What Your Gums Can Expect When You Are Expecting


The American Academy of Periodontology
September 2007

Congratulations! You are pregnant or planning on becoming pregnant! Whether or not you want it, everyone you know will be giving you advice about how to eat, sleep, exercise, and take care of your body during this exciting time. However, what some might forget is the importance of taking care of your oral health.

Good oral health is always important. However, it may be especially important for expecting mothers as recent research suggests that pregnant women with periodontal diseases may be up to seven times more likely to have a baby that’s born too early and too small. Preterm births are dangerous for both baby and mother. They are the leading cause of neonatal death and can lead to life-long health problems such as cerebral palsy, mental retardation, and difficulties with blindness and lung disease.

The likely culprit of this possible connection is a labor-inducing chemical found in oral bacteria called prostaglandin. Very high levels of prostaglandin are found in women with severe cases of periodontal disease.

In addition, other research has identified bacteria commonly found in the mouth and associated with periodontal disease in the amniotic fluid of some pregnant women. Amniotic fluid is a liquid that surrounds an unborn baby during pregnancy. Any disruptions in the amniotic fluid, such as a bacterial infection, could potentially be dangerous to both the mother and baby.

Don’t panic! Take your concerns to your dental professional. If you’re diagnosed with periodontal disease, your periodontist might recommend a common nonsurgical procedure called scaling and root planning. During this procedure, your tooth-root surfaces are cleaned to remove plaque and tartar from deep periodontal pockets and to smooth the root to remove bacterial toxins. Research suggests that scaling and root planning may reduce the risk of preterm birth in pregnant women with periodontal disease by up to 84 percent.

If you have questions regarding the link between periodontal disease and pre-term low birth weight babies, visit the American Academy of Periodontology website at http://www.perio.org/ or visit Michigan Periodontist, Dr. Joseph Nemeth on the web at http://www.drnemeth.com/. To request a copy of this AAP article, call Dr. Nemeth at 248.357.3100.

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