For a pregnant patient presenting with swollen gums and bleeding on probing (BOP), what is the recommended action?

For a pregnant patient who is experiencing swollen gums and bleeding on probing, suggesting better oral hygiene instruction and periodontal cleaning is the most appropriate recommended action. This response addresses the underlying cause of gingival inflammation, which is often related to changes in hormone levels during pregnancy that can exacerbate plaque-induced gingivitis.

Improving oral hygiene practices can significantly help improve the patient's overall periodontal health, as well as reduce the inflammation and bleeding associated with gingivitis. A comprehensive oral hygiene education can involve guidance on effective brushing techniques, the importance of flossing, and the use of antibacterial mouth rinses if appropriate.

Furthermore, periodontal cleaning, or a professional dental cleaning, can effectively remove plaque and tartar accumulation that contributes to gum disease. This approach is safe for the patient and the developing fetus, ensuring that the mother maintains her oral health without exposing her to unnecessary risks during pregnancy.

Other options such as immediate extraction may harm the patient's emotional and physical well-being and are generally not indicated for mild gum disease that can be managed conservatively. Postponing treatment until after delivery is not ideal, as it allows the condition to worsen, possibly leading to more severe oral health issues. Prescribing antibiotics without addressing the primary issues of oral hygiene and inflammation does not remedy the