Can I use listerine mouthwash? I used it a couple of times before I realised it has alcohol now I am scared I might have done damage to the baby. I'm a vegan mom, so try to use Jason or Tom's mouthwash. I know fluoride is harmful for you, basically poison. And it's fairly common to have mouth related issues during pregnancy, just make sure you are brushing and keeping up with hygiene and you and your LO will be fine!
Definitely be gentle brushing and try to brush times a day. I Using listerine when pregnant found a soft toothbrush helps, tooth paste with no whitening agents such as Toms, or a gentle baking soda based paste. Data Sex pictures of kappa mikey monitoring plan A Data Safety Monitoring Plan Using listerine when pregnant an independent Data Safety and Monitoring Board DSMB have been developed and established to ensure the safety of research participants and the validity and integrity of data. For continuous variables, such as periodontal code, birth weight gramgestational age week will be compared using t-tests, or non-parametric equivalents for non-normally distributed variables. A sample of in each arm of the study women in early pregnancy with periodontal disease will be recruited for the study. In a small, sturdy bag, pack the following:. Gupta SK. The Indisputable Power od a smile Can be yours, by following these 5 simple steps.
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Has anyone else experienced this? He was a very very very old doctor and I laughed when I left. No other reason. Unmanaged periodontal disease allows bacteria to travel from the mouth through Using listerine when pregnant cardiovascular system, and even potentially to the foetus. This Day in History. Always Using listerine when pregnant panic about something. Fingernail full of feta, anyone? Is it safe to breastfeed during pregnancy? What actually scares me about these things is that the people who buy into these things are rarely satisfied with just following these panics themselves. Angle the brush toward the gumlines to stimulate the gum tissue as well as to remove anaerobic bacteria along the gumlines.
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Can I use listerine mouthwash? I used it a couple of times before I realised it has alcohol now I am scared I might have done damage to the baby. I'm a vegan mom, so try to use Jason or Tom's mouthwash. I know fluoride is harmful for you, basically poison. And it's fairly common to have mouth related issues during pregnancy, just make sure you are brushing and keeping up with hygiene and you and your LO will be fine! I usually use the regular Colgate and my gums bleed sooo badly. It looks like a murder scene!
Even before pregnancy I always had that problem with bleeding gums from brushing. I decided to get toms toothpaste and tried it for the first time on Sunday and my gums havent bled at all since! Is this just a coinsidence? No definitely not! Fluoride is absolutely poisonous for you, so keep use the anti fluoride toothpastes and mouthwash. It's so much better for your health!
I discovered the same exact thing, and haven't turned back since! I used it a few times last week because the side of my gum seemed inflamed. Once the inflammation settled down. I switched to just salt water. I use listerine daily. You're not ingesting it, so I really don't see what the big deal is.
I know that everything is trying to offer good advice, but please take the "fluoride is poison" advice with a grain of salt. My doctor told me this morning to use Listerine, but I do use an alcohol-free mouthwash.
Please please do schedule a dentist appointment ASAP since gingivitis is related to some pregnancy complications. I literally had this exact conversation with my doctor about gingivitis, not alcohol-based mouthwash about two hours ago.
She told me:. Brush twice daily, especially before you go to bed. Don't let yourself fall asleep without brushing, because the bacteria in your mouth go to town once you fall asleep. I wouldn't worry too much about your past use of alcohol-based mouthwash. Just ask a dentist or doctor. And I really wouldn't buy into the fluoride-is-poison thing. Science doesn't support it. I have chronic gingivitis just because I have crappy enamel, and Tom's just doesn't work for me.
Same exact story for my husband. Every doctor and dentist recommends a fluoride-based mouthwash. It's not poison. I'm sure PP is trying to be helpful, though. I'm sure you didn't hurt your baby. You aren't drinking the mouthwash that has alcohol in it.
I'd suggest you get your doctor's thoughts as well and switch to an alcohol free brand for your peace of mind. And the talk about fluoride being poison is nutty. Yes, you are not supposed to swallow fluoride toothpaste because it's super concentrated but using it on your teeth to prevent cavities is important for dental health. I use and have always used ACT fluoride mouthwash. Listerine just seemed SO strong to me I would have to water it down!
I have great oral health and have never in my life had bleeding gums and any teeth issues. I use it in addition to flossing daily and of course brushing x a day with a fluoride toothpaste also. The dentist I used to work for would always recommend ACT to everyone! Thank you for all of your suggestions really out my mind at ease. I called my Obg this morning and he said as long as we do not swallow it you can use mouth rinse everyday.
