oral health pregnancy
TRANSCRIPT
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By:Shawna
Jackson
and
Lori Winters
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Identify reasons for keeping your mouthIdentify reasons for keeping your mouthhealthyhealthy
Discuss what causes teeth and gums toDiscuss what causes teeth and gums tobecome unhealthybecome unhealthy
Demonstrate proper brushing and flossingDemonstrate proper brushing and flossingtechniques as well as identifying the benefits of techniques as well as identifying the benefits of bothboth
Discuss oral complications that may ariseDiscuss oral complications that may ariseduring pregnancy and how to preventduring pregnancy and how to prevent
Demonstrate proper infant oral careDemonstrate proper infant oral care
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Eating
Speaking
Esthetics(smiling and self esteem)
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Incisor -teeth in thevery front,sharpest teeth,built to cutfood andshaped toshovel thefood towardthe back of themouth. .
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Canine -
corners of the mouth,meant forgrasping andtearing food,they havevery longroots.
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Premolar -
flat chewing surfacebecause they're meantfor crushing food.
Molar -
last teeth towards theback of your mouth,much bigger than the
Premolars and havebigger, flatter chewingsurfaces because their
job is to chew andgrind the food intosmaller pieces.
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Enamel- White outersurface of tooth,Calcified surface thatis stronger than bone.
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Dentin- Surfacedirectly beneath enamel
that is less calcified,similar to bone,becomes visible withexcessive wear to theteeth.
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Pulp- Inner most partof the tooth, houses
the nerve and bloodsupply to the tooth.Damage could cause thetooth to die.
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Plaque-
A sticky film thatforms on your teeth
from the bacteria,food, and saliva inyour mouth.
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In the BEFORE picture, you cansee the buildup of plaque on theseteeth with the aidof a disclosingagent.
The AFTER picture shows theremoved plaque.
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Without proper care,the acid from thisbacteria eats away atyour tooth to causecavities.
Plaque can be removedby brushing and
flossing.
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Gingivitis-
Caused by theaccumulation of plaque on the toothand under the gumtissue.
gingivitis
healthy
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Gingivitis-
Causes the gumsto become red,inflamed, and tobleed and hurtwhen brushing.
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Tartar-
Plaque that is notremoved will sit onthe teeth and
below the gums,will harden ormineralize, thusforming tartar.
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Tartar is also an
irritant to the gumtissue that cancause gingivitis
Tartar can only
be removed byyour dentalhygienist.
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Brushing removes plaque
and food debris that sits onyour teeth
Brushing also keeps yourgum tissue healthy
Brushing promotes a cleanand healthy environment inyour mouth
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Brush in a small
circular motions,with light pressure
Brush for 2-3minutes
Dont forget tobrush your tongue
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Flossing reaches where thetooth brush cannot
Floss cleans between theteeth, a popular area of cavitiesto form
Flossing also removes theplaque and debris below thegum line
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Floss at least once a day,preferably before going tobed
Use an arms length pieceof floss
Wrap around middlefingers leave betweenfingers, and use indexfingers as your guide
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Dont snap into the gums,instead use a gentle see-saw motion
Once in between the teeth,wrap floss around the toothin a c formation and move
in up/down motion
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Fluoride is amineral
Helps fight decayin areas whereenamel has startedto breakdown
Prevents decay bystrengthening theenamel
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Fluoride is found inFluoride is found inmost any toothpastemost any toothpaste
Over-the-counterOver-the-counterrinses, like ACTrinses, like ACT
Fluoride is alsoFluoride is alsofound in many citiesfound in many citieswater sourceswater sources
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At the dentist astronger dose of fluoride is eitherrinsed or brushed on
Dentist can alsoprescribe rinses for athome use
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Fluoride shouldbe brushed on orrinsed with afterbrushing andflossing
You shouldnteat or drinkanything forthirty minutesafterwards
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Fluoride is notmeant to be ingested.Too much fluoride
can cause an upsetstomach.
Too much fluoride,when ingested, couldalso affect the babysteeth adversely,causing enameldefects ordiscoloration.
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The taking of dental radiographsduring pregnancycontinues to be acontroversial issue.
It should benoted, however,that a pregnantpatient who isproperly shieldedcan safely receivedental x-rays atany time.
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You lose atooth for everypregnancy
Babies drainthe calciumfrom your teeth
Every time youare pregnantyour gums bleedand you haveproblems withthem
False to all:Meticulous oralhygiene withfluoride regimen
will help toprevent all toothand gumproblemsexperiencedduringpregnancy
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Gingivitis- inflammation or swelling
of the gum tissues caused byincrease in plaque accumulation
Results in red, swollen, sensitivegums that bleed easily
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During pregnancy the bodysresponse to dental plaque can beexaggerated due to an increase inhormone levels and preexisting
problems can be worsened
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First seen in second month of
pregnancy and peaks in the lasttrimester
Meticulous oral hygiene can
decrease these risks dramatically
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Also know as pyogenicgranuloma.
Rare, usually painless lesion,develops on gums in response to
plaqueNon-cancerous
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Subside shortly after childbirth
No treatment is required unlesscauses problems with eating,speaking, or swallowing
If treatment is needed, it issurgically removed
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Without the removal of plaque andtartar, bacteria will continue togrow and thrive above and belowthe gum line, thus causing damageto and eventually destroying thestructures that hold your teeth inyour mouth
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Periodontal
disease :Progressivedisease that
results in loss of attachment,bone, and
surrounding
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The bacteria from periodontaldisease can enter the blood streamand travel to major organs and
begin new infections:Increase risk of heart disease andstroke
Increase a woman's risk of having a pre-term, low birthweight baby
Pose a serious threat to peoplewhose health is compromised bydiabetes
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Preterm Low Birth Weight Births
Smoking, alcohol use, and drug use contribute tomothers having babies that are born prematurely ata low birth weight.
