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Gürsoy M, Pajukanta R, Sorsa T, Könönen E. Clinical changes in periodontium during pregnancy and post-partum. J Clin Periodontol. 2008; 35:576-583 https://doi.org/10.1111/j.1600-051X.2008.01236.x
Figuero E, Han YW, Furuichi Y. Periodontal diseases and adverse pregnancy outcomes: mechanisms. Periodontol. 2020; 83:175-188 https://doi.org/10.1111/prd.12295
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Pregnancy and dentistry: a guide for the general dental practitioner. Part 1

From Volume 49, Issue 7, July 2022 | Pages 546-550

Authors

Claire Curtin

BDS (NUI), MFDS (RCSEd), Dip Con Sed, DSCD M Spec Care Dent, MDTFEd, PGCert Med Ed

StR Special Care Dentistry, Cardiff University Dental Schol and Hospital, Heath Park, Cardiff CF14 4XY

Articles by Claire Curtin

Simon Stokes

BDS (NUI), MFDS (RCSEd), DPDS (Bris), MSc Clin Endo

General Dental Practitioner

Articles by Simon Stokes

Fayjel Shah

BChD, MFDS (RCSEd), MSc

Primary Dental Care, Speciality Dentist in Restorative Dentistry, St George's Hospital, London

Articles by Fayjel Shah

Abstract

Pregnancy is a unique time in a woman's life when many physiological, physical, emotional and hormonal changes occur. It can also be quite an anxious time for women, particularly in the first trimester, when the risk of miscarriage is at its highest. Uncertainty still exists around the topic of dental treatment and care during pregnancy, which may create challenges for both the patient and the dental team.

CPD/Clinical Relevance: The common health and oral health conditions that occur in pregnancy are relevant to all clinicians.

Article

Pregnancy is a unique period in a woman's life which is marked by several physiological changes which occur in response to increased hormone secretion. These physiological changes impact upon the oral cavity and influence oral health. Equally these changes can complicate the provision of dental treatment and so, the general dental practitioner should be aware of them in order to safely treat the patient.

The importance of including oral health in the preventative healthcare of pregnant women has been highlighted by the World Health Organization (WHO) and the American College of Obstetricians and Gynaecologists.1,2

In the United Kingdom, under the NHS dental contract, pregnant women can access free dental care for the duration of their pregnancy and for 12 months afterwards. However, despite the lack of financial barriers, the proportion of pregnant women that attend their dentist has been shown to be relatively low.3,4 Barriers to accessing dental care for pregnant women include illness, managing work and family responsibilities, and a lack of awareness that oral healthcare is provided free of charge in the NHS.5

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