Obstet Gynecol. 2013 Aug;122(2 Pt 1):417-422. doi: 10.1097/01.AOG.0000433007.16843.10.
Oral health is an important component of general health and should be maintained during pregnancy and through a woman's lifespan. Maintaining good oral health may have a positive effect on cardiovascular disease, diabetes, and other disorders. In 2007-2009, 35% of U.S. women reported that they did not have a dental visit within the past year and 56% of women did not visit a dentist during pregnancy. Access to dental care is directly related to income level; the poorest women are least likely to have received dental care. Optimal maternal oral hygiene during the perinatal period may decrease the amount of caries-producing oral bacteria transmitted to the infant during common parenting behavior, such as sharing spoons. Although some studies have shown a possible association between periodontal infection and preterm birth, evidence has failed to show any improvement in outcomes after dental treatment during pregnancy. Nonetheless, these studies did not raise any concern about the safety of dental services during pregnancy. To potentiate general health and well-being, women should routinely be counseled about the maintenance of good oral health habits throughout their lives as well as the safety and importance of oral health care during pregnancy.
口腔健康是整体健康的一个重要组成部分,应在怀孕期间和女性的整个生命周期中得到维护。保持良好的口腔健康状况可能对心血管疾病、糖尿病和其他疾病产生积极影响。在 2007-2009 年,35%的美国女性报告称,她们在过去一年中没有进行过牙科就诊,56%的女性在怀孕期间没有看过牙医。获得牙科保健服务与收入水平直接相关;最贫困的妇女最不可能接受过牙科保健服务。在围产期期间,产妇口腔卫生达到最佳状态,可能会减少常见育儿行为(如共用勺子)中传递给婴儿的致龋口腔细菌数量。尽管一些研究表明牙周感染与早产之间可能存在关联,但证据未能表明在怀孕期间进行牙科治疗后能改善母婴结局。尽管如此,这些研究并未对怀孕期间进行牙科服务的安全性提出任何担忧。为了促进整体健康和幸福感,应该定期向女性提供有关终生保持良好口腔健康习惯的咨询,以及在怀孕期间进行口腔保健的安全性和重要性的咨询。