Women and Gum Disease* Volume II

This volume will discuss the monthly cycle and pregnancy.

Menstruation:  During menstruation, a woman of child-bearing age may observe several changes in her mouth, including canker sore, swollen gums, lesions and swollen salivary glands.  Some women don’t even notice any changes at all.  For others, particularly those for whom dental plaque of gum pockets are a problem, the gums my bleed in days before the period begins.  These symptoms should be attended to promptly.  Your dentist may prescribe some special cleanings, treatment or topical anesthetics to ameliorate any discomfort and/or pain.

Pregnancy and A Woman’s Dental Health: During pregnancy, a woman’s hormone levels rise exponentially.  Gingivitis (inflammation of the gums) , especially common during the  second to eighth month of pregnancy, may cause red, puffy or tender gums that tend to bleed readily when brushed.  This sensitivity is an exaggerated response to dental plaque and oral irritants and is caused by an increased level of ah hormone called progesterone in the system.  Your dentist may recommend more frequent cleanings during the second trimester or early third trimester to help avoid the problems.  Occasionally overgrowths called “pregnancy epulis or tumors,”appear on the gums during the second trimester. These localized growths or swellings are usually found between the teeth and are believed to be related to excess dental plaque.  They bleed easily and are characterized by a red, raw-looking mulberry-like surface.  They are often surgically removed after the baby is born.  If a woman experiences pregnancy epulis, she should call her dentist promptly.

It is especially essential, then, to maintain good dental health during pregnancy.  Research suggests that the pregnant women who have periodontal disease may be at increased risk for delivering a pre-term and/or low birth-weight baby.  If a woman notices changes in her mouth during pregnancy, please call your dentist immediately.

*Courtesy of the American Dental Association and for more info, pls visit http://www.ada.org

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