The physiological changes of the gums and teeth in pregnant women

At the clinical level, these changes are represented by gestational salivation, hyperplastic the pregnancy. Resistant to medical treatment, epul in certain cases may persist even after childbirth and during lactation. The authors offer suggested conduct for each trimester of pregnancy. This advice for the first trimester is focused essentially on oral-dental hygiene and on the importance of a diet rich in the necessary components such as vitamins A, C and D, protein and phosphorous, and on the Harmfulness of tobacco for mother and child . In the second trimester, the efficacy of the hygiene measures will be evaluated by looking for oral-dental problems, which may be treated because the fetus has developed and the patient can withstand a treatment session without potential risks for the fetus. On the other hand, any major treatment must be pushed back until after childbirth. During the third trimester, the care of the patient must not overlook the vena caval syndrome which requires moving the patient to reestablish normal movement. Concerning medical treatment, certain antibiotics may be prescribed for inflammatory or infectious conditions. Iodine mouth rinses and NSAIDs are to be prohibited during pregnancy, but in an emergency, intervention is necessary regardless of the term of the pregnancy. The precautions to be taken are essentially pharmacological. gingivitis, cavities caused by deficient hygiene, tooth mobility observed during the third trimester of pregnancy, dental hypersensitivity and finally gestational epul which is a benign tumor hormone originating in the collar of the teeth and whose volume varies.