Evidence suggests a new risk factor periodontaldisease.
Pregnant women who have periodontal diseasemay be seven times more likely to have a baby thatis born too early and too small.
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Preterm Low Birth Weight Births
Periodontal disease triggers increased levels of biological fluids that induce labor.
Women whose periodontal condition worsens
during pregnancy may have an even higher risk.All infections are cause for concern among
pregnant women because they pose a risk to thehealth of the baby.
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Take a Self-Evaluation Quiz
Persistent swollen,red or bleedinggums, toothsensitivity, and badbreath are warningsigns of periodontal(gum) disease -- aserious infectionthat, left untreated,can lead to toothloss.
Do you ever have pain in your mouth?
Do your gums ever bleed when you brush yourteeth or when you eat hard food?
Have you noticed any spaces developingbetween your teeth?
Do your gums ever feel swollen or tender?
Have you noticed that your gums are receding(pulling back from your teeth) or your teethappear longer than before?
Do you have persistent bad breath?Have you noticed pus between your teeth and
gums?
Have you noticed any change in the way yourteeth fit together when you bite?
Do you ever develop sores in your mouth?
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When you light yourcigarette in pregnancy,you're not the only onewho smokes - Yourbaby does to!
Not a good habitanyway, smoking canhave seriousconsequences for yourbaby if you keep it upthroughout your
pregnancy.
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Some good reasons to quit while you are pregnant:
More likely to have a healthier pregnancy and ahealthier baby
Cope better with the birth
Your baby will cope better with any birthcomplication
Your baby is less likely to be born too early andhave to face the additional breathing, feeding andhealth problems which so often go with prematurity
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More good reasons to quit while you are pregnant:
Your baby is less likely to be born underweightand have extra problems in keeping warm
It will be better for your baby later too aschildren whose parents smoke are more likely tosuffer later on from illnesses like asthma
You will reduce the risk of SIDS for your baby
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Recently the question has aroseamong the public as to whether a
woman should totally quit smokingcold turkey or gradually cut back theirtobacco usage. It has been noted intalking with individuals in the OB/GYNprofession that women should quitsmoking as soon as they discover theyare pregnant.
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Pregnancy is the most nutritionallydemanding time of a woman's life. Your bodyneeds enough nutrients every day to support
the growth of your baby.Pregnant women need more calories and
essential nutrients than other women.
If the nourishment needed for baby's
developing tissues and organs is not enough,he/she may not develop normally.
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Protein is needed for the buildup of your uterus, breasts,blood supply, and baby's tissues.
Low protein intake is related to smaller-than-average babieswho may have health problems.
Folate is required for protein tissue construction. Low folatelevels are linked to birth defects, such as spina bifida.
Foods high in folate are the dark green veggies.
Calcium is needed by your baby for strong bones. If calciumis not supplied by the mother's diet, calcium is taken from themother's long bones, not the teeth, for the baby.
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Low Zinc levels during pregnancy areassociated with long labor and smallbabies who may have health problems.
Iron deficiency is common in pregnantwomen. Both mother and baby need ironfor developing blood supplies. It ispractically impossible to get enough ironfrom food. Doctors usually recommendsupplements.
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Pregnant women should make sure to include in their diets:
Sufficient calories for adequate weight gain
A variety of foods from each food group
Regular meals and snacks
30 grams of dietary fiber 10 or more cups of water each day
Salt to taste
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The Food GuidePyramidrecommendations areas follows :
9 servings per day of bread, cereal, rice, andpasta
4 servings per day of vegetables
3 servings per day of
fruits
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The Food Guide Pyramidrecommendations are asfollows :
3 servings per day of milk,yogurt, and cheese
3 servings per day of meat,poultry, fish, beans, eggs, andnuts
Fats, oils, and sweets should beused sparingly
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If nausea and vomiting is aproblem, it is important tofrequently brush or rinse withwater. The acid could causeerosion of the teeth.
If you are craving sweets,this could cause an increasein cavities. So, justremember to snack on rawveggies and fruits.
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Schedulingappointments in thesecond trimester. Besttime for routine care.
Shorter appointmentsand changing positions
on the chair for yourcomfort needs.
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When teethhave erupted :
*brush babys
teeth with ainfant brushalong with anon-fluorinatedtooth and gumgel twice daily
*use smallamount
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Never put yourchild to bed witha bottle of
anything butwater.
The sugar inmilk and juice
will pool andconstantly coatthe teethcausing decay.
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Check for oral risks
Recommend thecorrect type of prevention for the child
Answer anyquestions
Decide on follow upexams
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What are you not able to take care of onyour own?
A. Plaque removalB. Flossing properly
C. Tartar removal
D. Brushing properly
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Fluorosis is something only you can getfrom too much fluoride.
TrueFalse
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Pregnancy gingivitis is something thathappens to everyone when they arepregnant and can not be reversed.
True
False
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Pregnancy makes you (more/less)susceptible to periodontal disease?
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Periodontal disease is associated with all of thefollowing conditions, except:
A. Pre-term, low birth weight baby
B. Diabetes
C. Heart Problems
D. Asthma