Document Detail

Referrals for dental care during pregnancy.
MedLine Citation:
PMID:  21429074     Owner:  NLM     Status:  MEDLINE    
Oral health is essential to overall health in the prenatal period. Pregnancy is not a time to delay dental care. Several studies have shown an association between periodontal disease and poor pregnancy outcomes including preterm birth. Interventions to provide periodontal treatment to pregnant women yield inconsistent results regarding preterm birth but have established the safety of periodontal therapy during pregnancy. Postpartum women in poor dental health readily transmit the tooth decay pathogen Streptococcus mutans from their saliva to their infants, resulting in increased risk of early childhood caries. Preventive services and treatment for acute problems should be recommended, fears allayed, and women referred. Dental radiographs may be performed safely with the use of appropriate shielding. Nonemergent interventions are best provided between 14 and 20 weeks' gestation for comfort and optimal fetal safety. Most gravid women do not seek dental care. Increased interprofessional communication to encourage dentists to treat pregnant women will reduce the number of women without care. In states where it is available, Medicaid coverage of dental services for pregnant women is typically allowed during pregnancy and for 2 months postpartum. Women's health providers should understand the importance of protecting oral health during pregnancy and educate their patients accordingly.
Megan K Kloetzel; Colleen E Huebner; Peter Milgrom
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2011-02-28
Journal Detail:
Title:  Journal of midwifery & women's health     Volume:  56     ISSN:  1542-2011     ISO Abbreviation:  J Midwifery Womens Health     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2011-03-24     Completed Date:  2011-06-09     Revised Date:  2013-09-05    
Medline Journal Info:
Nlm Unique ID:  100909407     Medline TA:  J Midwifery Womens Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  110-7     Citation Subset:  IM; N    
Copyright Information:
© 2011 by the American College of Nurse-Midwives.
Madigan Army Medical Center: Joint Base Lewis-McChord, WA 98431, USA.
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MeSH Terms
Dental Care / utilization*
Dental Caries / microbiology
Disease Transmission, Infectious / prevention & control
Oral Health*
Periodontitis / complications*,  prevention & control,  therapy
Pregnancy Complications / prevention & control*
Pregnancy Outcome
Pregnant Women*
Premature Birth / etiology
Preventive Dentistry
Referral and Consultation*
Grant Support
1U54DE019346/DE/NIDCR NIH HHS; R40MC03622//PHS HHS; U54 DE019346/DE/NIDCR NIH HHS; U54 DE019346-04/DE/NIDCR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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