I just asked my midwife if mouthwash was safe and she said yes. I trust her research and judgement. My advice, if you're unsure, is to ask your doc or midwife and make your decision. But IMO if you aren't drinking it, you're fine. It's in your mouth for such a short time, not much will be accidentally swallowed or absorbed by your gums.
The poison bit is a little dramatic in my opinion. As long as it's not ingested, you're okay. I had an appt yesterday and was told Listerine was okay to use while pregnant as long as it isn't swallowed.
Yes, fine to use. Like the others have said your aren't drinking it so you are good to go. Minimal amounts of Fluoride is actually good for you. It is in my water where I live. And when I say minimal I mean minimal. He did give me this great little handheld tool that just has this rubber teardrop looking topper, where the top of the teardrop is used to massage your gums.
Another suggestion is applying a little extra pressure with your floss when you can. The rubber tool is definitely helping though! I've had bleeding gums off and on for years due to autoimmune issues. I have found a soft toothbrush helps, tooth paste with no whitening agents such as Toms, or a gentle baking soda based paste.
You can also look for mouth wash intended for gum problems that can really help. I'm 39 and have no cavities thanks to fluoride over the years so don't listen to the mellow drama about it being poison. Definitely be gentle brushing and try to brush times a day. It will get better!
I am a hygienist. Please see your dentist for an exam and your hygienist for a cleaning ASAP. It is safe during pregnancy. You're gums are bleeding because you have calculus buildup under your gums. They can not heal until a professional gets it out. When you have previous gum disease and then get pregnant, the gum disease gets worse and can lead to pre-term labor. The alcohol is not in there to kill the germs. It is there as a delivery method for the "natural" essential oils.
They are what kills the germs. The original Listerine is the only mouthrinse approved by the ADA for reducing plaque and gingivitis. Finally, don't listen to people who say fluoride is poison. The benefit far outweighs the risks Always ask your dental team what you should be using that would be best for you. H by HappyFirstbaby. So I used Listerine today for the first time and was thinking about the harm of alcohol in mouthwashes.
We don't drink this alcohol but I was thinking that it can go in through the skin, gums and tongue. So there is still harm. I am planning February Babies. Bookmark Discussion. Reply Close. Sort by: Oldest Newest 17 Posts. L Lovelylifelfashxo. O OOoohh Baby. S SEdan B BugAndThePeanut. In September Babies Alcohol in mouthwash H by HappyFirstbaby So I used Listerine today for the first time and was thinking about the harm of alcohol in mouthwashes.
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I'm planning to use the cool mint to hide my child's buzz when I give birth. Now, I rarely use mouthwash, so I am not too worried about the mouthwash that I have used thus far and the little bit of alcohol that I may have consumed. Avoid panic if you have been using mouthwash with alcohol. Is this true? September 29, at pm. Colin Summers September 29, at am. Alcohol tends to irritate your gums and has no beneficial effect.
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Is it safe to use mouthwash during pregnancy? | BabyCenter
Poor oral health, such as periodontal gum disease, has been found to be associated with an increased risk of adverse pregnancy outcomes including preterm birth, low birth weight, and neonatal and infant mortality, especially in low-and middle-income countries.
This is a randomized controlled clinical trial. A sample of in each arm of the study women in early pregnancy with periodontal disease will be recruited for the study. Periodontal disease will be diagnosed through the methods of Periodontal Screening and Recording. All women diagnosed with periodontal disease will be randomly allocated into the intervention or control group.
Women assigned in the intervention group will be provided with non-alcohol antimicrobial mouth rinse containing cetylpyridinium chloride throughout the pregnancy and oral health education. Women in the control group will receive a package of tooth brush and paste, plus oral hygiene education. Women will be followed-up to childbirth until the 42nd day postpartum. The main outcomes include mean birthweight gram and mean gestational age week. If the mouth rinse is confirmed to be effective, it would demonstrate great potential for the application in other low- or middle-income countries to prevent adverse birth outcomes such as preterm birth and low birth weight and to reduce neonatal and infant mortality.
Adverse birth outcomes, such as preterm birth and low birth weight, are the primary causes of infant morbidity and mortality in both developed and developing countries. Life course theory suggested negative birth outcomes including low birth weight and pre-term birth have lifelong effects, increasing the risk of chronic disease in adulthood [ 3 ].
