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I have severe mouth ulcer last three days taking multivitamins and using ulcer gels frequently but not come down please advice.
*Dental tip by Dr. Ratnika Agarwal*
Drinking coffee can stain your teeth over time. Make sure you brush or rinse after consumption and use a whitening toothpaste regularly.
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.
I am 34 yrs old. I have problem of bad breath. I dont have any dental issue. What could be the reason?
Hi Doctor, I am 32 years male feel irritation and itching in left cheek near chin and sometime pain in left jaw. I want to consult as I am feeling lot of anxiety for this considering that if these are not oral cancer symptoms. Because of anxiety I have lost 10 kg weight in last 6 month. Previously I was suffering from Acid reflux.
‘Smoking is injurious to health’, is a caption that is flashed on all cigarette packets. However, what is not told about is their adverse effects on the mouth. The mouth with the lips, teeth, and gums are not just the first points of contact for a cigarette but also one of the majorly affected parts.
Listed below are how smoking affects the teeth and the mouth at large.
Bad breath (halitosis)
Tooth discoloration (brown to black spotting)
Tobacco deposits on the teeth leading to irritation of the gums
Increased formation of plaque and tartar on the teeth, leading to significant gum disease
Gum disease leads to tooth loss
Increased jaw bone loss
Lower success rate of dental implant procedures
Delayed healing after any oral procedure including extraction, periodontal treatment, or oral surgery
Increased risk of leukoplakia, white patches inside the mouth, which is a precursor to oral cancer
Increased risk of developing oral cancer
Reduces blood flow to the gums, thereby affecting healing
The tiny tobacco deposits sit on the tooth surface and with time, produce brownish stains. These are a constant source of irritation for the gums, causing gum disease. Unlike the regular plaque caused by food, this is much harder and more abrasive on the gums. This leads to damage of the periodontal tissue, which are connecting fibers between the teeth and the gums. This leads to gradual tooth mobility and eventually loss.
Correlation: If you are a smoker,
You are at risk for gum disease twice compared to a nonsmoker.
More cigarettes you smoke, greater the risk for gum disease.
More number of years you smoke, greater the risk for gum disease.
Poor response to regular treatment for gum disease.
Management: The gum disease can eventually lead to tooth loss. Therefore, the gums need to be protected at all cost to maintain oral health. Some things to do are listed below, starting from the seemingly innocuous to the severe infections.
Regular cleanings at your dentist's office once in 6 months
Daily brushing and flossing to manage early gum disease
Deep cleaning below the gum line and prescription mouth rinses if there is already existing gum inflammation
Surgery to remove deeply seated plaque and tartar.
Surgery with bone graft to replace the bone lost to periodontitis.
Most important of all, quitting smoking. This will produce remarkable benefits when the above are followed.
However, if the above are done with continued smoking, the effects will not last long.
Cigarette smoking is one habit, which has way too many effects on way too many working’s of the body and therefore kicking the habit is the best way to manage, not just your teeth, but your overall health.