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 Pregnancy and Your Oral Health 

Congratulations on your pregnancy! While it's important to eat healthy and exercise appropriately, you also need to take good care of your teeth and gums. Scientists have recently learned that your oral health may affect your baby's birth-weight.

 

Thanks to an important study by researchers at the University of North Carolina, scientists have found a connection between a serious gum disease, called periodontitis, and pregnant women whose babies were born too early or at a low weight.

What is Periodontitis?

Periodontitis is a bacterial gum infection that can lead to the destruction of the bone and fibers that support your teeth. It usually can be easily treated when discovered early. Signs of periodontitis may include tenderness, bleeding, swelling of the gums, or loose teeth. You may, however, have no signs at all. Only a dental professional can tell for sure, so it is important to see a dentist regularly.

How Can Periodontitis Affect My Baby?

As in other infections, when you have periodontitis, your body tries to fight it to stay healthy. Scientists believe that this fight produces byproducts and chemicals that can travel through your blood stream into other parts of your body. If these chemicals reach your uterus (womb), they may cause you to go into labor before your baby has fully developed.

According to some estimates, periodontitis may contribute to as many as 45,500 preterm, low birth-weight babies every year in the United States. This is more than those attributed to smoking and alcohol use.

Facts About Preterm, Low Birth-Weight Babies

Babies born before the 36th week of pregnancy (a normal pregnancy lasts 40 weeks), and weighing less than 5 pounds 8 ounces, are called preterm, low birth-weight babies. Some may develop slowly and experience serious health problems, including cerebral palsy, epilepsy, chronic lung disease, learning disabilities, and attention deficit disorder.

What You Can Do

Visit your dental professional several times while you are pregnant to have a dental examination and your teeth cleaned. Also, make sure to brush your teeth twice a day and floss at least once a day.

For Good Oral Health

  • Use a fluoride containing toothpaste to help prevent tooth decay.

  • Brush twice a day.

  • Place your toothbrush at a 45-degree angle against the gums.

  • Use a soft toothbrush and a gentle touch — it doesn’t take much pressure to remove the plaque from your teeth.

  • Brushing your tongue can help remove the bacteria that cause bad breath.

  • The importance of flossing: Cleaning between your teeth is every bit as important as brushing. Clean between your teeth once a day.

  • Talk to your dentist or dental hygienist about your home care routine and technique. He or she can help you get the job done properly.

Want to Know More?

American Dental Association

Prepared by ADA Division of Communications,
in cooperation with The Journal of the American Dental Association

What your Dental Professional Needs to Know

Your dental professional needs to know certain facts about your health to make sure you receive the best treatment during your pregnancy. This includes the following:

  • Is your pregnancy high-risk?
  • Which month of pregnancy are you in?
  • Are you taking any medications?
  • Have you noticed any changes in your teeth or gums?
  • Have you noticed gum swelling, redness, or bleeding?

Dos and Don'ts for a Healthy Pregnancy

Here are some additional tips to help you take care of yourself and give your baby a great start:

DO

  • Eat healthy, nutritious foods every day. These include grains, vegetables, fruit, dairy food, and protein like chicken, fish, or beans.
  • Get some light exercise each day, according to your doctor's advice. For example, a daily walk may help keep you fit.
  • Drink eight glasses of fluid a day (a variety of water, milk, and fruit juices).
  • Wear a seatbelt. Remember to buckle the lap belt under your stomach and use the shoulder belt.
  • Follow the advice of your health care and dental professionals.

DON'T

  • Eat raw or undercooked meats, fish, poultry, shellfish, or eggs.
  • Drink alcohol or smoke.
  • Eat too much junk food or drink a lot of coffee or tea.
  • Take vitamins without first asking for your doctor's advice. Make sure the vitamins you do take include a proper dose of folic acid, which can help prevent some birth defects associated with your baby's spine.
  • Take over-the-counter medications like aspirin, cough medicine, or cold remedies without asking your doctor.
  • Take long, hot baths.

A Final Word

Taking care of your health, including caring for your teeth and gums, is a good way to help your unborn baby. By seeing your health care provider and maintaining good health, you may even give your baby a better chance to be born on time and at a healthy weight.

Article prepared in part by the National Healthy Mothers, Healthy Babies Coalition.

 


 

Additional Articles/Resources

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Idaho's Mothers and Babies NEED YOU!

If you would like to be a part of the Idaho HMHB Coalition, or desire more information, contact:
Idaho Healthy Mothers, Healthy Babies
P O Box 8926, Boise, ID 83707-8926
Telephone:  (208) 345-8097

Printed materials are available for health care professionals and organizations to provide to their employees and clients by contacting the National March of Dimes or the Idaho State March of Dimes:
Contact Lynn Kammermeyer by e-mail or
1-800-336-5421.

Healthy Mothers, Healthy Babies; You and Your Family: You're Pregnant. Prenatal Care  

Bright Futures in Practice: Oral Health 

American Dental Association 

National Maternal and Child Oral Health Resource Center 

Citizens' Watch for Kids' Oral Health 

Oral Health America