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Pregnancy and Your Oral Health

There are two common myths about pregnancy and teeth:

"You lose a tooth for every pregnancy you have."

"If you don't get enough calcium during your pregnancy, your body takes it from your teeth."

Neither one is true. However, tooth decay and gum disease are still a concern during pregnancy.

If you are pregnant or thinking about becoming pregnant, now is the time to pay particular attention to your teeth and gums. That's because pregnancy--and the changing hormone levels that occur with it--can exaggerate some dental problems.

Taking good care of your mouth is important not just for your own sake, but also for the fetus. Some research suggests that serious gum disease, called periodontitis, is linked to premature birth and low birth weight.

Cavities

It‘s tooth decay-not pregnancy-that can cause tooth loss. Tooth decay results from repeated acid attacks on tooth enamel. The decay process begins with plaque, the sticky layer of harmful bacteria that constantly forms on teeth. The bacteria use sugar and starch, ingredients found in most foods and beverages, to produce damaging acids.

Each time teeth are exposed to sugar or starch, acids can attack tooth enamel for up to 20 minutes. If you snack on sugar-rich foods and beverages throughout the day, your teeth could be exposed to acid for long periods.

To help prevent tooth decay, brush twice a day with fluoride toothpaste that displays the American Dental Association's Seal of Acceptance. The Seal means the product has met the ADA's criteria for safety and effectiveness.

Floss, or use another interdental cleaner, once a day to remove debris from between the teeth. If you need help controlling plaque, your dentist may recommend an antimicrobial mouthrinse.

Gingivitis

Plaque that remains on your teeth can irritate the gums, making them red, tender, and likely to bleed. This condition is called gingivitis and can lead to more serious periodontal (gum) diseases affecting the gums and bone that anchor teeth in place.

Many women who previously had healthy teeth and gums, may notice that their gums become swollen, inflamed or bleed during their pregnancy. This condition is sometimes called "pregnancy gingivitis." It may appear as early as the first trimester and is the result of changing hormone levels including increased amounts of progesterone.

An increase in hormones exaggerates the way gum tissues react to irritants in plaque. It's the plaque, however, not hormone levels, that is the major cause of gum disease.

You can prevent gingivitis by keeping your teeth clean, especially around the gumline. Your dentist may recommend more frequent cleanings during your second or early third trimester to help control gingivitis. If you notice any changes in your mouth during pregnancy, see your dentist.

A dental checkup

If you are not yet pregnant, schedule a dental checkup. Have your teeth cleaned and schedule any necessary treatment. This can help reduce the risk of having a dental emergency during your pregnancy.

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