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Dr. Can U Please explain me about teeth problem, bleeding in teeth during pregnancy, why its happen and what is the solution for it. Thanks.
Hello Dr. Mai 23 year ka hu or roj subah uthne ke baad jab Mai kulla karta hu tab mere muh se thoda thoda blood aata hai.
Hi, I am 26 years old. For past a week I have a white line on inner part of my chick. I mean when I open my mouth I notice this white line on side walls. I feel soreness in mouth whole day. I used to smoke which I quit for a week from now when I noticed this thinking of chances of oral cancer. I had a white path on my lip which disappeared after a week but the soreness and this white line on chick is not disappearing. What can be cause. Please guide. Should I see a dentist or a physician? please give any remedies if possible or I will visit a doctor this weekend.
Due to the initial growth of wisdom tooth, my right jaw is paining, not able to eat or open my mouth. I could feel little swelling on the upper roots. Can you please suggest
Hi, I am noufal, 21 years old, is it good to clean teeth twice a year? I heard that it will effect to the enamel. I am using coconut oil to clean my mouth is there any problem with this?
Dear Dr. I require full mouth rehabilitation.(twelve RCT and 22 crowns). From where I should get it done with least pain.Kindly also let me know the break up of the expenditure. I am from Delhi. Thanks.
Hi meri age 27 hai or mera muh pura nhi khulta abhi to mene pan masala khana b band kar diya hai fir b problem ho rahi hai or me spicy b nhi kha pa raha hu thoda sa bhi.
Hi, meri age 30 hai .mere teeth tedhe hai jiski vjh se smile me problem h.kya orthodontist treatment le skta Hun. Kitni cost lgegi. Please suggest me. Thanks.
Oral Health Complications During Pregnancy
Recent findings have reported that oral bacteria and their by-products can possibly pass the placental barrier keeping oral health at prime importance during pregnancy. An awareness related to oral health during pregnancy cannot be neglected or avoided in order to minimize the complications.
This article focuses on few points related to the necessity of oral health during pregnancy.
Pregnancy comes with many responsibilities making expecting mothers more concerned about their health. However, many pregnant women may not be aware of oral health and its effect on the developing child. Negligence of oral health is quite common during pregnancy due to lack of alertness of oral hygiene and its effect on systemic health.
Moreover, pregnancy discomforts like frequent bouts of nausea, increased physical demands, weight gain or certain dental problems like pregnancy gingivitis or inflammation of gums may be dangerous to developing fetus.
Risk of oral problems during pregnancy:-
Few common oral problems associated with pregnancy are as follows.
Hormonal changes during pregnancy leads to pregnancy gingivitis. It is a condition of bleeding gums, redness. Moreover inflammation, swelling and tenderness are also observed. Ignorance of such problems may lead to serious gum disease. Frequent cleaning can avoid such dental issues. Progesterone levels are elevated during pregnancy which stimulates the production of prostaglandins and leads to inflammation of blood vessels in gums.
Diet during pregnancy is of high importance. It is designed to nourish both mother and unborn baby. Diet rich in carbohydrates actually increases the risk of tooth decay. The morning sickness increases acid secretion in the mouth which is harmful to enamel.
Overgrowth of tissue on gums in pregnant women are called as pregnancy tumors. They are noncancerous and generally observed in the second trimester of the gestation period. It is nothing but swollen gums between teeth. The bleeding and reddening of gums observed in such conditions.
Periodontal disease and preterm birth:
Untreated gum disease or periodontal problems can development periodontitis characterized by inflammation and infection of the gums and supporting structures of the teeth.
This ultimately leads to loss of supporting material and finally the teeth themselves.
A study result has revealed that there is a relation between preterm birth and presence of gum diseases in the pregnant women. The reason is not yet known.
However, research study findings have evidence that oral bacteria or their byproducts can pass placental barrier. This initiate inflammatory response leading to preterm birth.
Another correlation exists between the gum disease and the increased rate of pre-eclampsia, a condition of high blood pressure during pregnancy. The positive correlation suggests that gum disease may cause stress to the blood vessels of the mother, placenta and the fetus.
The basic periodontal therapies like oral hygiene instructions, scaling, root planing and prophylaxis can substantially decrease the level of prostaglandin responsible for inflammatory response.
The regular treatment and follow-up in pregnant women can maintain good oral health and minimize the risk of preterm birth.
Dental treatment during pregnancy:
The dental procedures mostly include the use of X-rays and use of anesthesia. In the case of pregnancy, these procedures can be used with precaution.
Therefore, before sitting on dental chair patient should declare her pregnancy to the physician. Untreated dental infections can harm fetus as well as the mother.
The emergency situations request use of dental radiographs which can’t wait. The radiation of dental x-ray is generally very low and precaution is always taken for lowest radiation exposure. A leaded apron including collar, shields can be used to prevent abdominal exposure to the x-ray radiation.
Use of dental X-ray is not at all contraindicated in pregnancy when used with precaution.
The use of local anesthesia is also not contraindicated in the pregnancy.
A clinical trial result showed that there is no harm in the use of local anesthetics during pregnancy. It is not linked with increased risk for major medical problems like cerebral palsy, cleft lip and heart defect in newborns.
The medication prescribed during dental treatment mainly includes local anesthetics, analgesics, and antibiotics. Most of them can be used with safety precautions. Each drug has its own pregnancy category which should be considered during its use.
The antibiotic like tetracycline can permanently cause discoloration of developing teeth.
Dentists can educate patients with following points to avoid problems associated with oral hygiene.
- The patient should declare the pregnancy to the Dentist
- Follow routine oral checkup.
- Undergo all elective and emergency procedures.
- Follow good oral hygiene practice ask for a better toothpaste.
- In the case of morning sickness avoid sweets and snacks which increase the risk of tooth decay.
- Have healthy and balanced diet.
Awareness of oral health during pregnancy is a must to avoid complications.