Why High Risk?

Women are especially susceptible to gum disease during pregnancy because:

• Hormonal changes can affect teeth and gums and increase the risk of developing periodontal disease.
• Rising hormone levels in pregnancy may cause gingivitis, which in turn can trap dental plaque, the bacterial film that adheres to the teeth. The bacteria produce toxins that irritate the gums, resulting in an increased amount of swelling, bleeding and tenderness and may lead to periodontal disease.
• Morning sickness can leave stomach acid in your mouth. These acids can damage the surface of the teeth and promote tooth decay.

What is the Risk?

The risk of having a premature or low birth weight baby may be reduced if you have healthy gums and teeth.

How Can You Help Yourself?

• Keep your mouth clean. Brush your teeth for two minutes twice a day with fluoride toothpaste.
• Floss daily to remove plaque from between your teeth and gums.
• Eat healthy, nutritious food.
• Try eating dry toast or unsalted crackers before getting out of bed in the morning to help prevent morning sickness.
• If you do vomit, rinse your mouth with water or fluoride mouth rinse. Rinsing helps protect your teeth from damaging stomach acids.
• If you have questions about your oral health, ask your dentist or hygienist.

You & Your Dentist

• It is best to arrange a visit in the middle three months of your pregnancy.
• Tell your dentist that you are pregnant.
• Regular dental cleanings before, during and after your pregnancy are important.
• Put off routine x-rays until after your pregnancy.
• If your dentist recommends dental x-rays, the dental office will provide a leaded apron to shield you and your baby from the low dose of radiation used.
• Avoid taking drugs or medications while pregnant. If emergency dental treatment requires that you take drugs, be sure to discuss their use with your dentist and health care provider.

Calcium, Vitamin D and Dietary Intake for Dental Health

Nutrition during pregnancy is important for both you and your baby's dental health. Calcium and vitamin D work together to strengthen both mom and baby's teeth and bones.

Pregnant women need 600 IU (15 mcg) of vitamin D and 1000 mg (1300 mg if under 19 years old) of calcium everyday. The best way to meet your needs for both nutrients is to drink 500 ml (2 cups) of milk or fortified soy beverage everyday, follow general healthy eating recommendations, and take your prenatal multivitamin-mineral supplement.

Although it's important to get enough of both of these nutrients, more isn't always better. Be careful not to exceed 4000 IU (100 mcg) of vitamin D or 3000 mg of calcium from diet and supplements combined. Too much vitamin D or calcium could have negative health effects.

For More Information on Your Pregnancy

Contact the Health Unit to speak with a public health nurse. In Clinton and area call 519.482.3416 or toll free 1.877.837.6143. Residents in northern communities in the County can contact a public health nurse in Wingham at 519.357.4993.