Online Dental Education Library
Ones healthy smile depends on simple dental care habits, such as brushing and flossing. Please follow these steps to protect you and your loved ones oral health.
Brushing for proper oral health
Consider these brushing basics from the American Dental Association:
Brush your teeth at least twice a day. When you brush, don’t rush. Take enough time to do a thorough job.
Use the proper equipment. Use a fluoride toothpaste and a soft-bristled toothbrush that fits your mouth comfortably. Consider using an electric or battery-operated toothbrush, especially if you have arthritis or other problems that make it difficult to brush effectively.
Practice good technique. Hold your toothbrush at a slight angle against your teeth and brush with short back-and-forth motions. Remember to brush the inside and chewing surfaces of your teeth, as well as your tongue. Avoid vigorous or harsh scrubbing, which can irritate your gums.
Keep your equipment clean. Always rinse your toothbrush with water after brushing. Store your toothbrush in an upright position, if possible, and allow it to air dry until using it again. Don’t routinely cover toothbrushes or store them in closed containers, which can encourage the growth of bacteria.
Know when to replace your toothbrush. Invest in a new toothbrush or a replacement head for your electric or battery-operated toothbrush every three to four months — or sooner if the bristles become frayed.
Flossing for proper oral health
You can’t reach the tight spaces between your teeth or under your gumline with a toothbrush. That’s why daily flossing is important. When you floss:
Don’t skimp. Break off about 18 inches (46 centimeters) of dental floss. Wind most of the floss around the middle finger on one hand, and the rest around the middle finger on the other hand — leaving about 1 inch (3 centimeters) to floss your first tooth.
Take it one tooth at a time. Use your thumbs and forefingers to gently pull the floss from the gumline to the top of the tooth to scrape off plaque. Rub the floss against all sides of the tooth. Unwind to fresh floss as you progress to the next tooth.
Keep it up. If you have trouble getting floss through your teeth, try the waxed variety. If it’s hard to manipulate the floss, use a floss holder or an interdental cleaner — such as a dental pick or stick designed to clean between the teeth.
You probably know that many physical and emotional changes you will experience during pregnancy result from an increase in the levels of certain hormones — the chemicals that regulate many important processes in the body. But what you may not realize is that these hormonal variations can affect your oral health — and usually not for the better. In fact, surges in the female hormones estrogen and progesterone can dilate (expand) the tiny blood vessels in your gums, increasing blood flow. This makes gums more sensitive to the bacteria (and associated toxins) found in the sticky dental plaque that accumulates on teeth every day.
Pregnant women commonly notice that their gums may become red and swollen, and even bleed when they floss or brush their teeth, a condition known as “pregnancy gingivitis.” Similar gum inflammation can result from taking birth control pills that contain a type of synthetic progesterone, or even from the normal hormonal fluctuations of the menstrual cycle.
Another, less common effect of pregnancy hormones on the gums is an overgrowth of gum tissue or small, berry-colored lumps at the gum line or between teeth. These growths are called “pregnancy tumors,” though they are completely benign.
All of the above conditions usually clear up within a few months after giving birth. Still, if you experience gum inflammation, it's a sign that you need to take extra conscientious care of your teeth and gums during pregnancy.
Why It Matters
Pregnancy hormones don't cause gingivitis by themselves — the irritants in plaque need to be present first. So if you experience the signs and symptoms mentioned above, you'll want to redouble your oral hygiene efforts, both for your sake and your baby's. Untreated gingivitis can progress to a more serious form of gum disease called periodontitis — a bacterial infection that attacks not just the gums but also the tooth-supporting bone beneath. It can eventually cause bone loss, loose teeth and even tooth loss. Some research has even indicated a link between periodontal (gum) diseases and other serious health conditions, such as cardiovascular disease and diabetes.
Pregnant women should also be aware that studies have suggested a link between periodontal (gum) disease and preterm delivery. Although the exact mechanism by which this happens is unclear, evidence suggests that the bacteria in dental plaque can reach the placenta and trigger inflammatory responses. This causes substances to be released into the bloodstream that may in turn start labor prematurely. Preeclampsia, a form of high blood pressure specific to pregnancy, may also be associated with periodontal disease.
What You Can Do
- Eat right. Even if pregnancy cravings are driving you to seek out sugar, try to go easy on the sweets. While they offer you and your developing baby virtually nothing in the way of nutrients, they're the favorite food of disease-causing oral bacteria. If you find you can't resist sweets, try to eat them only at mealtimes and make sure to brush your teeth afterwards.
- Stick to a good oral hygiene routine. Make sure to floss every day and to brush your teeth at least twice per day. If morning (or afternoon or evening) sickness is a problem, don't brush immediately after throwing up. That's because the enamel on your teeth, which has been temporarily softened by the acid coming up from your stomach, can now be easily removed. Instead, rinse with a teaspoon of baking soda dissolved in a cup of water (or even plain water) to neutralize the acid. Wait a full hour before brushing your teeth.
- Have a dental cleaning and exam. Not only are professional cleanings safe during pregnancy, they're highly recommended. So if you haven't been to the dentist in a while, now is a great time to make an appointment. And don't forget to share the happy news! You teeth can certainly be cleaned and examined — but for other non-emergency dental procedures, it's probably best to wait.
Pregnancy & Oral Health Pregnancy is generally thought of as the time when a woman strives to be particularly aware of the need for “health.” Many women though may not be aware of the link that exists between their oral health and their systemic (general) health, as well as the impact that many other factors can have on a developing child. Learn about how to care for yourself and your baby... Read Article
Pregnancy & Birth Control Pregnant women or those taking birth control pills can become prone to gum disease — a bacterial infection caused by a buildup of dental plaque. That's because in both cases, the elevation of certain hormones causes blood vessel changes in the gums, making them more susceptible to the effects of bacteria... Read Article
Expectant Mothers As an expectant mother, you know you need to take special care of yourself. But did you know this extra TLC extends to oral hygiene? Pregnancy hormones can make a woman more prone to gum disease and other oral health problems. Find what you can do to safeguard yourself and your baby... Read Article