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Pregnancy brings with it a whole lot of body system changes and oral health is no exception. Some simple careful planning, however, can help avoid a lot of oral health complications associated with pregnancy. The hormonal changes during pregnancy have a direct effect on the oral health and has higher incidence of decay, pregnancy gingivitis, and pregnancy tumors. Additionally, morning sickness affects the regular oral care, leading to more plaque and decay.
Before pregnancy: If you are planning to get pregnant, then a dental visit can help you get a thorough check-up ahead of the pregnancy. A routine cleaning and check for cavities should be sufficient to avoid any urgent treatment need during the period of pregnancy.
During pregnancy: If you were not able to do your pre-pregnancy dental visit, inform the dentists about pregnancy as early as possible. All elective procedures can be done after the delivery. Only really essential treatment that cannot wait until the delivery should be undertaken during pregnancy, most safe if done during the 4th to 6th months.
Listed below are some points to consider as far as oral/dental health is considered during pregnancy:
- Scaling and polishing can be done as usual
- Inform the dentist about all the medications that you are advised by your gynecologist
- Periodic check-up once in 3 months to reduce severity of gum disease and decay
- Good oral hygiene measures including brushing, flossing, and rinsing
- Try a bland toothpaste if morning sickness is very severe
- Eat a healthy, balanced diet. Tooth formation happens in the third month and requires diet rich in calcium and minerals
- Avoid sweet snacks which can lead to greater plaque formation
The hormone changes combined with oral infection (could be gum disease or tooth decay) can lead to severe effects on the developing baby. It is extremely important to avoid dental infections, as these may necessitate antibiotics, require x-rays and even require treatment like root canal and/or extraction, all of which are best avoided until after the baby is delivered. It is considered safe for dental procedures to be done during the 4th to 6th month. Though now there are safer measures to do x-rays and dental procedures, they are best avoided, unless in case of emergency. This emergency situation can be avoided by better planning and some minimal care. Severe gum disease could also lead to premature or low birth weight of the baby. So plaque buildup should be avoided which leads to both decay and gum disease.
After delivery: After the delivery of the baby, please visit your dentist to ensure that there is no emergent dental condition requiring attention. Resume your regular dental care after delivery.
I am 22 year old boy. I have developed bleach patches in my buccal cavity. What should I do? help me with possible reasons.
Doctor, I want to know which toothpaste is more preferred, if it includes neem or if it contains salt? As I am facing this problem since 2 years?
I have problem with my teeth , there is gap between my teeth is possible to remove gap my age is 27 male
Hello, from few days my tongue got a crack in the middle. It looks like a line.My age is 23 M. What could be the reason?
Sir, I did my root canal In the month of Jan this year but now it pains slightly and swells sometime at the side I showed some doctor they told me that root canal failed so now what I will do?
Hi, please any doctor reply me, I am suffering for bad breath, my mother also have bad breath, now her full teeths gone, and she s suffering from bad breath, please help. I am getting frustration everyday, fear life everyday.
My 6 year old daughter's 3 milk teeth fell off naturally, two of which came within a month's time but one teeth(top front) has not yet come,its almost 6 months now and still there is no sign of a new teeth coming in its place. Please guide me as to what can be done?
Tooth loss is a challenge for both the patient and the dentist. Patient has to deal with reduced chewing efficiency and altered appearance. The dentist, on the contrary, is faced with restoring the lost tooth to the maximum natural extent possible, functionally and structurally.
The fixed dentures came close with their ability to providing fixed teeth that were stable and aesthetically appealing. However, there was one big disadvantage, the adjacent teeth that were being used as abutment were reduced in size and therefore strength though they could be perfectly normal teeth.
In an effort to avoid this, the dental community started looking at options, the result of which was implant. Not just replacing the crown part of the tooth, even the root portion of the tooth is replaced here.
A biocompatible material, titanium, is put into the tooth to serve as the root. Titanium is strong, light, biocompatible (does not cause autoimmune reactions in the surrounding tissues) and most importantly osseointegrated (fuses to the surrounding bone). Once placed as the root, it gets absorbed into the bone after a period of about 2 to 6 months. Then, a crown or a denture is literally built on this root to simulate the natural appearance as close as possible. This provides not just the complete natural tooth structure but also provides support to the surrounding tissues like the gums and the cheeks.
Implant dentistry is a perfect example of teamwork including surgeons to operate and place the bone, prosthodontists to do the crown or the bridge, a periodontist to manage the gums health, and a lab technician who can do the finest job on the crowns or the bridges.
Types of implants:
- Three common types include: Single tooth replacement: In cases where a single tooth is lost, the implant would be one root that is allowed to fuse to the bone and then a crown is placed over it.
- Fixed multiple teeth replacements: If more than one tooth is lost, then bridges are fabricated by placing one or more implants and then custom-made crowns are placed over these implants.
- Removable implant supported complete denture: If all the lower teeth are missing, implants could be placed at pre-identified locations and then a complete denture fabricated over it. This is commonly done in lower jaws as stability is always a cause for concern.
The success of the implant requires good bone health. The most common contraindications would be patients with chronic diseases like poorly controlled diabetes, cancer in the line of jaws, chronic smoking, or poor periodontal health.
However, if managed well, even these patients can have implants after a detailed assessment by the dental team.