Ob-Gyns Recommend
Routine Oral Health Assessments at First Prenatal Visit
Teeth cleanings and dental X-rays are safe for pregnant women,
according to new recommendations issued by The American College of
Obstetricians and Gynecologists (The College). Ob-gyns are now being advised to
perform routine oral health assessments at the first prenatal visit and
encourage their patients to see a dentist during pregnancy.
“These new recommendations address the questions and concerns
that many ob-gyns, dentists, and our patients have about whether it is safe to
have dental work during pregnancy,” said Diana Cheng, MD, vice chair of The
College’s Committee on Health Care for Underserved Women, which issued the
guidelines. According to The College, oral health problems are associated with
other diseases, including heart disease, diabetes, and respiratory infections.
“We want ob-gyns to routinely counsel all of their patients, including pregnant
women, about the importance of oral health to their overall health,” said Dr.
Cheng.
More than a third (35%) of all women report they haven’t been to
the dentist within the past year. Approximately 40% of pregnant women in the US
have some form of periodontal disease, including gingivitis (inflammation of
the gums), cavities (tooth decay), and periodontitis (inflammation of ligaments
and bones that support the teeth). The physical changes caused by pregnancy can
result in changes in the gums and teeth. Periodontal disease during pregnancy
is most prevalent among black women, smokers, and women on public assistance.
“We can all reassure our
patients that routine teeth cleanings, dental X-rays, and local anesthesia are
safe during pregnancy,” said Dr. Cheng. “Pregnancy is not a reason to delay
root canals or filling cavities if they are needed because putting off
treatment may lead to further complications.” One potential benefit of
improving a woman’s oral health: It may decrease the transmission of
cavity-causing bacteria from mother to baby. This can help lessen the future
risk of cavities in children.
Ob-gyns are encouraged to reinforce practical advice for their
patients: Limit sugary foods and drinks, brush teeth twice daily with a
fluoridated toothpaste, floss once daily, and visit the dentist twice a year.
Pregnant women with severe vomiting (hyperemesis) or gastric reflux can help
avoid damage to their teeth from stomach acid by using an antacid or by rinsing
with a teaspoon of baking soda in a cup of water after vomiting.
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