Dr. Instructor Member Özge Bektaş said that there are some changes in the oral health of the expectant mother, especially with the effect of the increase in estrogen and progesterone hormone levels during pregnancy. Stating that this situation can cause plaque accumulation on the teeth, gingivitis, edema and bleeding in the gums with insufficient oral hygiene, “More bacteria accumulation on the teeth, edema, redness in the gums, Periodontitis may develop, resulting in bleeding and tooth loss. For this reason, dentist control is important if pregnancy is planned or in case of pregnancy.
“VITAMIN SUPPLEMENTS SHOULD BE TAKEN WITH A BALANCED NUTRITION”
Bektaş stated that with the change in eating habits during pregnancy, the mother should pay attention to a balanced diet for both her own health and the development of the baby’s teeth: “For dental health, protein, vitamin A (meat, milk, egg, yellow vegetables and fruits), vitamin C (citrus fruit) , tomatoes, strawberries), vitamin D (meat, milk, eggs, fish) and calcium (milk and dairy products, green leafy vegetables) rich foods should be taken at an adequate level. A balanced diet and vitamin C and B12 supplements are also important for maintaining oral health.
“HORMONAL CHANGES ALSO EFFECT IN ORAL SECRETS”
Expressing that the biggest problems experienced in oral and dental health during pregnancy are the increase in the acid rate in the mouth due to reflux, nausea and vomiting. Bektaş said, “The acidic oral environment that occurs in this case damages the dental tissue. Tooth surfaces that are constantly exposed to acidic environment erode, causing sensitivity and caries. After vomiting, which can be seen in the first months, the fact that pregnant women do not pay attention to oral hygiene also increases the risk of caries. Hormonal changes in this process also affect oral secretions. The flow of saliva and the rate of salivary flow may be affected. The cleaning effect of the condensed and decreasing saliva on the teeth and surrounding tissues decreases. For this reason, the habit of brushing teeth is very important for the continuation of oral health.
Stating that as a result of the deterioration of sleep quality in the later stages of pregnancy, joint pain can also be seen due to the habit of clenching teeth. Bektaş stated that in this case, tension and pain may occur in the ear, neck and shoulder regions. In addition, he stated that all dental checks should be done in terms of oral health, especially in the pre-planned pregnancy period, and warned that oral hygiene, the presence of decayed teeth, the condition of 20-year-old teeth, the control of old or poorly performed treatments and the completion of the necessary treatments.
“THE TREATMENTS SHOULD BE LEFT AFTER BIRTH”
Dr. Bektaş stated that dental treatment should be avoided in the first three months, which is the baby’s organ development stage, and said, “The treatments should be postponed to the second trimester, this is the most appropriate period for dental treatments (4th-5th and 6th months of pregnancy). The last three months of pregnancy is a sensitive period just like the first three months, and non-emergency dental treatments should be left to postpartum. On the other hand, since it is known that the infection may affect the development of the baby more than the negative effects of dental treatment in emergency situations, treatment can be performed at any period of pregnancy in these cases accompanied by severe pain. In cases where the dentist requires anesthesia and medication, the treatment should be carried out by communicating with the gynecologist. Except for this situation, the procedures that can be postponed should be left until after the birth.
“MEDICATIONS USED AFFECT BABY HEALTH”
Pedodontist Specialist Dr. Özge Bektaş stated that it is not appropriate to shoot movies to evaluate complaints related to dental problems during pregnancy and that attention should be paid to unnecessary drug use with the following words:
“The approach may be different in important situations where the general health of the mother is concerned. In cases where the film is unavoidable for diagnosis; Although the amount of radiation given in x-rays taken in dentistry is very small and not very close to the abdomen, film can be taken using a lead apron to prevent the developing baby from being exposed to harmful radiation beams. Care should be taken in terms of drug use during pregnancy. The drugs used adversely affect the dental health of the baby. Especially tetracycline group antibiotics cause discoloration in baby’s teeth. Therefore, unconscious drug use should be avoided.