of a dentist is to provide first aid, reduce pain and eliminate infection. Further treatments should be scheduled for after the pregnancy.

Which antibacterial agent is safe to use for dental infections?

Any chemical medication is unsafe during pregnancy, as it may have side effects. However, if it is necessary and depending on the condition, a targeted antibacterial agent that acts on the infectious agent and that works fast should be selected.

How harmful for teeth is the vomiting that affects many women early in their pregnancy?

The pH of gastric juice is 1.5. During vomiting, gastric juice enters into the mouth cavity and this results in erosion of the teeth tissues. This is best seen as an inequality of the palatal surfaces of the teeth. Dental erosion results in teeth sensitivity during brushing, eating sweet, hot or cold foods, or breathing in cold weather through the mouth.

What kinds of foods promote caries, other dental or gingival problems?

Sweet, sticky and very hard foods, as well as frequent snacking and the consumption of acidic foods, promote the development of dental disease (caries, erosion and abrasion) and inflammations of the gums or gingival wounds.

In the scientific literature, it has been reported that the food composition also indirectly determines the promotion of caries or periodontal diseases. Consuming high levels of non-complex carbohydrates and foods of an animal origin makes the body more acidified. Calcium is used to neutralise such an acidic medium. In the body, the easiest way to get calcium is from the bones and teeth. In turn, an insufficient bone tissue and poor oral hygiene promotes the development of periodontal disease, and an inadequate tooth tissue structure, sweet meals and frequent snacking accelerate the development of caries.

How teeth be strengthened during pregnancy?

Teeth should only be strengthened before pregnancy. During pregnancy they should simply be preserved.

  • Calcium supplements are recommended. Dosage – 2 g every 24 hours.
  • Correct personal oral hygiene

How should I take care of my teeth after delivery? What procedures should be performed?

After the delivery, a woman’s dental care remains the same. Correct personal oral hygiene is of the utmost importance. For a breast-feeding woman, it is recommended to use mineral supplements containing 2 g of calcium.

Please tell us about caring for a baby’s first teeth. What toothbrush and toothpaste should be used, and so on?

As soon as the first teeth have erupted, you should start brushing them. In the beginning, you can use a piece of gauze or a silicon toothbrush to brush the teeth gently before bedtime. When the first morals have erupted, they should be brushed using a toothbrush with toothpaste. The toothpaste should be chosen according to the age group and needs. In the case of healthy teeth and good oral hygiene, a prophylactic toothpaste is enough; but in cases of a risk of caries, a fluorinated toothpaste is recommended. To make the tooth brushing procedure more fun, the hygiene routine may include a rinse aid for children.