Dental Care During Pregnancy: What You Need to Know

March 26, 2025

Pregnancy brings many changes to your body—including your oral health. While most expecting mothers focus on prenatal care, dental health is just as important. Hormonal changes can increase the risk of gum disease, cavities, and other oral issues, which, if left untreated, may even affect your baby’s health.


But is it safe to visit the dentist while pregnant? What precautions should you take? In this guide, we’ll explore why dental care during pregnancy matters, what treatments are safe, and how to maintain a healthy smile throughout your pregnancy.


Why is Dental Care During Pregnancy Important

Pregnancy increases the risk of certain dental problems due to hormonal changes, morning sickness, and dietary cravings. Poor oral health during pregnancy has even been linked to preterm birth and low birth weight in some studies.

Here are some key reasons why you should prioritize dental care during pregnancy:


  • Increased Risk of Gum Disease: Hormonal changes can make your gums more sensitive and prone to gingivitis (early gum disease). If left untreated, it can progress to periodontitis, a severe infection that can lead to tooth loss.
  • Higher Chance of Cavities: Increased cravings for sugary foods and acid exposure from morning sickness can contribute to tooth decay.
  • Potential Risks for Baby: Studies suggest a link between gum disease and pregnancy complications like premature birth. Maintaining oral health helps protect both you and your baby.
  • Protects Overall Health: Dental infections can spread through the bloodstream, affecting overall health and increasing pregnancy risks.


Common Dental Issues During Pregnancy


1. Pregnancy Gingivitis

Many pregnant women experience swollen, red, or bleeding gums, a condition known as pregnancy gingivitis. This occurs due to increased blood flow and hormonal changes that make gums more sensitive to plaque buildup.


  • Tip: Brush and floss daily, and schedule a dental cleaning to prevent gum inflammation.


2. Increased Tooth Sensitivity

Hormonal changes may make your teeth more sensitive to hot, cold, or sweet foods. Morning sickness can also contribute to enamel erosion, leading to discomfort.


  • Tip: Use a soft-bristled toothbrush and a toothpaste designed for sensitive teeth.


3. Morning Sickness and Acid Erosion

Frequent vomiting exposes teeth to stomach acid, which can weaken enamel and increase the risk of cavities.


  • Tip: After vomiting, rinse your mouth with water and wait at least 30 minutes before brushing to avoid spreading acid on your teeth.


4. Pregnancy Tumors (Benign Growths on Gums)

Some women develop small, non-cancerous growths on their gums, known as pregnancy tumors. These are caused by hormonal changes and usually go away after birth.


  • Tip: If the growths interfere with eating or oral hygiene, consult your dentist for treatment options.


5. Dry Mouth (Xerostomia)

Pregnancy can sometimes cause dry mouth, increasing the risk of tooth decay and infections.


  • Tip: Stay hydrated, chew sugar-free gum, and use an alcohol-free mouthwash to keep your mouth moist.


Safe Dental Treatments During Pregnancy

Many pregnant women avoid dental visits due to safety concerns, but most dental procedures are safe with the right precautions.


1. Routine Cleanings & Exams – SAFE

Dental cleanings help remove plaque and tartar, preventing gum disease. Regular exams allow dentists to detect potential issues early.


2. Fillings & Cavities Treatment – SAFE

Treating cavities early prevents infection. Composite fillings (tooth-colored) are generally preferred over amalgam (silver) fillings during pregnancy.


3. X-Rays – SAFE (with precautions)

Dental X-rays are generally avoided unless necessary, but modern digital X-rays use low radiation and lead aprons to protect the baby.


4. Gum Disease Treatment – SAFE

If you have pregnancy gingivitis or periodontitis, professional deep cleanings (scaling and root planing) can prevent complications.


5. Elective Procedures (Teeth Whitening, Cosmetic Dentistry) – DELAY UNTIL AFTER PREGNANCY

Cosmetic procedures like whitening or veneers should be postponed until after delivery.


