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Oral Health: Why It’s Important andWhat Healthy Start CommunitiesCan Do to Improve ItJolene Bertness, M.Ed., CHESHealthy Start EPIC CenterApril 7, 20153:00 p.m. to 4:00 p.m. ETPhoto Source: Christiana Care Flickr CC BY-NC-SA 2.01
OverviewDuring this presentation, you will be learning aboutthe following: Importance of oral health duringpregnancy and infancy Reasons pregnant women do notseek or receive oral health care Oral health issues faced duringpregnancy Strategies for improving andmaintaining oral health duringpregnancy and infancyPhoto Source: Thinkstock 2
Importance of Oral Health DuringPregnancy and Infancy Healthy mother– Oral health is important to mother’s overall healthand healthy pregnancy Healthy baby– Bacteria that cause tooth decay can be passedfrom mother to baby– Not enough evidence to support theory that gumdisease causes premature births and/or lowbirthweight babies3
Pregnant Women and Oral Health4 out of 10 pregnant women have tooth decayand/or some form of gum diseaseSource: Azofeifa A, Yeung LF, Alverson CJ, Beltran-Agular E. 2014. Oral health conditions and dental visits amongpregnant women and nonpregnant women of childbearing age in the United States, National Health and NutritionExamination Survey, 1999–2004. Preventing Chronic Disease: Public Health Research, Practice, and Policy. 11(E163):1–10.Photos Source: Thinkstock 4
Percent of Pregnant Women Having aDental Appointment in Previous YearBy Age80%By %30%20%20%10%10%0%0%15–2425–3435–44 100100-199 199Percent of Poverty LevelSource: Azofeifa A, Yeung LF, Alverson CJ, Beltran-Agular E. 2014. Oral health conditions and dental visits among pregnant womenand nonpregnant women of childbearing age in the United States, National Health and Nutrition Examination Survey,1999–2004. Preventing Chronic Disease: Public Health Research, Practice, and Policy. 11(E163):1–10.5
Percent of Pregnant Women HavingPreventive Care as Main Reason for DentalVisitBy AgeBy %20%20%10%10%0%0%15–2470%25–3435–4455%41% 100100–199 199Percent of Poverty LevelSource: Azofeifa A, Yeung LF, Alverson CJ, Beltran-Agular E. 2014. Oral health conditions and dental visits among pregnant womenand nonpregnant women of childbearing age in the United States, National Health and Nutrition Examination Survey,1999–2004. Preventing Chronic Disease: Public Health Research, Practice, and Policy. 11(E163):1–10.6
Reasons for Not Seeking or ReceivingOral Health Care During Pregnancy Do not understand that oral health isimportant to a healthy pregnancy Believe that poor oral health duringpregnancy is normal Afraid that baby may be hurt by xrays, local anesthesia, painmedications, or dental treatment Cannot find a dentist willing to treatpregnant womenPhoto source: Thinkstock 7
Common Oral Health Issues DuringPregnancyHealthy mouthPeriodontitisPregnancy gingivitisModerateSeverePhoto sources: Dozenist Wikipedia CC BY-SA 3.0 (upper left), Parveen chopra Flickr CC BY-NC 2.0 (lower right)8
Other Possible Oral Health IssuesDuring PregnancyPregnancy tumorTooth erosionDry mouthPhoto Sources: Medico @ www.medeco.de (left), Jeffrey Dorman Wikimedia Commons CC BY-SA 3.0 (upper right),Virginia Helena Quadrado @ e-nunca-comentado (lower right)9
Other Possible Oral Health IssuesDuring PregnancyOral Health Effects of IronDeficiency Anemia Burning sensation in the mouthand tongue Fungal infections in the mouth Tongue redness and swelling Sores and pale tissue in themouthPhoto source: Thinkstock 10
Fact or Fiction Lose a tooth for everypregnancy Baby takes calciumfrom mother’s bonesand teeth Others?Photo source: Thinkstock 11
Oral Health Messages to Share withPregnant Women Get oral health care Practice good oral hygiene Eat healthy and nutritiousfood Practice other healthybehaviorsPhoto Source: Thinkstock12
Get Oral Health Care Receiving oral health care during pregnancy issafe, including:– X-rays– Pain medication (e.g. aspirin)– Local anesthesia (e.g. Novocain) Let dental office know you’re pregnant and whenyou are due Get needed oral health care before baby is born13
