Pregnancy and Your Teeth: What Every Expectant Mother Should Know
Your body changes in countless ways during pregnancy, and your mouth is no exception. Here’s what to expect, and how to keep your teeth and gums healthy in the months ahead.
Bleeding gums are rarely at the top of the list of things you expect when you find out you’re pregnant but they’re listed by the NHS as one the common pregnancy symptoms. Not only that, but pregnancy can also leave your mouth more vulnerable than usual, so a little extra care now really does pay off.
Why are my gums bleeding more now that I’m pregnant?
Hormonal changes make your gums react more strongly to plaque, the sticky film of bacteria that builds up on teeth. The result can be pregnancy gingivitis: gums that look red and swollen, feel tender, and bleed when you brush. Plaque is still the underlying cause, which means a consistent cleaning routine can keep things under control.
Some women also notice a small, red lump on the gum, sometimes called a pregnancy epulis. These are harmless and often shrink after the birth, but it’s always worth letting your dentist take a look.
Can my gum health affect my baby?
Researchers have looked closely at this question. Some studies have found an association between gum disease and certain pregnancy complications, although a direct cause hasn’t been proven. What is clear is that healthy gums are better for you, and that treating gum disease during pregnancy is safe. Often all it takes is a thorough professional clean with a dental hygienist.
What should I do about morning sickness?
Stomach acid softens tooth enamel. Your instinct after being sick might be to reach straight for your toothbrush, but brushing softened enamel can wear it away. Instead, rinse your mouth with plain water or mouthwash and wait around an hour before brushing. If brushing itself sets off nausea, try a toothbrush with a smaller head and take things slowly.
Cravings matter too. Frequent sugary snacks and drinks give plaque bacteria more to feed on, so try to keep sweet treats to mealtimes and reach for water or milk in between.
How should I look after my teeth day to day?
The basics don’t change, they just matter a little more. Brush twice a day for two minutes with a fluoride toothpaste containing 1,350 to 1,500ppm fluoride, then spit rather than rinse so the fluoride stays on your teeth. Clean between your teeth with floss or interdental brushes. If you like using mouthwash, we’d recommend choosing an alcohol-free one.
Is it safe to see the dentist while I’m pregnant?
Yes, and it’s actively encouraged. Just let us know you’re pregnant so we can plan your care around it. Check-ups, hygiene appointments and treatment for decay or gum disease can all go ahead. A few things are usually put on hold until after your baby arrives. Dental X-rays are generally postponed unless they’re genuinely needed, and existing amalgam (silver) fillings shouldn’t be removed during pregnancy, in line with Department of Health and Social Care advice. Cosmetic treatments such as teeth whitening are also best saved for later.
Pain or infection is different. Don’t put up with toothache because you’re worried about treatment; leaving a problem untreated can carry its own risks.
At Holland Park Dental Centre, our direct access hygiene service means you can see one of our dental hygienists without needing a referral from a dentist first. And if your gums need more specialist attention, our specialist periodontist is on hand.
Frequently Asked Questions
Do I need to tell my dentist I’m pregnant?
Yes. It helps your dentist decide if and when X-rays or fillings are appropriate, and which materials and medicines to use.
Can I have a filling while I’m pregnant?
Generally, yes. Treating decay is usually better than leaving it. Your dentist will talk you through the options and choose materials suited to pregnancy.
Is teeth whitening safe during pregnancy?
Elective cosmetic treatments such as whitening are generally postponed until after pregnancy, so it’s best to wait.
Will my gums go back to normal after the birth?
For most women, pregnancy-related gum problems are temporary and manageable with good care. If bleeding or swelling continues after your baby arrives, book a check-up.
Should I change my toothpaste?
There’s no need for a special pregnancy toothpaste. A standard fluoride toothpaste with 1,350 to 1,500ppm fluoride is what NHS guidance recommends.
Expecting, and noticed changes in your mouth?
Get in touch with the friendly team at Holland Park Dental Centre. Book online or call us on 020 7603 4155, and we’ll help you keep your smile healthy throughout your pregnancy and beyond.
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