Sie sind auf Seite 1von 2

Dental Appointments

Its important to visit your dentist


and dental hygienist on a regular
basis. During pregnancy it may
be required to visit you dental
professionals:

Monthly appointments or
three times during your
pregnancy
The appointments should be
short for your comfort. If
periodontal treatment is
required make multiple short
appointments until treatment
is completed.
Be sure to at least brush
twice a day and floss once a
day.
Use a flouride mouthrinse

Radiographs
Dental Radiographs are essential for
properly diagnosing the patient oral
cavity. As dental professionals we have
to take additional precautions when
taking radiographs:

Take radiographs only if


necessary
Avoid during the 1st trimester
Cover with lead apron, a thyroid
collar, and a second lead apron
to prevent scatter radiation.

Veronica Martinez
Missouri Southern State University
Dental Hygiene Program
DH 350

Pregnancy
And Periodontal Disease

Periodontal Disease
Women who are expecting tend to have higher rates of periodontal disease. Periodontal
disease has two categories: Gingivitis and Periodontitis. Gingivitis is a bacterial infection that
only deals with the gingiva and is reversible. Periodontitis is also a bacterial infection but
infects all parts of the periodontium (gingiva, periodontal ligament, bone and cementum) and
is not revisable. Pregnant women who experience periodontal disease are more prone to
having preterm and low birth weight babies. Its important to keep the mother oral hygiene in
the best conditions for the arrival of the baby.

Signs and Symptoms


Gingivitis
Gingival tissues appear redness,
smooth, shiny and inflamed.
Gingival Enlargements Pyogenic
Granuloma
These are benign inflammatory
hyperplasia also known as
pregnancy tumor. The lesion appears
to be painless, isolated around the
interdental area, soft, round
enlargement near the gingival
margin.
Enamel Erosion
Many women tend to have morning
sickness, which inhibits vomiting.
Vomiting leads to the
demineralization. Be sure to brush
and rinse your mouth immediately
with a toothpaste and mouthwash
that contains fluoride to prevent
demineralization of tooth structure.

The Cause

Gingivitis vs. Periodontitis

It is caused by local irritation and infection


because of poor oral hygiene and hormonal
changes. The host response to periodontal
pathogens causes persistent inflammation and
the destruction of periodontal tissues that
support teeth. During normal pregnancy,
maternal hormones and locally acting
cytokines play a key role in regulating the
onset of labor, cervical ripening, uterine
contraction and delivery. Maternal infections
during pregnancy have been demonstrated to
perturb this normal cytokine and hormoneregulated gestation, sometimes resulting in
preterm labor, and preterm low birth weight.
Hormones such as estrogen, progesterone,
and chorionic gandotropin during pregnancy
affect the microculatory system by creating
inflammatory changes leading to gingival
bleeding and swelling.

Gingivitis
Gingival enlargement caused by
swelling
Color: Red or Reddish blue
Gingival margin is swollen
Interdental papillae: bulbous and
swollen
Bleeding
No bone loss
REVERSIBLE
Periodontitis
Color: bluish or purplish red with
smooth shiny appearance. Fibrotic
tissue has a leathery consistency.
Gingival margin is swollen or fibrotic
Recession present
Interdental papillae does not fill the
embrasures
Bone loss

Das könnte Ihnen auch gefallen