Congratulations! Your pregnancy is a time of joy and excitement—and a time to take special care of yourself. You’ve discovered that pregnancy brings many physical changes, but it may still come as a surprise to learn that pregnancy hormones can affect your oral health as well. What should you look out for?

Gingivitis

Beginning in the second or third month of pregnancy, your gum tissue may show signs of gingivitis. Pregnancy hormones can cause an increase in the blood supply to your gums and affect the way your gums respond to plaque. These changes may lead to gums that are swollen, red and more likely to bleed upon brushing. This early form of gum disease should be treated as quickly as possible to avoid a more serious condition called periodontitis.

Periodontitis

Without treatment, the inflammation caused by gingivitis can increase. Periodontitis can lead to gums pulling away from the teeth, creating “pockets” that can be home to infection. These infections can lead to bone and tooth loss, so professional treatment is a must.

Pregnancy Granulomas

If you find a dark red swelling along the gumline or between two teeth, it might be a pregnancy granuloma. These granulomas are thought to be triggered by pregnancy hormones and may be a reaction to plaque or some other irritant. They often disappear once your baby is born and usually don’t cause any bother, but if you develop discomfort eating or speaking, your dentist might suggest removal.

You are looking for every way possible to provide your baby with the best start in life, so it is important to know that some studies have suggested a link between periodontal disease in pregnancy and complications such as pre-term delivery and low birth weight. Here are some important ways to maintain your oral health during pregnancy:

• Call Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying when you find out you are pregnant. We have suggestions for your dental care that you can use immediately.
• Keep to your regular schedule of dental examinations and cleanings at our Hiawatha, IA office. If you find your gums beginning to show signs of gingivitis, call our office for an appointment. You might need to have your teeth cleaned more often during your pregnancy to avoid plaque buildup.
• Maintain your daily dental hygiene. Be sure to carefully brush along the gumline to discourage plaque formation. If you have not switched to a soft bristle toothbrush, now is the time! Talk to us about possible rinses or other at-home treatments.
• See a periodontist if needed for more serious gum problems.

Your pregnancy is a time to treat yourself and your baby with care. Talk to our office as soon as you find out you are pregnant. Making your dental health a priority can bring rewards both now and in the future, and we welcome the opportunity to suggest the best possible ways to care for yourself and your baby!

Our teeth perform several vital roles for us. We use them to bite and chew, to help form words, to support our facial structure. And never underestimate the power of a smile!

But once you try to expand that job description, you are asking for trouble. Using your teeth for tasks they were not designed for is a game no one wins. What are some of the worst moves you can make? Putting your teeth into play as:

• Ice Crushers

Crunching hard objects like teeth and ice cubes together can have one of two results—the ice will give, or your tooth will. If your tooth is the loser, you can expect cracks, fractures, worn enamel, and even dislodged crowns and fillings. If you’re tempted to chew on the ice in your drinks, try asking for a straw or using slushy ice instead. (The craving for ice can also be a symptom of other medical conditions—check with your doctor for more on that subject.)

• Bottle Openers

If ice vs. teeth is a bad idea, metal vs. teeth must be a really bad idea. Those sharp hard metal caps can be difficult to remove even with a bottle opener. Don’t take a chance on chipped, fractured teeth and lacerated gums to get to that beverage faster/work around a lost opener/impress your friends.

• Nut Crackers

Just because nuts offer more protein than ice doesn’t make their shells any safer to crack with your teeth. Besides the danger of fractured teeth and eroded enamel, biting on whole nuts can produce sharp splinters of shell that can damage delicate gum tissue. By all means, enjoy nuts—they pack a lot of nutrition in a small package. But buy them already shelled, or invest in a nutcracker.

• Cutting Tools

Teeth aren’t meant to be scissors or utility knives. Even if you are trying to bite through the top of a relatively soft bag of chips, or a piece of duct tape, or a tag that just won’t come off your new clothes, you are putting pressure on your teeth in ways that they are not meant to handle. Don’t take a chance on chips and fractures.

• A Helping Hand

Using your teeth to hold the straps of your heavy bag, or the leash of your well-trained pet—what could go wrong? How about an awkward fall? Or a squirrel? Or something that might possibly be a squirrel? Any fall or force that applies violent pressure to your teeth and jaw is a potential for dental disaster.

