Less than optimal oral health care during pregnancy in Rhode Island women: oral health care as a part of prenatal care.

it is well-documented that hormonal and immunologic changes during pregnancy predispose women to various oral health problems including gingival/periodontal swelling or inflammation, tooth erosion, and dental decay.,, The receipt of preventive and therapeutic oral health services can prevent further complications of dental diseases during pregnancy and the postpartum period. Furthermore, current evidence-based research demonstrates the potential benefits of maintaining good oral health during pregnancy to control other common pregnancy complications, such as gestational diabetes and preeclampsia (pregnancy-induced hypertension). Studies have suggested that gingival or periodontal infection-related bacteria can adversely affect the glycemic control of gestational diabetes and the pathogenesis of preeclampsia.,, In addition, evidence shows that cariogenic bacteria are typically transmitted from mother to her child., Pregnant women and potential caregivers who have extensive past or current tooth decay should be advised during pregnancy about the use of fluoride, antimicrobial products such as xylitol and chlorhexidine, dietary control, and behavioral changes and techniques to reduce cariogenic bacteria transmission to their babies. The Rhode Island Oral Health Program promotes a dental visit for all pregnant women to obtain counseling on oral health care and dental hygiene, preventive services, and treatment needed during their prenatal care period. However, no report has yet been available to assess oral health care access and utilization status of Rhode Island’s pregnant women. The objectives of this report are to (a) document the most recent estimates of Rhode Island women who received dental care during their pregnancy, (b) determine the prevalence of oral health care education provision for women in their prenatal care period, and (c) discuss how Rhode Island can ensure that all women obtain appropriate oral health care and education during their prenatal period.