It’s a myth that calcium is lost from a mother’s teeth and “one tooth is lost with every pregnancy.” But you may experience some changes in your oral health during pregnancy. The primary changes are due to a surge in hormones – particularly an increase in estrogen and progesterone –- can exaggerate the way gum tissues react to plaque.

How does a build-up of plaque affect me?

If the plaque isn’t removed, it can cause gingivitis – red, swollen, tender gums that are more likely to bleed. So-called “pregnancy gingivitis” affects most pregnant women to some degree, and generally begins to surface as early as the second month. If you already have gingivitis, the condition is likely to worsen during pregnancy. If untreated, gingivitis can lead to periodontitis, a more serious form of gum disease.

Pregnant women are also at risk for developing pregnancy tumors, inflammatory, non-cancerous growths that develop when swollen gums become irritated. Normally, the tumors are left alone and will usually shrink on their own after the baby’s birth. But if a tumor is uncomfortable and interferes with chewing, brushing or other oral hygiene procedures, the dentist may decide to remove it.

How can I prevent these problems?

You can prevent gingivitis by keeping your teeth clean, especially near the gumline. You should brush with fluoride toothpaste at least twice a day and after each meal when possible. You should also floss thoroughly each day. If brushing causes morning sickness, rinse your mouth with water or with antiplaque and fluoride mouthwashes. Good nutrition – particularly plenty of vitamin C and B12 – help keep the oral cavity healthy and strong. More frequent cleanings from the dentist will help control plaque and prevent gingivitis. Controlling plaque also will reduce gum irritation and decrease the likelihood of pregnancy tumors.

Could gingivitis affect my baby’s health?

Research suggests a link between preterm, low-birthweight babies and gingivitis. Excessive bacteria can enter the bloodstream through your gums. If this happens, the bacteria can travel to the uterus, triggering the production of chemicals called prostaglandins, which are suspected to induce premature labor.

When should I see my dentist?

If you’re planning to become pregnant or suspect you’re pregnant, you should see a dentist right away. Otherwise, you should schedule a checkup in your first trimester for a cleaning. Your dentist will assess your oral condition and map out a dental plan for the rest of your pregnancy. A visit to the dentist also is recommended in the second trimester for a cleaning, to monitor changes and to gauge the effectiveness of your oral hygiene. Depending on the patient, another appointment may be scheduled early in the third trimester, but these appointments should be kept as brief as possible.

Are there any dental procedures I should avoid?

Non-emergency procedures generally can be performed throughout pregnancy, but the best time for any dental treatment is the fourth through six month. Women with dental emergencies that create severe pain can be treated during any trimester, but your obstetrician should be consulted during emergencies that require anesthesia or when medication is being prescribed. Only X-rays that are needed for emergencies should be taken during pregnancy. Lastly, elective procedures that can be postponed should be delayed until after the baby’s birth.

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Credits: Academy of General Dentistry

It’s one of the hardest habits to break and can require a great deal of persuasion: Parents often struggle with weaning their child off of a pacifier.

There is much debate regarding the use of pacifiers, but there is evidence to show that there are both pros and cons, according to a study in the January/February 2007 issue of General Dentistry, the Academy of General Dentistry’s (AGD) clinical, peer-reviewed journal.

“Contrary to popular belief, there are some positive effects that result from sucking on pacifiers,” says Jane Soxman, DDS, author of the study and Diplomate of the American Board of Pediatric Dentistry. “One is that they assist in reducing the incidence of sudden infant death syndrome (SIDS). Babies who are offered a pacifier do not sleep as deeply as those who sleep without a pacifier. Pacifier sucking makes it possible for the infant to be aroused from a deep sleep that could result in the stopping of breathing. Pacifiers also increase sucking satisfaction and provide a source of comfort to infants.”

However, parents should be aware of the negative effects of pacifier sucking on an infant’s oral health. “Children should stop using pacifiers by age 2,” says AGD spokesperson Luke Matranga, DDS, MAGD, ABGD. “Up until the age of 2, any alignment problem with the teeth or the developing bone is usually corrected within a 6-month period after pacifier use is stopped. Prolonged pacifier use and thumb sucking can cause problems with the proper growth of the mouth, alignment of the teeth and changes in the shape of the roof of the mouth.”