As one of the developing countries, China is ranked as having the second highest after India number of neonatal and infant deaths in the world [ 4 ]. To tackle with and reduce the negative birth outcomes is an urgent task of achieving Millennium Development Goals and reducing susceptibility of adulthood chronic disease worldwide including China. Systematic reviews have shown poor oral health, such as periodontal disease, is associated with an increased risk of adverse birth outcomes including preterm birth, low birth weight etc.
But, several randomized controlled trials failed to show a significant reduction in preterm birth and low birth weight as a result of standard periodontal treatment in pregnant women with periodontitis [ 12 — 14 ].
As the standard therapy of periodontal disease, the scaling and root planning SRP during pregnancy itself possibly causes bacteremia thereby triggering a systemic inflammatory response, which may lead to adverse pregnancy and birth outcomes [ 15 , 16 ].
Due to the safety reasons during pregnancy, the frequency of periodontal treatment are often restricted, with only one or two therapy courses, which might not sufficient to prevent the progression of periodontal disease [ 15 , 17 ].
Therefore, it might be the SRP treatment itself that causes a failure of treating periodontal inflammations during pregnancy as well as preventing adverse birth outcomes.
A simple, affordable and practical oral health care to prevent the progression of periodontal disease is needed. A recent clinical trial conducted in the U. Antimicrobial mouth rinse containing CPC is an attractive approach for gestational oral health care as its inexpensive cost and the capability of reducing bacterial plaque, gingival inflammation and periodontal disease without additional periodontal intervention [ 21 ].
In addition, it is easy to be implemented without the requirement of the operation by dental professionals [ 21 ]. However, this mouth rinse intervention has not been tested to prevent adverse birth outcomes in low resource settings, like in rural regions of China.
The objective of this study is to develop and test aMRI among pregnant women to prevent the progression of periodontal disease during pregnancy and reduce adverse birth and neonatal outcomes in a rural county of Jiangxi Province, China. The primary outcomes are mean birth weight grams and mean gestational age weeks.
The secondary outcomes are periodontal index determined by the total code of periodontal examination in each sextant of the mouth, compliance of the use of antimicrobial mouth rinse, and rate of admission to Neonatal Intensive Unit NICU.
This is a randomized controlled trial. Pregnant women less than 20 gestational weeks are eligible to participate in a quick periodontal disease screening. Women who meet the criteria and are diagnosed with periodontal disease will then be randomized into two groups: an intervention or MRI group, versus a control group. Leping County locates in the southeast China, with a population of , There are both prenatal health care and dental clinic in the hospital.
Recruitment will be conducted among pregnant women attending prenatal health care at the hospital. All women attending prenatal health clinics, with less than 20 gestational weeks, will be approached and invited to participate in the study by research nurses. If pregnant women agree to participate in the study, they will be assessed for the eligibility. Eligible women will be provided with a free dental examination for screening periodontal disease. Women who meet the criteria of periodontal disease will be randomized into the intervention and control groups.
Written informed consent will be obtained from each participant before the randomized group allocation is revealed. Without reproductive disease such as infertility, and sexually transmitted diseases including syphilis, gonorrhoeae, trichomonas, mycotic vaginitis.
Random allocation to either the intervention or control group is decided by a computer generated random number. The group allocation will not be concealed until pregnant women have completed the dental examination, identified with periodontal disease and signed the informed consent. Research nurse will unseal the opaque envelopes and inform the women about the group allocation. Women in the intervention group will be provided with free mouthwash alcohol-free antimicrobial mouth rinse containing 0.
This rinse mouthwash has been used in a study among pregnant women and has proved to be safe [ 21 ]. Pregnant women will be provided with the rinse mouthwash from the prenatal health care clinic at each month when they have the prenatal check-up. At the third trimester between 32 and 35 gestational weeks women in the intervention group will be requested to have dental re-examination.
If women have preterm delivery prior to 32 gestational weeks, the measurement within two days of childbirth will be used to reflect the periodontal status during late pregnancy.
Women in the control group will not receive antimicrobial mouth rinse but will instead receive a package consisting of tooth brush and paste, plus oral hygiene education.
In the third trimester, women in the control group will be also asked to have a periodontal re-examination. Prior to the periodontal examination, a questionnaire will be administered to collect information such as demographics, socio-economic status, medical and obstetric history, and oral hygiene, stress, etc.
We will use a rapid Periodontal Screening and Recording PSR [ 22 ] tool for screening and identifying pregnant women with periodontal disease. PSR, developed by the American Academy of Periodontology, was a simple screening method for periodontal disease.
