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8/14/2019 US Army: PregnancyAndYourOralHealth http://slidepdf.com/reader/full/us-army-pregnancyandyouroralhealth 1/27 Pregnancy and Your Pregnancy and Your Oral Health Oral Health [insert presenter info] [insert presenter info]

US Army: PregnancyAndYourOralHealth

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    Pregnancy and YourPregnancy and Your

    Oral HealthOral Health[insert presenter info][insert presenter info]

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    When should I see the dentist?When should I see the dentist?

    You could hurt yourself or your babyYou could hurt yourself or your baby

    by NOT going to the dentistby NOT going to the dentist

    Any timeAny time Check-ups and cleaningsCheck-ups and cleanings Emergency care (including x-rays)Emergency care (including x-rays)

    Second trimester or first half of thirdSecond trimester or first half of third

    best for procedures that require:best for procedures that require: AnesthesiaAnesthesia MedicationMedication Time in the chairTime in the chair

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    Safe Dental TreatmentSafe Dental Treatment

    Most treatments considered safeMost treatments considered safe

    Acceptable drugsAcceptable drugs

    Dental anestheticsDental anesthetics Chlorhexidine rinseChlorhexidine rinse

    Give dentist your obstetricians contactGive dentist your obstetricians contact

    informationinformation AvoidAvoid

    Aspirin or ibuprofenAspirin or ibuprofen

    Tetracyclines, chloramphenicolTetracyclines, chloramphenicol

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    Fetal Growth and DevelopmentFetal Growth and Development

    Development of infants mouthDevelopment of infants mouth

    4-5 weeks primary tooth buds4-5 weeks primary tooth buds

    4-7 weeks lips4-7 weeks lips 8-12 weeks roof of mouth8-12 weeks roof of mouth

    12 weeks primary teeth start to harden12 weeks primary teeth start to harden

    6 months - permanent tooth buds6 months - permanent tooth buds

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    Childhood Enamel HypoplasiaChildhood Enamel Hypoplasia

    What is it?What is it? Deformed, weak enamelDeformed, weak enamel Disruptions of toothDisruptions of tooth

    developmentdevelopment Teeth Can decay moreTeeth Can decay more

    easilyeasily

    Occurs in utero or early in lifeOccurs in utero or early in life Causes:Causes:

    Fever in the pregnant mother or infantFever in the pregnant mother or infant Low birth weightLow birth weight Diann Bomkamp, RDH, BSDH, Missouri

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    Who Wants a $1,000,000 $mile?Who Wants a $1,000,000 $mile?

    When is it safe to go to theWhen is it safe to go to the

    dentist during pregnancy?dentist during pregnancy?

    A.A. When you need a check-up or aWhen you need a check-up or acleaningcleaning

    B.B.

    Only during the second trimesterOnly during the second trimester

    C.C. When something hurtsWhen something hurts

    D.D. A and CA and C

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    Changes During PregnancyChanges During Pregnancy

    that Affect Oral Healththat Affect Oral Health

    Hormonal AffectsHormonal Affects

    Increased tooth mobilityIncreased tooth mobility

    Saliva changesSaliva changes

    Increased bacteriaIncreased bacteria

    Gum problemsGum problems

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    Saliva changesSaliva changes

    Decreased buffersDecreased buffers

    Decreased mineralsDecreased minerals

    Decreasing flow first and last trimesterDecreasing flow first and last trimester

    Increased flow second trimesterIncreased flow second trimester

    More acidicMore acidic

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    Increased BacteriaIncreased Bacteria

    Increased acidityIncreased acidity Increase in decay-causing bacteriaIncrease in decay-causing bacteria

    Increased SnackingIncreased Snacking Morning sickness/low blood sugarMorning sickness/low blood sugar

    Between-meal snacksBetween-meal snacks

    Increase in amount and frequency ofIncrease in amount and frequency ofstarches/carbohydratesstarches/carbohydrates Crackers are commonly recommendedCrackers are commonly recommended

    Promotes decay-causing bacteriaPromotes decay-causing bacteria

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    10/27Courtesy Proctor & GambleCourtesy Proctor & Gamble

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    Increased Bacteria - DentalIncreased Bacteria - Dental

    DecayDecay

    Courtes Diann Bomkam RDH BSDH MissouriCourtes Diann Bomkam , RDH, BSDH, Missouri

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    12/27Courtesy Proctor & GambleCourtesy Proctor & Gamble

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    Who Wants a

    $1,000,000$mile?What is a cavity?What is a cavity?

