Preventive Oral Health Care Integration in Texas

POHCIT works to improve prenatal oral health through oral health surveillance, literacy, and policy and medical-dental integration.

Woman with brown hair wearing a white dentist napkin smiling at a dentist with white gloves

Why is prenatal oral health important?

Hormonal, physical, and dietary changes leave pregnant women at higher risk of caries (tooth decay) and periodontal (gum) disease. Poor prenatal oral health is associated with pre-term births and low birth weight. After delivery, caries-causing bacteria are transferred from mother to baby through common activities like kisses and spoon sharing.

It is important to remember that dental care during pregnancy is safe, important, and recommended. Most pregnant women do not visit a dentist, however. According to the 2019 Pregnancy Risk Assessment Monitoring System (PRAMS) survey, only 37% of Texas women had their teeth cleaned during their most recent pregnancy.

For more information, visit Dental Care During Pregnancy and Information for Pregnant Moms.

What is medical-dental integration?

MDI integrates oral health and primary care to include oral health as part of overall health because they are connected.

MDI Example 1: A dental patient has consistently high blood pressure. The patient has never discussed their blood pressure with their primary care provider (PCP), and it has been years since their last physical. The dentist educates the patient about the dangers of high blood pressure and refers them to their PCP for further evaluation.

MDI Example 2: A medical patient is an uncontrolled diabetic. The patient has red, puffy gums, and they have not seen a dentist in several years. The physician educates the patient about the connections between diabetes and periodontal disease and refers them to a dentist for further evaluation.

Why is prenatal medical-dental integration important?

Medical providers are often the first line in assessing a pregnant woman's oral health. They can help identify problems, provide referrals, and reinforce good oral health habits.

Medical providers and dentists can work together for:

  • Healthier pregnancies and
  • Healthier moms and babies.

Frequently Asked Questions

Last reviewed and updated: May 23, 2025