Rabinerson David, Krispin Eyal, Gabbay-Benziv Rinnat
Helen Schneider's Hospital for Women, Rabin Medical Center, Petah Tikva.
Harefuah. 2018 May;157(5):330-334.
Pregnancy is a period, in which, and due to hormonal changes, the prevalence of periodontal diseases rises. The causing organisms for these diseases may migrate to the uterus and cause premature delivery. The diet during pregnancy may also have a deleterious effect on the oral and dental health of the parturient woman, as well as to the teeth of her child. Some unique dietary, as well as pathological conditions, which may appear in pregnant women are known. These are referred to as pica and epulis. Physicians involved in taking care of pregnant women, such as dentists, obstetricians and family physicians, are normally reluctant to refer, or to perform dental care on a pregnant patient. The present review of the current literature suggests that there is no basis for this avoidance. This is because dental care has been found safe for both mother and fetus during the whole period of pregnancy. Furthermore, dental care is even recommended, if not mandatory, because it has been shown that such treatment may prevent early delivery and possible future damage to the newborn's teeth. Considering the lack of knowledge among those who are responsible for the welfare of both the mother and the fetus during pregnancy, we suggest a publication of an official recommendations paper for dental care during pregnancy, which will be issued by the relevant professional medical societies in Israel.
孕期是一个由于激素变化导致牙周疾病患病率上升的时期。这些疾病的致病微生物可能迁移至子宫并导致早产。孕期的饮食也可能对产妇的口腔和牙齿健康以及其孩子的牙齿产生有害影响。已知一些可能出现在孕妇身上的独特饮食及病理状况。这些被称为异食癖和龈瘤。参与照顾孕妇的医生，如牙医、产科医生和家庭医生，通常不愿为孕妇转诊或提供牙科护理。对当前文献的综述表明，这种回避没有依据。这是因为在整个孕期，牙科护理已被证明对母亲和胎儿都是安全的。此外，即使不是强制性的，牙科护理也是被推荐的，因为已表明这种治疗可能预防早产以及对新生儿牙齿可能造成的未来损害。鉴于在孕期负责母亲和胎儿福利的人员缺乏相关知识，我们建议由以色列相关专业医学协会发布一份关于孕期牙科护理的官方建议文件。