There is also an association between pacifier use and acute middle ear infections (otitis media).

“Continuous sucking on a pacifier can cause the auditory tubes to become abnormally open, which allows secretions from the throat to seep into the middle ear,” explains AGD spokesperson Maria Smith, DDS. “Transmission of bacteria in secretions would lead to middle ear infections.”

The bottom line is that if your child is continuously battling middle ear infections, you may have an alternative to surgery or antibiotics to stop this problem, says Dr. Smith, which would be to remove the pacifier.

Breaking the pacifier habit is not always easy, and there are several methods parents can use to stop it. Parents can dip the pacifier in white vinegar, making it distasteful; pierce the nipple of the pacifier with an ice pick or cut it shorter to reduce sucking satisfaction; leave it behind on a trip; or implement the “cold turkey” method.

Tips and recommendations:

• Pacifier use should be restricted to the time when the infant is falling asleep.
• Pacifiers can cause severe lacerations if the shield is held inside the lips.
• Look for a pacifier with ventilation holes in the shield, as they permit air passage. This is important if the pacifier accidentally becomes lodged in your child’s throat.
• In order to prevent strangulation, do not place a cord around your child’s neck to hold a pacifier. Look for pacifiers that have a ring.
• A symmetrical nipple permits the pacifier to remain in the correct sucking position.
• Dispose of the pacifier after use; it is not sanitary to keep it or give it away.

Credits: Academy of General Dentistry

Proper oral care can keep you smiling well into retirement. Brushing at least twice a day with a fluoride toothpaste and a soft-bristle brush are as important as ever. Flossing can help you save your teeth by removing plaque between teeth and below the gumline that your toothbrush cannot reach.

What are some problems I should watch for?

Gingivitis. Most people don’t realize how important it is to take care of their gums. Gingivitis is caused by the bacteria found in plaque that attack the gums. Symptoms of gingivitis include red, swollen gums and possible bleeding when you brush. If you have any of these symptoms, see a dentist at once. Gingivitis can lead to periodontal (gum) disease if problems persist. Most adults show signs of gum disease. Severe gum disease affects about 25 percent of 65- to 74-year-olds. In gum disease, your gums begin to recede, pulling back from the teeth. In the worst cases, bacteria form pockets between the teeth and gums, weakening the bone. All this can lead to tooth loss if untreated, especially in patients with osteoporosis. If regular oral care is too difficult, your dentist can provide alternatives to aid in flossing and prescribe medication to keep the infection from getting worse.

What if it’s too difficult to brush?

If you have arthritis, you may find it difficult to brush and floss for good oral health care and prevention of disease. Ask your dentist for ways to overcome this problem. Certain dental products are designed to make dental care less painful for arthritis sufferers. You may want to try strapping the toothbrush to a larger object, such as a ball, to make the brush more comfortable to handle, or electric toothbrushes can help by doing some of the work for you.

What are the signs of oral cancer?

Oral cancer most often occurs in people over 40 years of age. See a dentist immediately if you notice any red or white patches on your gums or tongue, and watch for sores that fail to heal within two weeks. Unfortunately, oral cancer is often difficult to detect in its early stages, when it can be cured easily. Your dentist can perform a head and neck exam to screen for signs of cancer.

Should I be concerned about dry mouth?

Dry mouth (xerostomia) happens when salivary glands fail to work due to disease, certain medications or cancer treatment. This can make it hard to eat, swallow, taste and speak. In certain cases, such as radiation therapy, dry mouth can lead to severe complications, which is why it is important you see a dentist immediately before beginning any form of cancer treatment. Drinking lots of water and avoiding sweets, tobacco, alcohol and caffeine are some ways to fight dry mouth. Your dentist also can prescribe medications to fight severe dry mouth.

Maintaining your overall health

Studies have shown that maintaining a healthy mouth may keep your body healthier and help you avoid diabetes, heart disease and stroke. The best way to achieve good oral health is to visit your dentist at least twice a year.

Credits: Academy of General Dentistry