Considerations for the orthodontic treatment during pregnancy

Abstract

Pregnant women are advised against doing many things during their pregnancy, from taking certain types of medication, to eating some foods. However, there is no real reason why pregnant women should not have orthodontic treatment. For pregnant women orthodontic treatment is typically considered to be a safe, but with some precaution. Some local and systemic conditions limit the treatment modalities. There are some considerations for pregnant women to take into account. Sensitivity is often heightened during pregnancy and this may mean that braces seem a little more uncomfortable than usual; it is also worth bearing in mind that most painkillers are off-limits during pregnancy and hence patient will have to battle through any pain without taking medication. Hormonal changes in the body during pregnancy can increase the risk of swollen, sore gums and braces may irritate the gums. Hormonal changes and drugs can affect the orthodontic tooth movement. If patient have braces are pregnant and have concerns about their braces, it is important for patients to see their orthodontist on a regular basis during pregnancy. [Downloaded free from http://www.jorthodr.org on Wednesday, June 24, 2015, IP: 91.5.122.230]

Orthodontic treatment during pregnancy, lactation, and postmenopausal period: a questionnaire development

“…22 However, few studies have assessed other aspects of orthodontic treatment, such as the care of pregnant, lactating, and postmenopausal women during oral health treatment. 2,22,23 Considering this gap, we verified the need to develop a construct that would assess more specific parameters of the level of knowledge of orthodontists about the care of women in these specific stages of their lives.…”

“…1 These patients seek orthodontic treatment in both their fertile and postmenopausal periods. [2][3][4] During different stages of life, such as during pregnancy, lactation, and postmenopausal period, women undergo major hormonal changes. During pregnancy and lactation, the woman's body is subjected to a high calcium demand due to the development of the fetus and milk production, with an increase in the production of prolactin.…”

A narrative review of the effects of vitamin D3 on orthodontic tooth movement: Focus on molecular and cellular mechanisms

“…Nevertheless, vitamin D3 is not exclusive to pregnant individuals; it also holds potential benefits for non-pregnant individuals who may be facing insufficient levels or a deficit of this vitamin, affecting both genders (Soni et al, 2015). Vitamin D3's role extends to stimulating osteoblast activity, a critical factor in stabilizing and enhancing the efficacy of OTM by promoting bone formation and remodeling (Sachan et al, 2013). A prior investigation disclosed that the intraligamentary injection of vitamin D3 in test subjects precipitated an appreciable 60% augmentation in the rate of OTM (Collins & Sinclair, 1988).…”

“…Vitamin D3's role extends to stimulating osteoblast activity, a critical factor in stabilizing and enhancing the efficacy of OTM by promoting bone formation and remodeling (Sachan et al., 2013 ). A prior investigation disclosed that the intraligamentary injection of vitamin D3 in test subjects precipitated an appreciable 60% augmentation in the rate of OTM (Collins & Sinclair, 1988 ).…”

Orthodontic care and management in pregnant women

“…It is recommended that the orthodontic treatment plan be coordinated with the gynecologist in order to set guidelines that enhance maternal oral health and perinatal outcomes. 3,22…”