ACCESSIBILITY Accessibility

Periodontal Disease and Pregnancy

Researchers have shown that periodontal disease in expectant mothers actually exposes their unborn child to many different risks, particularly if they also happen to be diabetes sufferers.

Periodontal disease generally begins with a bacterial infection in the gum (gingival) tissue, which progressively destroys the tissue and the underlying bone.  If left untreated, the bacterial infection causes an inflammatory reaction in the body, which can significantly deepen the gum pockets (space between the teeth and gums), and forces the gum and jawbone to recede.  Eventually, the progressive nature of periodontal disease causes the teeth to become loose and unstable, and eventually fall out.

Pregnancy causes many hormonal changes which increase the risk of the expectant mother to develop gingivitis (inflammation of the gum tissue) and periodontal disease.  These oral problems have been linked in many research studies to preeclampsia, low birth weight of the baby and premature birth.  Expectant women should seek immediate treatment for periodontal disease in order to reduce the risk of pre-natal and post-natal complications.

Reasons for the Connection

There are many different reasons why periodontal disease may affect the health of the mother and her unborn child:

  • Prostaglandin – Periodontal disease appears to elevate levels of prostaglandin in mothers who are suffering from the more advanced forms of the condition.  Prostaglandin is a labor-inducing compound found in one of the oral bacteria strains associated with periodontitis.  Elevated levels of prostaglandin can cause the mother to give birth prematurely and deliver a baby with a low birth weight.

  • C - reactive protein (CRP) – This protein, which has been previously linked to heart disease, has now been associated with adverse pregnancy outcomes including preeclampsia and premature birth.  Periodontal infections elevate C-reactive protein levels and amplify the body’s natural inflammatory response.  Periodontal bacteria may enter the bloodstream causing the liver to produce CRP which leads to inflamed arteries as well as possible blood clots.  These inflammatory effects can then lead to blocked arteries causing strokes or heart attacks.

  • Bacteria spread – The bacteria which colonize in the gum pockets can readily travel through the bloodstream and affect other parts of the body.  In pregnant women, research has found that oral bacteria and associated pathogens have colonized in the internal mammary glands and coronary arteries.

Diagnosis and Treatment

There are many safe, non surgical treatment options available for pregnant women.  It is of paramount importance to halt the progress of periodontal disease in order to increase the chances of a safe and healthy delivery.

Initially, the dentist will assess the exact condition of the gums and jawbone in order to make a precise diagnosis.  Scaling and root planing are two common non-surgical procedures used to rid the tooth-root surfaces of calculus (tartar) and remove the bacterial toxins from the gum pockets.

With treatment, the risks of pregnancy complications caused by periodontal disease are reduced by as much as 50%, and these treatments will alleviate many unpleasant and harmful effects associated with gingivitis and periodontal infection.

Dentists can provide education and recommendations to pregnant women about effective home care which can reduce risks that may affect her and/or her child’s health. Risks of periodontal disease can be vastly reduced by proper home care, smoking cessation, dietary changes, and the ingestion of supplementary vitamins.

If you have any questions or concerns about periodontal disease and its affect on pregnancy, please contact our practice.

Testimonials.

Read what people are saying about us.

read more

Testimonials

Dr. Salaveria and his staff were friendly, knowledgeable, professional, and they listened to me. I recently moved here from out of state and it looks like I've found my new dentist!

Sheridan S. Concord, CA

NO Pain! I am a HUGE baby when it comes to dental work and I am SO impressed. They made me feel comfortable and I am amazed that after a root canal, I had NO PAIN! Highly recommend their services. Their staff was wonderful from Rose at the front office to Brittany who assisted the procedure. Absolutely recommend!!!

Sue J. Concord, CA

My last experience at the dentist was as an uninsured individual about 6-8 years ago and I went to Western Dental. After almost 2 hours in their chair for 2 fillings and they had only gotten one of them done, I walked out of the office and never looked back. A few years went by and all of a sudden one of my molars caved in and I knew I had to get it taken care of. I now have insurance through my work and found Dr. Salaveria through their list of network providers. I saw all the positive reviews here on Yelp (and no negative ones...) and thought it was too good to be true but figured I would give them a shot. Best decision I ever made!

This is by far the best dentist experience I could have dreamed of. I had about 6 fillings done in less time than it took the Western Dental folks to do one. Not to mention he is very gentle and uses different techniques to make me comfortable since I have severe issues with my TMJ. I can almost fall asleep in his chair. They referred me out for two root canals (which have to be done by a specialist, and who they referred me to was also equally amazing) at this point and I have had one crown put in by them and will be having another crown done shortly. I can honestly say that I look forward to getting the work done with them. ....well... as much as anyone can look forward to dental work that is.

Bottom line: The reviews speak for themselves! Don't doubt it!

Jenna D. Concord, CA

View More