Pregnancy can influence your oral health, leading to issues such as gum disease, gingivitis, and an increased risk of tooth decay. Numerous studies have identified a connection between gum disease in pregnant women and an increased risk of premature births and low birth weight babies. Understanding these risks helps you maintain both your dental and general health throughout pregnancy.

Common pregnancy-related dental issues include:

• Gum problems

• Gingivitis (gum inflammation): typically occurs during the second trimester, causing gum swelling and bleeding during brushing or flossing.

• Gum overgrowth (pregnancy epulis), which sometimes resolves after childbirth.

• Vomiting or morning sickness.

• Cravings for sugary foods.

• Tooth mobility (often temporary until after birth).

• Retching while brushing teeth.

During pregnancy, these symptoms occur primarily due to heightened hormonal responses to dental plaque. However, with good oral hygiene at home and professional dental care, oral health can be effectively maintained.

Pre-Pregnancy Dental Care: Prevention is Best

Practicing solid oral hygiene before conception reduces the likelihood of developing dental problems during pregnancy. Key preventive steps include:

• Brushing twice daily with fluoridated toothpaste.

• Flossing daily.

• Eating a balanced, low-sugar diet.

• Scheduling regular dental check-ups and professional cleanings.

Women planning pregnancy should visit the dentist for a full examination—elective procedures are best completed prior to conception for optimal safety and convenience.

Dental Treatments During Pregnancy

There’s a common misconception that dental treatments aren’t safe during pregnancy. In reality, routine dental care is both safe and recommended. Be sure to inform your Dr. Kaufman of your pregnancy so that any necessary precautions can be taken when scheduling your dental appointments. Learn more about routine dental treatment.

Vomiting and Reflux During Pregnancy

Pregnancy hormones can cause gastric reflux or morning sickness, exposing teeth to strong stomach acids. Over time, this may erode enamel and increase the risk of tooth decay. Tips to protect your teeth include:

• Avoid brushing immediately after vomiting—wait at least one hour.

• Rinse your mouth with fluoridated tap water after vomiting.

• Use a fluoridated mouthwash or dab a small amount of toothpaste on your teeth.

• Consult your dentist for tailored prevention and acid-protection strategies.

Managing Retching While Brushing Teeth

Retching or gagging when brushing teeth is common in pregnancy. Strategies that may help include:

• Using a toothbrush with a small head (such as a toddler brush).

• Brushing slowly and calmly while breathing evenly.

• Closing the eyes or focusing on breathing to reduce the reflex.

• Listening to music as a distraction.

• If needed, brush with water and follow with a fluoridated mouthwash until able to use toothpaste again.

Food Cravings and Oral Health

Many pregnant women experience cravings, especially for sweets, increasing the risk of tooth decay. To reduce damage caused by sugary snacks:

• Choose fresh fruits instead of processed sweets.

• Rinse with water or milk after eating sugary foods.

• Brush soon after snacking to remove residual sugars.

Dental Health After Pregnancy

After giving birth, it’s important for new mothers to schedule a dental check-up, especially if gum swelling or bleeding occurred during pregnancy. Hormone-induced gum conditions often subside after childbirth, but in some cases, persistent gum disease requires professional treatment.

To maintain long-term oral health after pregnancy:

• Brush twice daily with fluoridated toothpaste.

• Floss or use interdental brushes daily.

• Drink fluoridated tap water.

• Limit high-sugar foods.

• Book regular dental visits to monitor gum and tooth health.