Guideline to Perinatal Oral Health Care

2161 Words9 Pages
NURS 605: HEALTH POLICY AND LEADERSHIP Learning Product 1: Guideline On Perinatal Oral Health Care Leslie K. Greager Metropolitan State University Dental caries, a multifactorial bacterial disease, can be transmitted from a parent to a child from the time of birth (ASTDD, 2012). It is during the perinatal period that oral hygiene practices are crucial in the prevention of dental disease. During pregnancy, women experience complex physiological changes such as diet, oral hygiene practices, and nausea and vomiting (morning sickness) which can adversely affect oral health. According to the Association of State and Territorial Dental Directors (2012), the prevalence of gingivitis during pregnancy ranges from 30 to 100 percent while the manifestations of periodontal disease during pregnancy range from 5 to 20 percent. Maternal periodontal infection may pose a possible risk factor for preterm deliveries, low birth weight babies, and preeclampsia (Guideline on Perinatal Oral Health Care, 2011). Expectant mothers with poor oral health and high levels of Mutans Streptococci (MS) and Lactobacilli (LB), the bacteria which generate acids from fermentable carbohydrates responsible for causing dental caries, pose a greater risk for infecting their children thus increasing the risk for childhood caries at an early age (Young, Buchanan, Lubman, and Budenz, 2006). The opportunity to improve perinatal oral health care for high risk mothers increases our ability to prevent dental disease in the expectant mother, to provide for optimal pregnancy and birth outcomes, and to decrease the potential for early childhood caries. The National Guideline Clearinghouse (2010) developed a guideline to “provide recommendations for perinatal oral health care, including risk assessment, anticipatory guidance, preventive strategies, and appropriate therapeutic interventions to be
Open Document