Dental care during pregnancy

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If you thought that the safest part of your body during pregnancy is your mouth, then you couldn’t be further from the truth. The likelihood of gum diseases increases during pregnancy.

dental care during pregnancy

According to the Singapore Health Promotion Board, 81% of Singaporeans have some form of periodontal disease (gum disease). That’s every 4 out of five of your friends!

And if you are pregnant, we have worse news for you – pregnant women are at higher risk for developing periodontal disease than the general public. This is because hormone changes causes sensitivity and tissues tend to react more severely to the irritations that are present. So while a non-pregnant person’s bacterial levels may be identical to a pregnant woman’s, the non-expectant woman may not develop gum disease and the pregnant woman will.

So what if I have peridontal disease?

Besides the fact that peridontal disease may result in you ultimately losing your teeth (and your friends – due to bad breath!), the major cause of worry for a pregnant woman is that several studies have found a strong link between gum disease and pregnancy complications.

According to the American Academy of Periodontology, pregnant women who have periodontal disease may be seven times more likely to have a baby that is born too early and too small. Researchers believe that the bacteria that cause gum disease enter the bloodstream through the mouth and travel to the uterus, where they trigger the production of prostaglandins, which may cause premature labour. If a baby is born too soon, it can’t reach its full potential weight.

So what are the various types of periodontal gum disease, and what can you do to protect yourself and your unborn baby?

Pregnancy gingivitis

Happy that you weren’t the kid who discovered she had gingivitis during a routine dental check in school? Well say hello to pregnancy gingivitis which is the inflammation of gums. The bacteria in the plaque will have an easier chance of attacking gum tissue as the changes in hormones will cause the gum tissue to weaken.

Pregnancy tumour

Before you freak and think this is some sort of cancer, relax. It’s not. A common periodontal disease in the second trimester, this is a benign growth at the gum margin. It’s not dangerous and quite common. This tumour will disappear or shrink when you give birth. However, during pregnancy if it becomes a nuisance such as being a hindrance to your speech or embarrassing you with its size, see your dentist and get it removed.

Erosion of enamel

For mothers suffering from morning sickness, nausea and vomiting are frequent side effects. Gastric acid from the stomach can cause the enamel on your teeth to erode. This makes the teeth more sensitive and brittle.

Can I use my Medisave to pay for dental care during pregnancy? 

Unfortunately Medisave does not apply to gum disease treatment generally, but may apply for crown lengthening, gum grafting, gummy smile treatment, sinus lift procedures and the surgical component of dental implant treatment. You can find out more information here. 

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