Month: November 2011

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The State Department of Health points out that eight out of 10 pregnant women suffer from dental problems. This statistic is reported based on data from antenatal consultations conducted by the program “Healthy Mouth, healthy pregnancy”

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By: Vanessa Navarro

Catalyst Magazine- poor oral hygiene can lead to damage to pregnant women and babies. What are the most frequent health problems?/> Dr. Francisco Barata Ribeiro- fluids gingival, usually produced by gum (between the tooth and gum) contain antibodies that usually have a protective effect to the tooth. However, during pregnancy, these fluids gingival shall have a high level of hormones. Some types of bacteria can use these hormones in the production of energy, where they can grow and multiply, causing problems with gums. In pregnancy, the saliva will present a high rate of hormones, which will also facilitate bacterial growth in the mouth. During pregnancy, in function of hormonal changes, the pregnant woman is more susceptible to accumulation of plaque on teeth and gum disease problems. During this period, the pregnant woman must strive to maintain an excellent oral hygiene.

Catalyst Magazine- what are the most common oral problems during pregnancy?/> Dr. Francisco Barata Ribeiro- pregnant women can and should make regular visits to the dentist for the monitoring of oral health. In the initial phase may be conducted clinical examinations, prophylaxis for procedures, guidance as to any changes that occur during this period, closing pathological cavity, determination on the need of mouthwash with clorexedine, among others.We must stress that the >/hormonal changes that occur during pregnancy increase the risk of emergence of pathological cavities (tooth decay). Caries is a multifactorial disease and we must emphasize four factors: low saliva and fluoride, acid production by bacterial sugar motherboard, and waste food-substrates and repeated exposure = time./> Periodontal problems also arise, usually to gingivitis and mainly the gestational gingivitis (gum that presents red bridges, edema and easy bleeding during brushing). Dental prevention would be monitoring during this period for prophylactic procedures and maintaining a correct oral hygiene

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As Catalyst Magazine-eating habits of the pregnant woman may interfere with oral health of the baby during pregnancy?/> Dr. Francisco Barata Ribeiro- pregnant should seek healthy foods. Between meals it is common for a power supply with “lanchinhos”, biscuits and snacks (with sugar), these should be replaced by fruits that perform AutoClean dental surfaces and do not contain sugar. The substitution of foods rich in carbohydrates and sugar for fruits and vegetables reduce the food of the bacteria that cause cavities and gum disease./> The B vitamins are very important to maintain the health of the tissues of the mouth, as the oral line and language. Folic acid (one of the B vitamins) is referenced in the prevention of the occurrence of cracks Palatine in newborns./> Already vitamin C, assists the pregnant woman to maintain a healthy gingiva during the gestation period. Calcium is important for the health of bones and teeth of the pregnant woman, as well as for the baby’s bones and teeth.

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if there is presence of pain during the surgery service, such as dental health professional must act?/> Dr. Francisco Barata Ribeiro- emergency treatments, such as “sore tooth” (pulpites and infections) can and should be treated at any period of gestation. The dentist is prepared and must perform some changes in dental therapy. Emergency dental treatments to relieve pain, swelling, bleeding or injections should be resolved as soon as possible, regardless of the stage of gestation. With current technologies occurs low radiation exposure to the fetus during the dental radiography. Shields and barriers will perform thyroid as protection both of the fetus, in the case of an event and need emergency dental care, where the trader deems necessary such supplementary examination

mode.

Catalyst Magazine- As the professional should act when faced with a case of medical emergency involving a pregnant patient?/> Dr. Francisco Barata Ribeiro- medical emergencies are rare situations in dentistry, however, may experience adverse reactions to drugs events in drug interaction function. Almost 80% of medical emergency situations in dentistry are related to fear, stress and anxiety. It is reasonable that the current embed in their practice Dentistry some sedation technique. But the most common medical emergency during pregnancy is the Supine Hypotension syndrome./> The hypotension in pregnant women can manifest itself in two ways:/postural Hypotension >- in the first trimester of gestation: usually occurs in the morning and the cause is unknown./> -postural hypotension syndrome: occurs late in the third trimester of gestation. When the pregnant woman remains in supine position for a brief period of time (3-7 minutes), shows signs and symptoms of Syncope. The probable cause is the compression of the inferior vena cava by the gravid uterus and/> decreased venous return of the lower limbs./> In dentist’s Chair, the pregnant woman must be positioned in a way higher for dental therapy, and avoid the positioning in the supine position./> For control of a Supine Hypotension in pregnant women, the patient should be positioned facing the left side, to relieve compression.

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the program “Healthy Mouth, healthy pregnancy” shows that 7% of patients examined have more serious problems, such as granuloma. As can be made more acute treatments of diseases that already there is some restriction of the use of certain medications in pregnant women?/> Dr. Francisco Barata Ribeiro- about 5 to 10% of women have some sensitivity to this hormonal increase, gingival that occurs during gestation. Consequently will present the growth of the tissue known as granuloma of gestation (pregnant tumor). This granuloma can begin to grow in the second trimester of gestation and is usually found in the gum between the teeth. He bleeds easily and has a reddish appearance, is small and does not cause any problem more seriously. The dentist must assess and decide whether expects the problem goes away after pregnancy or an intervention. The granuloma of gestation can become quite extensive and disrupt the pregnant woman in chewing, causing pain and high bleeding. If this happens, probably will be indicated by the dentist, the removal of granuloma (a small surgery).

Catalyst Magazine- what are the services that the program “Healthy Mouth, healthy pregnancy” offers on pregnant?/> Dr. Francisco Barata Ribeiro- Dental Service was introduced in 2003 with the purpose of monitoring the oral health of pregnant women interned on motherhood. We know the needs of the population with regard to dental care needs. Orient pregnant women about the importance of monitoring dental in gestation. In the second quarter or early in the third quarter may be carried out procedures that require the use of local anesthetics, certain medicines and although demande a longer stay in the Chair, where most of the approaches is safe, since the dentist will use local anesthetics and rinses the preventive clorexedina base. From this point, is held a screening for the service, i.e. a prophylaxis with prophylactic folder in four hemi-arcades, topical application of fluoride and closing pathological cavities as a preventive measure. Curative treatments are also performed, emergency treatment, i.e. do the monitoring of the pregnant woman during the stay in hospital./> A innovative attitude on the part of the direction of Hospital and Maternity Interlagos, São Paulo, even knowing that a small population has internet access, was deploying/> dental health Icon on the site of the institution. The purpose of the “Healthy Mouth, healthy pregnancy” is to perform an informative work, showing how clients should behave during the period of gestation with respect to oral health care./> Are presented modifications occurring in women, and as such changes may affect the dentition and oral cavity. Periodontal interventions conducted in pregnant women hospitalized, as removal of Tatars and the control of dental plaque, as well as prophylaxis.

Dr. Francisco Barata Ribeiro/> Professor of anesthesia and Sedation. Capacitated in Inhalation Sedation by University of Alabama-Birmingham. Capacitated in Parenteral and Enteral Sedation at the University of Southern California. Capacitated in Parenteral and Enteral Sedation by American Dental Society of Anesthesiology (ADSA). Master Level College of Sedation by the American Society of Dental Anesthesiology (ADSA)./> barata@aprendasedacao.com.br/>