• Stress Relief

You might grind your teeth or bite your nails whenever you feel nervous. Please find another form of stress relief! Grinding and clenching the teeth can lead to worn enamel, jaw pain, broken teeth and restorations, and a host of other problems. Biting fingernails is not only hard on your nails, but also introduces bacteria into your mouth and can cause damage to your tooth enamel.

If you grind your teeth at night, ask Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying about a nightguard during your next visit to our Hiawatha, IA office.

This is real life, and you really don’t want to be playing “Tooth or Dare” with your dental health. Use your teeth for what they were designed for, and you’ll take home the grand prize—a lifetime supply of beautiful, healthy smiles.

A lot of patients go at their teeth like they were sanding an old floor—that is to say, way too hard! Brushing too hard is probably the most common mistake patients make in their oral care routine, and it can be detrimental to the gums and teeth.

What can brushing too hard cause?

• Receding gums
• Bone loss around teeth
• Loss of teeth
• Tooth sensitivity, especially to hot and cold
• Worn down enamel

Brushing too hard wears away at your gums, which can lead to the neck of the teeth being exposed. This part of the tooth isn't covered by hard enamel like the rest of the tooth and hence the soft inner layer, or dentin, is exposed. Dentin is very sensitive to hot and cold and much more susceptible to bacterial decay. Once the gums recede due to improper brushing, it’s usually irreversible.

How to brush your teeth properly

You know you're supposed to brush your teeth twice a day, so why not do it right? First and foremost, you should only ever brush with a soft bristled brush—not medium or hard—unless directed otherwise by Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying. Unless you have braces or specific oral health issues, brushing twice a day for two minutes is usually plenty.

The main purpose of brushing is to remove plaque from your teeth and gums. Plaque is actually soft and is a buildup of bacteria, saliva, and food debris. You really don't need to brush hard to remove it, just make sure you aim your toothbrush at the gum line (where plaque grows) and brush in small circular motions, never a back-and-forth motion.

It's also wise to hold your toothbrush gently. People tend to brush harder the tighter they hold their toothbrush.

Still have questions about proper tooth brushing technique or gum health? Ask any staff member or Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying during your next visit to our Hiawatha, IA office; we'd be happy to help!

Is there a link between oral health and heart health? This is a question that has been receiving a lot of attention in recent studies. While as yet there is no definitive study that proves oral health has an effect on overall heart health, there is also no definitive proof that oral health doesn’t affect heart health. So, what do we know, and, just as important, what should we do?

What do we know? One clear connection exists between gum disease and endocarditis, a rare, but potentially very serious, infection. When we neglect our gums, they bleed more easily. When gum disease advances, the gums pull away from the teeth. This creates pockets which can harbor more bacteria and plaque, leading to infection and even tooth and bone loss. And this bleeding and infection can be serious not only as a matter of dental health, but for your heart as well.

Endocarditis is an infection of the inner lining of the heart and the heart valves. When bacteria from other parts of the body, including your mouth, make their way into the blood stream, they can attach themselves to damaged areas of the heart. The resulting infection can become very serious, very quickly. If you have damaged heart valves or artificial valves, have an artificial heart, or have any type of heart defect, it is especially important to prevent gum disease from developing. Regular dental care will help prevent bleeding gums and infections, and reduce the danger of oral bacteria entering the bloodstream. Always let us know if you have any issues with heart health, and we will tailor our treatment for all of your procedures accordingly.

What else might link oral health and heart disease? Because an increased risk of heart disease has been found in patients with moderate or severe gum disease, there has been much speculation as to a possible cause-and-effect connection. For example, the plaque inside arteries which leads to heart attacks has been found to contain certain strains of periodontal bacteria. Other studies have searched for a causal relationship between inflammation resulting from gum disease and inflammation leading to heart disease.  The body’s immune response to periodontitis and its potential consequences for heart health have also been examined. So far, there has been no clear evidence that treating gum disease prevents the occurrence or recurrence of heart disease.

So what should we do? This is the easy part. Keeping your gums and teeth healthy will increase your quality of life in immeasurable ways. And it’s not difficult! Regular brushing, flossing, and dental exams and cleanings at our Hiawatha, IA office are the key to lasting oral health. If this also keeps your heart healthy, that’s the best possible side effect.