In this method, the mouth is divided into sextants, using a ball tipped probe with a color-coded area 3. The dentist inserts the probe into the periodontal pocket, walks around the circumference of each tooth, and observes the position of the color-coded band in relation to the gingival margin. Only the highest code obtained is recorded, representative for the code of the sextant it belongs to. Measurements are recorded in a special box chart [ 22 — 24 ]. Participant with at least one code of any sextant equal or above three will be diagnosed with periodontal disease [ 22 ].
Problems such as furcation involvement, mobility, muco-gingival issues, and recession should also be recorded. Definition of the code for each sextant in the mouth [ 22 ]. All periodontal measurements will be performed by one dentist who will be blinded to the group allocation of pregnant women to ensure study reliability.
A dental nurse will record the codes of periodontal screening and other conditions detected during the dental examination. Prior to the enrollment, the dentist will be invited to participate in a calibration study. Five volunteers will be recruited and will be examined by both the research dentist and an experienced periodontist. Inter- and intra-examiner variations in codes of periodontal screening will be identified between the dentist and the experienced periodontist.
They will discuss the difference and adjust the measurement approach until a final agreement is reached. All pregnant women in the intervention group will be provided with dairy form to record their daily usage of mouth rinse. At the time of dispensing the mouth rinse each month, the research nurse will collect the diary of the last month from pregnant women. We will follow up with the recruited women until their childbirth to evaluate their acceptability and compliance to the use of the mouth rinse and to assess their periodontal health status again before the childbirth.
Medical records of pregnant women will be reviewed by the research nurse to extract information on birth outcomes including birth weight and gestational age.
Prior pregnancy and reproductive history and adverse events during pregnancy will be documented. We calculated that a consecutive sample of in each arm of the study pregnant women with periodontal disease will be required for the study, at 0.
The sample size calculation is based on detecting changes in primary outcome of birthweight. A total of pregnant women with periodontal disease will be needed, at 0. We use the larger sample size as the final amount for recruiting. The power calculations for secondary outcomes include mean periodontal disease measurements—total periodontal code and rate of admission to NICU. Given the initial sample size of in each group for detecting differences in periodontal code between the intervention and control groups, the proposed study will have Given the sample size of in each group, the proposed study will have Considering the nature of the intervention, participants will not be blinded to their group allocation.
The dentist who is going to perform the baseline and final periodontal examination will be blinded for the group allocation. All materials containing individual information of participants will be stored in a locked cabinet and only research team members will have the access. The computer with research information and data will be password protected and only authorized research team members will be able to access.
Descriptive statistics will be performed to examine for all outcomes and covariates. For continuous variables, such as periodontal code, birth weight gram , gestational age week will be compared using t-tests, or non-parametric equivalents for non-normally distributed variables. For categorical variables such as the rate of periodontal disease and rate of admission to NICU, chi-squared tests will be used.
All outcomes will be compared between the intervention and control groups. The major responsibilities of the DSMB are to develop protocol stopping guidelines related to the safety of individuals and the overall trial. We proposed to conduct a RCT to assess a MRI among pregnant women to prevent the progression of periodontal disease during pregnancy and to improve birth and neonatal outcomes.
As perinatal oral health care usually not available in rural China, our proposed intervention will be the first study aiming to explore a convenient, affordable, acceptable oral health care package in rural China. However, due to the high cost, the demand for expensive dental equipment, and the need for professional dentists in order to perform periodontal therapy, as well as concerns regarding the safety of the therapy, this conventional periodontal therapy may not be feasible to apply in low resource settings.
In addition, we use a rapid PSR for the screening periodontal disease. Compared to the conventional full-mouth dental examination, the PSR takes only a few minutes to conduct for each patient, does not require the use of expensive dental equipment, and can be performed by non-oral health professionals after receiving appropriate training, which is particularly applicable to economically poor regions. The proposed non-alcohol, 0. Due to limited the research funding and study period, the sample size of this study is relatively small, not allowing for the observation of the birth outcomes as proportions e.
If there is evidence of effectiveness after this initial study, we will seek further funding to expand the trial, with birth outcomes in proportions as primary outcomes.
If the mouth rinse is confirmed to be effective, it would demonstrate great potential for the application in other low- or middle-income countries to prevent adverse pregnancy outcomes such as preterm birth and low birth weight and to reduce neonatal and infant mortality. Co-first author: Xu Xiong. Competing interests. YS provided suggestion and improved the study design.
HJ and XX drafted the manuscript.