Pregnancy
It is important to maintain gum health during pregnancy. Forty percent of women develop gingivitis (inflammation) during pregnancy, and 10% develop pyogenic granuloma, a non-cancerous gum tumor. Gum disease can lead to a premature or underweight baby. It is safest to undergo dental treatment during the second trimester.

Diabetes
Patients with diabetes have decreased saliva which can cause a dry mouth and lead to soreness, ulcers, infections, and tooth decay. Thickened blood vessels prevent the gums from getting nutrients, leading to gingivitis (gum inflammation). There can also be a reduced ability to fight infection. Burning mouth and tongue due to yeast infection (thrush) is 20 times more likely in patients with diabetes who smoke. Prevention through routine visits to the dentist is important.

The following are recommended:
• Regular cleanings to prevent plaque buildup.
• Brush 30 minutes after each meal with a soft toothbrush.
• Control blood sugar levels.
• Floss and use mouth rinses.
• Quit smoking as difficult as this may be for you!
• Remove dentures at night.

Heart Disease
Bacteria in the mouth can cause clogged arteries leading to stroke and heart attack. People with heart problems or recent heart surgery may need antibiotics before a procedure to decrease oral bacteria.

The following are recommended:
• Regular cleanings to prevent plaque buildup.
• Brush 30 minutes after each meal with a soft toothbrush.
• Control blood sugar levels.
• Floss and use mouth rinses.
• Quit smoking as difficult as this may be for you!
• Exercise regularly.

Before radiation or chemotherapy
It is important to consider your dental needs if you are scheduled for radiation or chemotherapy.

Please consider the following:
• Evaluate your mouth one month before treatment begins.
• Treat low-grade infections including cavities, gum disease and tooth disease.
• Remove potentially problematic teeth that will be in the planned radiation field.
• Eliminate sources of irritation such as poorly-fitting dentures or orthodontic appliances.
• Learn about proper oral hygiene.
• Prevent demineralization and cavities. Insert prosthetics before bone is irradiated.