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What Should I Do If I Have Oral Problems During Pregnancy?

  1. Gingivitis during pregnancy

Cause: Pregnancy will not directly cause gingivitis. However, during pregnancy, the hormone secretion of the pregnant woman will change. If the pregnant woman does not clean the mouth thoroughly, the pregnant woman’s gums (gum) will easily have an allergic reaction to the toxin secreted by the bacteria in the dental plaque, becoming red and swollen and easy to bleed. This phenomenon is called “gingivitis during pregnancy”.

Symptoms: The gums are red and swollen and the gums bleed easily when brushing.

The picture shows an oral condition with gingivitis during pregnancy. The gums are severely swollen and bleeding.

Prevention and treatment: When you get up, brush your teeth with fluoride-containing toothpaste before going to bed, and use dental floss to completely remove the dental plaque, you can prevent “pregnancy gingivitis” and promote natural healing of mild gum inflammation.

Pregnant women can visit the dentist and have their teeth washed during the fourth to six months of pregnancy. During this period, the condition of the fetus is relatively stable, and it is more convenient for the expectant mother to receive treatment.

  1. Sensitive teeth

Cause: During pregnancy, pregnant women may eat sweet and sour foods or vomit easily. These acidic things will directly erode the outer layer of the teeth (enamel), exposing the inner layer (ivory), causing “tooth sensitivity”.

Symptoms: If the pregnant woman does not have tooth decay or pulpitis, but feels tingling teeth when brushing, flossing, eating cold, hot, sweet, sour foods, it means that the teeth may have been sensitive.

Prevention and treatment: Avoid eating sweet and sour food, consult a dentist and receive appropriate treatment.

  1. Dietary recommendations

Pregnant women should have a balanced diet to ensure normal fetal development. Pregnant women are advised to eat full meals to avoid having to eat again due to starvation in a short period of time. If you feel hungry between meals, you should choose cheese, vegetables, or drink milk to add energy. In addition, you should eat enough portions each time to avoid frequent eating. At the same time, pregnant women should avoid eating acidic foods such as plum, lemon, orange peel, etc., in order to prevent the teeth from being severely eroded, causing “tooth sensitivity”.

  1. Oral nursing habits

In order to keep the mouth clean, pregnant women should brush their teeth with fluoride-containing toothpaste and thoroughly remove dental plaque before getting up and going to bed. If pregnant women have vomiting or need to eat frequently, they should strengthen the protection of their teeth. For example, gargle with fluoride-containing mouthwash to increase the ability of teeth to resist acid attack. However, you should consult your dentist before using mouthwash.

  1. Oral examination

(1) Before planning a pregnancy

Women may see a dentist for oral examination before planning a pregnancy. Dentists can not only cure dental problems for pregnant women as early as possible, so as to prevent them from undergoing complicated dental treatment due to the deterioration of dental problems during pregnancy, and also provide them with general knowledge about oral care during pregnancy.

(2) Within the fourth to sixth months of pregnancy

During pregnancy, pregnant women still need to see a dentist for regular oral examinations. Oral examination should be carried out within 4 to 6 months of pregnancy, that is, when the fetus is relatively stable. The pregnant woman must also inform the doctor that she is pregnant so that he can make appropriate arrangements during treatment.

However, if the teeth of the expectant mother really need to undergo complicated dental treatment, such as root canal treatment, extraction of impacted wisdom teeth, etc., such treatment should be arranged as far as possible after delivery, so as to avoid discomfort due to the time required for the complex treatment process.

As for the X-ray examination, please inform the stomatologist in advance. If you do not have particularly serious oral diseases during pregnancy, the general dental institution will not recommend you to do X-ray examination.

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