Practice Good Oral Hygiene Drink fluoridatedwater throughout theday Brush teeth usingfluoridated toothpastetwice a day Floss teeth once a dayPhotos Source: Thinkstock 14
Practice Good Oral Hygiene Rinse nightly with an over-the-counter, alcoholfree, fluoride mouth rinse After eating, chew gum with Xylitol to reduce theamount of bacteria that cause tooth decay After vomiting, rinse mouth with a teaspoon ofbaking soda in a cup of water to neutralizestomach acids in mouth15
Practice Good Oral HygieneDry Mouth: Sip on water or suck on ice chips Avoid alcohol, tobacco, andcaffeine Chew sugar-free gum or suck onsugar-free mints Avoid salty or spicy foods Use a humidifier at night Consider using over-the-countersaliva substitutes Talk to dentist or dental hygienistPhoto Source: U.S. Food and Drug Administration16
Eat Healthy and Nutritious Meals Eat a variety of healthy foods Eat fewer foods high in sugar likecandy, cookies, cake, and driedfruit Read labels to identify foods highin sugar Drink fewer beverages that contain sugar, like fruitflavored drinks or pop/soda Drink water throughout the day, especially betweenmeals and snacksPhoto Source: Pixabay17
Practice Other Healthy Behaviors Attend prenatal classesStop tobacco and recreational drug useAvoid secondhand smokeStop alcohol usePhoto Source: U.S. Department of Agriculture18
Strategies to Help Pregnant WomenAchieve and Maintain Good Oral HealthEducation Strategies: Include oral health in prenataland perinatal home visits Host oral health baby showers Arrange “Ask a Dentist/DentalHygienist” events for pregnantwomen Use informational interviewingstrategies to educate andmotivate pregnant womenPhoto Source: Thinkstock 19
Strategies to Help Pregnant WomenAchieve and Maintain Good Oral HealthCase Management Strategies: Identify local oral healthproviders willing to seepregnant women and makereferrals Help pregnant women overcome emotional andphysical barriers to receiving oral health carePhoto Source: Thinkstock 20
Strategies to Help Pregnant WomenAchieve and Maintain Good Oral HealthPartnership/CollaborationStrategies: Partner with local WIC agencies Partner with local dentalsocieties Partner with local obstetrics andgynecology societies Collaborate with perinatalprogramsPhoto Source: Thinkstock 21
Resources for Healthy Start Staff Bright Futures in Practice: OralHealth—Pocket Guide (2nd ed.) Oral Health Care During Pregnancy:A National Consensus Statement Module 5: Oral Health and thePregnant Patient in Smiles for Life: ANational Oral Health Curriculum Open Wide: Oral Health Training forHealth Professionals22
Resources for Pregnant WomenEnglish and Spanish Two Healthy Smiles: Tips to KeepYou and Your Baby Healthy A Healthy Smile for Your Baby:Tips to Keep You and Your BabyHealthy A Healthy Smile for Your YoungChild: Tips to Keep Your ChildHealthy Tips for Good Oral Health DuringPregnancy23
Questions?Photo Source: Thinkstock 24
Contact InformationJolene Bertness, M.Ed., CHESEmail: Jolene.Bertness@georgetown.eduPhone: (202) 784-955425
National Maternal and ChildOral Health Resource CenterContact InformationPhone: (202) 784-9771Email: OHRCinfo@georgetown.eduWebsite: http://mchoralhealth.org26
Wrap Up and Reminders Upcoming Webinars:– Care Coordination & the Healthy Start Communityon April 14 from 3:00 – 4:30 PM EST– Using Doulas As a Resource for Case Managementon April 21 from 3:00 – 4:00 PM EST– Reproductive Life Planningon April 28 from 3:00 – 4:00 PM EST– Centering Pregnancy and Centering Parenting: Innovative modelsfor prenatal, well-woman, and well-baby careon April 30 from 3:00 – 4:00 PM EST EPIC Center website: http://www.healthystartepic.org– Includes all recorded webinars, transcripts, and slide presentations27
Apr 07, 2015 · 4 4 out of 10 pregnant women have tooth decay and/or some form of gum disease . Pregnant Women and Oral Health . Source: A