6. Major Dental Work (unless urgent) – DELAY IF POSSIBLE

If procedures like root canals or extractions are not urgent, they may be postponed until after pregnancy. However, if infection or pain is present, treatment should not be delayed.


Best Oral Care Practices During Pregnancy

To keep your teeth and gums healthy during pregnancy, follow these simple tips:


1. Brush & Floss Daily

  • Use a fluoride toothpaste to protect against cavities.
  • Brush twice a day and floss once daily to remove plaque.


2. Use a Mouthwash for Gum Health

  • Choose an alcohol-free mouthwash to prevent irritation.
  • Antimicrobial rinses can help fight pregnancy gingivitis.


3. Drink Plenty of Water

  • Water helps wash away food particles and prevents dry mouth.
  • Fluoridated water strengthens tooth enamel.


4. Eat a Balanced Diet

  • Eat foods rich in calcium (milk, yogurt, cheese) for strong teeth.
  • Avoid excessive sugar to reduce cavity risk.


5. Schedule a Dental Checkup

  • Visit your dentist at least once during pregnancy for a professional cleaning.
  • Inform your dentist that you are pregnant so they can adjust your treatment plan.


What to Expect at a Dental Visit During Pregnancy

When you visit the dentist during pregnancy, they will:

  • Review your oral health history and pregnancy details.
  • Perform a gentle cleaning to remove plaque buildup.
  • Check for signs of gum disease or cavities.
  • Recommend safe treatments if needed.


Be sure to inform your dentist about:

  • Any pregnancy complications or medications you’re taking
  • Morning sickness symptoms that may affect your oral health
  • Any concerns about dental treatments during pregnancy


Postpartum Dental Care: What Happens After Birth?

After delivery, continue regular dental care to prevent problems that may arise postpartum, such as:


  • Gum Sensitivity: Pregnancy gingivitis may take time to resolve. Keep flossing and brushing.
  • Tooth Sensitivity: Hormonal changes can still affect your teeth. Use a sensitive toothpaste if needed.
  • Cavity Prevention: If your diet changed during pregnancy, check for cavities that may have developed.


Schedule a dental visit soon after birth to assess your oral health and address any concerns.


When to See a Dentist Immediately

If you experience any of the following, contact your dentist as soon as possible:


  • Severe tooth pain or swelling
  • Gums that bleed excessively or won’t heal
  • Persistent bad breath or unusual mouth sores
  • Loose teeth or pus around the gums


Ignoring these issues can lead to serious infections that may impact both your health and your baby’s well-being.


Conclsuion

Dental care during pregnancy is essential for both your health and your baby’s well-being. By maintaining good oral hygiene, eating a balanced diet, and visiting your dentist, you can keep your smile healthy throughout pregnancy.


At Schwimmer Dental, we provide safe, gentle dental care for expecting mothers. Whether you need a routine checkup or treatment for pregnancy-related dental concerns, our team is here to help you maintain a healthy smile. Schedule your prenatal dental visit today!


Frequently Asked Questions

  • Can I get a tooth extraction while pregnant?

    Yes, if a tooth extraction is urgent (due to infection or pain), it can be safely done during the second trimester. If possible, non-urgent extractions should be delayed until after birth.

  • Is it safe to get a dental cleaning while pregnant?

    Yes, dental cleanings are completely safe and recommended during pregnancy to prevent gum disease and cavities.

  • Can pregnancy cause tooth loss?

    Pregnancy itself does not cause tooth loss, but untreated gum disease and cavities can increase the risk. Regular dental care can help prevent this.


Sources:

  1. https://pmc.ncbi.nlm.nih.gov/articles/PMC3270055/
  2. https://my.clevelandclinic.org/health/diseases/22484-pregnancy-gingivitis
  3. https://www.healthdirect.gov.au/dental-erosion
  4. https://pmc.ncbi.nlm.nih.gov/articles/PMC3220110/
  5. https://www.mouthhealthy.org/nutrition/8-non-dairy-calcium-rich-foods-for-your-teeth

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