What role does periodontal evaluation play in preconception care?

• A. Consider periodontal evaluation as part of preconception exam routines
• B. Exclude dental assessments from preconception care
• C. Only treat if pain occurs
• D. Delay any dental care until after pregnancy

Answer: (A)

Periodontal health is part of the overall inflammatory and systemic health that can affect pregnancy outcomes. Evaluating the gums and surrounding tissues before conception allows early detection and treatment of periodontal disease, which can reduce risks such as preterm birth and low birth weight. Pregnancy can even exacerbate gum problems, so addressing oral health upfront supports both mother and baby. Because of this, periodontal evaluation belongs in routine preconception care. Excluding dental assessments, waiting for pain, or delaying care until after pregnancy misses important preventive opportunities and can leave underlying issues unmanaged.