There are times when women need to give special attention to their oral health. Most women are unaware of the potential detrimental effects ignoring oral health can have on them.
Oral health changes occur in women at the time of puberty, menstrual cycle and pregnancy. Average age of puberty is 11-14 years in women. During this period there is an increase in gram-negative anaerobes, especially Prevotella intennedia, which is associated with puberty gingivitis (inflammation of gums). Parents and the child should be educated about it; preventative care and oral hygiene instruction should be followed vigorously. Eating disorders like Bulimia and Anorexia are commonly seen in this age group. As a result of which erosion specifically on lingual surfaces of upper anterior (front) teeth is common finding.
Menses is a period during which many females experiences gingival (gums) inflammation and bleeding which seems to be aggravated by imbalance in sex hormones during this period. One should set up an appointment after 3-4 months in case of severe inflammation. Oral hygiene instruction should be stringently followed.
Pregnancy is the most amazing and beautiful experience of women’s life. Maintaining oral health during this stage of life is of great importance, as poor oral condition may affect your child oral health as well. Gingivitis is most common among pregnant women approximately 30% to 100 %. Gums will be swollen and bleed easily. Another common manifestation during pregnancy is Pregnancy tumor. It can be mild to severe. There will be inflammation and bleeding of gums in the anterior teeth. They are self healing. It will be resolved after parturition. In case during pregnancy if they tend to bleed during eating or talking they should be surgically treated. Any elective dental treatment should be avoided. It is advisable not to undergo dental treatment during first and third trimester; however second trimester is considered safe for the treatment. Any exposure to dental radiation should be avoided and if necessary than use of lead apron is mandatory.
Dr. Mohini Jigar Patel
Source: Carranza 9th Edition.