    D. Both B and C

    C. A hole in the tooth

    B. A disease

    A. A large hole in the head

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    Increased BacteriaIncreased Bacteria

    Increased food supplyIncreased food supply

    Increased hormonesIncreased hormones

    Gingival fluid and saliva contain hormonesGingival fluid and saliva contain hormones Cause gums to swell, bleed easily, andCause gums to swell, bleed easily, and

    secrete more fluidsecrete more fluid Bacteria use hormones for energy to growBacteria use hormones for energy to grow

    and multiplyand multiply Decreased immune response limitsDecreased immune response limits

    ability to fight bacteriaability to fight bacteria

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    Gum ProblemsGum Problems

    Pregnancy GingivitisPregnancy Gingivitis

    Red edgesRed edges

    Swollen or puffySwollen or puffy

    TenderTender

    Bleed easilyBleed easilyduring brushingduring brushing

    Courtesy of Phoenix CollegeCourtesy of Phoenix College

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    Gum Problems - PregnancyGum Problems - Pregnancy

    GranulomaGranuloma

    Courtesy of Univ. of Southern CaliforniaCourtesy of Univ. of Southern California

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    Gum Problems - PregnancyGum Problems - Pregnancy

    GranulomaGranuloma

    Courtesy of Univ. of Southern CaliforniaCourtesy of Univ. of Southern California

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    Gum Changes - PregnancyGum Changes - Pregnancy

    GranulomaGranuloma

    Courtesy of Univ. of Southern CaliforniaCourtesy of Univ. of Southern California

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    Who Wants aWho Wants a

    $1,000,000$1,000,000

    $mile?$mile?

    D. None of the above

    C. Bleeding, swelling or tenderness

    B. Black, hairy patches

    A. Red, scaly patches

    Some signs of gum disease areSome signs of gum disease are

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    Changes During PregnancyChanges During Pregnancy

    that Affect Oral Healththat Affect Oral Health Morning sicknessMorning sickness

    Difficulty with hygieneDifficulty with hygiene Gum diseaseGum disease

    Tooth decayTooth decay

    VomitingVomiting

    Esophogeal Reflux (heartburn)Esophogeal Reflux (heartburn)

    Acid exposureAcid exposure Irritation of the gumsIrritation of the gums Weakening of tooth enamelWeakening of tooth enamel Dental erosionDental erosion

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    Treatment for Acid ExposureTreatment for Acid Exposure

    Do NOT brush immediately afterDo NOT brush immediately after

    vomitingvomiting

    RinseRinse Water with baking sodaWater with baking soda

    AntacidAntacid

    Plain waterPlain water

    Eat some cheeseEat some cheese

    Ask about fluorideAsk about fluoride

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    Oral Diseases Can EffectOral Diseases Can Effect

    PregnancyPregnancy

    Preterm, low birth weight (LBW) linkedPreterm, low birth weight (LBW) linked

    to periodontal diseaseto periodontal disease

    Thorough calculus (tartar) removal inThorough calculus (tartar) removal in

    pregnant women with periodontitispregnant women with periodontitis

    may reduce pre-term birthsmay reduce pre-term births

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    Spontaneous preterm birth inSpontaneous preterm birth in

    pregnant women with gum diseasepregnant women with gum disease

    0.0%

    1.0%2.0%

    3.0%

    4.0%

    5.0%

    6.0%

    7.0%

    8.0%

    9.0%

    10.0%

    No treatment Polish Cleaning

    Jeffcoat et al. (2003) Periodontal disease and preterm birth: results of aJeffcoat et al. (2003) Periodontal disease and preterm birth: results of a

    pilot intervention study.pilot intervention study.

    S

    pontaneousPrete

    rmB

    irths

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    Prevention: Oral HygienePrevention: Oral Hygiene

    Reduce the amount of bacteria inReduce the amount of bacteria in

    your mouthyour mouth

    Brushing and flossingBrushing and flossing

    Antibacterial mouth rinsesAntibacterial mouth rinses

    Xylitol gum or mintsXylitol gum or mints

    Keep routine dental visitsKeep routine dental visits

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    Prevention:Prevention:

    Nutrition for Oral HealthNutrition for Oral Health Eat well-balanced mealsEat well-balanced meals

    B vitamins, especially folate (folic acid)B vitamins, especially folate (folic acid)

    Vitamin CVitamin C CalciumCalcium

    Snack smartSnack smart

    Avoid starchy or high carbohydrateAvoid starchy or high carbohydratesnackssnacks Raw fruits and vegetablesRaw fruits and vegetables Dairy productsDairy products

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    Who Wants aWho Wants a

    $1,000,000$1,000,000

    $mile?$mile?Oral diseases can be prevented byOral diseases can be prevented by

    A.A. Using fluoride rinseUsing fluoride rinse

    B.B. Brushing 2-3 times a dayBrushing 2-3 times a day

    C.C. Eating nutritious foodsEating nutritious foodsD.D. A and BA and B

    E.E. All of the aboveAll of the above

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    AcknowledgementsAcknowledgements

    MAJ Georgia dela CruzMAJ Georgia dela CruzDental Staff OfficerDental Staff Officer

    Directorate of Health Promotion & WellnessDirectorate of Health Promotion & Wellness

    US Army Center for Health Promotion & Preventive MedicineUS Army Center for Health Promotion & Preventive Medicine

    Additional graphics or information provided by theAdditional graphics or information provided by the

    following:following:

    Diann Bomkamp, RDH, BSDH, MissouriDiann Bomkamp, RDH, BSDH, Missouri

    WI Dept. of Health and Family ServicesWI Dept. of Health and Family Services

    University of Southern CaliforniaUniversity of Southern California

    Phoenix CollegePhoenix College

    Proctor & GambleProctor & Gamble

    D L ke Sh a t Calga Health RegionDr Luke Shwart Calgary Health Region