9. ORAL HEALTH IN
PREGNANCY
The American Academy of Pediatric Dentistry (AAP) (new oral health
guidelines for pregnant women in 2009) - to assist antenatal mothers in
maintaining healthy teeth and gums during their pregnancy and into the
early stages of motherhood.
Why is oral health care important during pregnancy?
Mothers with gum disease have a higher instance of preterm birth, a
potentially serious pregnancy complication that may cause
health concerns for their infant, typically due to a low birth weight.
Oral Health Guidelines for Pregnant Women
Important Oral Health Information for Expectant Mothers
From Shawn Watson, former About.com Guide
Updated February 24, 2010
18. Many people often ignore the early signs of gum disease, known as
gingivitis, simply because they do not know what gingivitis is.
Gingivitis affecting only the attached and free gingival tissue that
surrounds your teeth, bacteria that invades the area below your
gumline, known as the sulcus, causes gingivitis to develop and
eventually manifest into periodontitis, if left untreated.
The early warning signs of gingivitis are often mistaken as normal
occurrences one should expect when it comes to the mouth.
19. Symptoms of gingivitis include:
Bad breath.
Red, puffy, and inflamed
gums
Bleeding after brushing and
flossing. - professional cleaningsatoreversibleplaque and
It is important to note - gingivitis is
Treatment remove
condition.
calculus build up.
Home maintenance - antibacterial mouth rinse known as
chlorhexidine gluconate.
20. Causes associate with gingivitis:
Improper or infrequent brushing and flossing
Trapped plaque in hard to reach places, such as around the
wisdom teeth, above and below orthodontic bands and brackets, or
fixed appliances.
Teeth that are crooked or overlap each other.
Certain medications that cause xerostomia or gingival enlargement
.
Tobacco use.
Conditions such as diabetes may cause gingivitis.
Pregnancy and oral contraceptives.
21. Periodontitis
What is Periodontitis?
Is the serious and advanced stage of gum disease which includes bone loss.
Periodontitis is irreversible. The gum tissue and bone that surround and support
the teeth become seriously damaged and if untreated it will loose and fall out.
Periodontitis occurs when the early stage of periodontal disease, gingivitis, is left
untreated.
Periodontitis has also been linked to serious health problems such as an increased
risk of stroke and heart attacks. Periodontitis could also cause higher blood sugar
levels.
Periodontitis can cause premature birth and low birth weight.
22.
23. Dental caries
What is Dental caries?
Is a common dental disease affecting pregnant women.
It can be reversible, but if not treated it will be irreversible.
Causes : Sugar + saliva = plaque + bacteria = acid = caries.
Starts from enamel – dentin – pulp – alveolar bone = pain.
27. Karies biasa terjadi
di mana?
Permukaa
n gigi
Antara
celah-celah
gigi
Permukaan
akar gigi
28. Pregnancy epulis
What is Pregnancy epulis?
Is a localised swelling on the gum.
Occured in second or third trimester.
Swelling – red, inflammed but not painful.
Non cancerous.
It can be removed surgically.
The epulis will usually regress after chilbirth.
32. Oral Health Education - To provide expectant mothers with the tools and
resources necessary to understand the importance of oral health care during
pregnancy.
Oral Hygiene - Removing the bacterial plaque. Using the correct brushing and
flossing methods.
Fluoride - The American Dental Association recommends the use of
toothpaste with fluoride by persons over the age of six.
Nutrition - Educating expectant mothers about proper diet and nutrition during
pregnancy will limit unnecessary sugar intake and in turn, prevent plaque build
up.
Treating Existing Tooth Decay - Expectant mothers are encouraged to have
existing tooth decay treated during their pregnancy. Restoring decayed teeth
will help achieve oral health by removing the bacteria associated with tooth
decay.