Risk Assessement of Periodontal

Disease Pada Ibu Hamil

drg. Citra Lestari, MDSc., Sp. Perio
Mitos mengenai Kehamilan dan Gigi
TIDAK BENAR BAHWA SETIAP KEHAMILAN AKAN TERJADI KEHILANGAN
GIGI
KERUSAKAN GIGI YANG SUDAH ADA BARU BISA MENYEBABKANNYA

KALSIUM TIDAK DIAMBIL DARI GIGI IBU HAMIL

DIDAPATKAN DARI ASUPAN MAKANAN IBU DAN BILA TIDAK
MENCUKUPI MAKA DIAMBIL DARI TULANG IBU.
 Preterm Birth

Low Birth Weight Babies

Bacterial Vaginosis
Periodontal Gestational Diabetes
Disease and
adverse Preeclampsia
pregnancy
Miscarriage
outcomes
Intra Uterine Griwth Retardation (IUGR)

Preterm rupture of membrane (PROM)

Small for Gestational Age

Offenbacher and associates realized that Pregnancy and
Periodotal Disease have a bidirectional center
PRETERM BIRTH

• Normal gestation : 40 weeks

• Preterm Birth : < 37 weeks
• Late preterm birth : 34-36 weeks
• Very preterm birth : < 32 weeks
• Extremely preterm birth : < 28 weeks
Possible Biological Mechanism/Pathways associating periodontal diseases and
pregnancy complications
PREGNANCY AND SUSCEPTIBILITY TO GINGIVAL PYOGENIC
GRANULOMAS
PREGNANCY AND SUSCEPTIBILITY TO GINGIVAL PYOGENIC
GRANULOMAS
The second trisemester is the safest period for providing
routine dental care :
Local anesthetics are acceptable. Major
oral or periodontal surgery should be
postpone after delivery
The safety of dental radiography. When
radiograph are needed for diagnosis, the
most important aid for the patient is the
lead apron should be only the duration
Prescription
absolutely essential for the pregnant
patient's only after careful consideration
of potential side effetcts