Pregnancy Resources

Congratulations on this exciting and busy time of your life! You have so much to think about during pregnancy, but don't overlook your dental health.

In between trips to the doctor, hospital tours and setting up the nursery, don’t let visiting the dentist fall off your pregnancy to-do list before your baby comes. Getting a checkup during pregnancy is safe and important for your dental health. Not only can you take care of cleanings and procedures like cavity fillings before your baby is born, but your dentist can help you with any pregnancy-related dental symptoms you might be experiencing.

The American Dental Association, the American Congress of Obstetricians and Gynecologists and the American Academy of Pediatrics all encourage women to get dental care while pregnant. “It is a crucial period of time in a woman’s life and maintaining oral health is directly related to good overall health,” says Aharon Hagai, D.M.D.

Do I need to change my daily habits?

If you’re already brushing twice a day with a fluoride toothpaste and cleaning between your teeth once a day, keep up the good work! If not, there’s no better time to start, as poor habits during pregnancy have been associated with premature delivery, intrauterine growth restriction, gestational diabetes and preeclampsia. Talk to your dentist about your routine and if you should make any changes. Shopping for you and your growing family? Look for dental products with the ADA Seal of Acceptance.

When should I tell my dentist I'm pregnant?

Even if you only think you might be pregnant, let your dental office know. Tell them how far along you are when you make your appointment. Also let your dentist know about the medications you are taking or if you have received any special advice from your physician. If your pregnancy is high-risk or if you have certain medical conditions, your dentist and your physician may recommend that some treatments be postponed.

How will pregnancy affect my mouth?

Although many women make it nine months with no dental discomfort, pregnancy can make some conditions worse – or create new ones. Regular checkups and good dental health habits can help keep you and your baby healthy.

Pregnancy Gingivitis
Your mouth can be affected by the hormonal changes you will experience during pregnancy. For example, some women develop a condition known as “pregnancy gingivitis,” an inflammation of the gums that can cause swelling and tenderness. Your gums also may bleed a little when you brush or floss. Left untreated, gingivitis can lead to more serious forms of gum disease. Your dentist may recommend more frequent cleanings to prevent this.

Increased Risk of Tooth Decay
Pregnant women may be more prone to cavities for a number of reasons. If you’re eating more carbohydrates than usual, this can cause decay. Morning sickness can increase the amount of acid your mouth is exposed to, which can eat away at the outer covering of your tooth (enamel).

Brushing twice a day and flossing once can also fall by the wayside during pregnancy for many reasons, including morning sickness, a more sensitive gag reflex, tender gums and exhaustion. It’s especially important to keep up your routine, as poor habits during pregnancy have been associated with premature delivery, intrauterine growth restriction, gestational diabetes and preeclampsia.

Pregnancy Tumors
In some women, overgrowths of tissue called “pregnancy tumors” appear on the gums, most often during the second trimester. It is not cancer but rather just swelling that happens most often between teeth. They may be related to excess plaque. They bleed easily and have a red, raw-looking raspberry-like appearance. They usually disappear after your baby is born, but if you are concerned, talk to your dentist about removing them.

Do you lose a tooth with each baby?

No, this is an old wives’ tale. Losing a tooth is not a normal part of pregnancy, and if you do, you most likely already had an existing dental problem. You may, however, feel like your teeth are a bit loose. According to the Mayo Clinic, progesterone and estrogen can loosen the ligaments and bones that keep your teeth in place, even if you don’t have gum disease. Many times this goes away after pregnancy, but talk to your dentist if you feel like your teeth are moving when they shouldn’t.

I'm struggling with morning sickness. What should I do?

Unfortunately, morning sickness can hit any time of the day. Vomit contains stomach acids that can eat away at your teeth, so waiting to brush after you’ve rinsed your mouth can help prevent those acids from doing damage. Instead of brushing, first swish and spit. You can use water, a diluted mouth rinse or a mixture of 1 cup of water and 1 tsp. of baking soda. Spit it out, and brush your teeth about 30 minutes later

Is it safe to see the dentist during pregnancy?

Yes! In fact, your dentist may recommend additional cleanings during your second trimester and early third trimester to help control gingivitis. If your last visit to the dentist was more than 6 months ago or if you notice any changes in your mouth, schedule an appointment. Always let your dental office know how far along you are when you call, and tell your dentist of any change in the medications you take or if you have received any special advice from your physician.

Help! Brushing my teeth makes me gag.

During a time when anything (and possibly everything) may make you gag, take it slow and figure out what works for you. Changing your flavor of toothpaste, using a brush with a smaller head, or brushing at different times of the day may help. If you need to swish and spit before coming back to brush your teeth, try that as well. The important thing is to keep up your routine because you’re slightly more at risk for cavities, thanks to acid on your teeth from morning sickness, possible diet changes and feeling too tired to brush.

Does what I eat affect my baby's teeth?

Your baby’s teeth begin to develop between the third and sixth months of pregnancy, and eating well can help them form correctly. Get plenty of nutrients – including vitamins A, C, and D, protein, calcium and phosphorous. To reduce the risk of neural tube defects, you need 600 mcg of folic acid each day while pregnant. Take folic acid supplements, and eat foods high in folate. While you're at it, drink plenty of water with fluoride to keep your own teeth strong.

Are x-rays safe during pregnancy?

Yes, dental X-rays are safe during pregnancy. Your dentist or hygienist will cover you with a protective apron that minimizes exposure to the abdomen. Your dental office will also whenever possible cover your throat with a protective thyroid collar to protect the thyroid from radiation.

Is it safe to have a dental procedure when pregnant?

The American Congress of Obstetricians and Gynecologists agrees that procedures like cavity fillings and crowns are safe and important to have during pregnancy to prevent potential infection. It may be more uncomfortable to sit in a dental chair the later you are in pregnancy, so schedule dental work in your second trimester, if possible. Cosmetic procedures, like whitening, should wait until after baby arrives. If you need an emergency procedure, work with your dentist on the best plan for the health of you and your baby.