How should mobile teeth and bleeding gums be treated in a 6-month pregnant patient?

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In the context of managing mobile teeth and bleeding gums in a pregnant patient, conservative debridement is the most suitable approach. During pregnancy, hormonal changes can significantly influence periodontal health, leading to conditions like pregnancy gingivitis. This often presents as swollen, bleeding gums and increased mobility of teeth due to inflammation.

Conservative debridement involves a non-invasive cleaning and scaling of the teeth and gums to remove plaque and calculus, which helps reduce inflammation and promotes healing. This method is safe during pregnancy and does not expose the patient to unnecessary risk, making it the preferred treatment option.

Other treatment options, such as surgical interventions, antibiotics, or extraction of mobile teeth, may not be necessary or may pose risks. Surgical procedures could lead to complications and are generally avoided unless absolutely necessary. Antibiotics might be prescribed in certain cases, but they are typically not the first line of treatment for periodontal issues during pregnancy unless there is a suspected infection. Similarly, extraction is usually reserved for teeth with unsalvageable conditions, which is not indicated in this case unless there are more severe underlying issues.

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