Die Notwendigkeit der Zusammenarbeit zwischen Gynäkologe und Zahnarzt in der Schwangerschaft

1991 
: The causes of tooth and gum disorders during pregnancy and possible prevention measures are discussed. The evaluation of a nation-wide survey comprising 700 pregnant women reflects the women's respective scope of knowledge in respect of mouth and tooth hygiene, 357 of the 700 women included in the investigation had no dental treatment in the course of their pregnancy. 57.7% showed incidence of gingivitis during gestation. 70.9% were not instructed regarding mouth and tooth hygiene in the respective period and 81.7% did not receive any written material on this topic. 41.3% of the respondents did not seek information on matters of mouth and tooth hygiene and 44.3% stated that they felt that their knowledge in these matters was sufficient. When questioned about the causes of the bad state of their teeth, 28.4% stated an actual cause (insufficient tooth hygiene, excessive sugar consumption). 262 (37.4%) suffered from morning sickness, 45% of these women (n = 118) stating that they subsequently brushed their teeth. 45.6% used their toothbrush for a period of six months and 67.9% had no knowledge of fluoride treatment. These findings high-light the need for more information for the prevention of tooth decay and more information on mouth and tooth hygiene during pregnancy. It is suggested to supplement pregnancy guidelines by including two visits to the dentist as an integral part of antenatal checkups.
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