Dentistry in pregnancy

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 Pregnancy Will Affect Your 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.

Medications

Be sure your dentist knows what, if any, prescription medications and over-the-counter drugs you are taking. This information will help your dentist determine what type of prescription, if any, to write for you. Your dentist can consult with your physician to choose medications—such as pain relievers or antibiotics—you may safely take during the pregnancy. Both your dentist and physician are concerned about you and your baby, so ask them any questions you have about medications they recommend.

Local Anesthetics During Pregnancy

If you’re pregnant and need a filling, root canal or tooth pulled, one thing you don’t have to worry about is the safety of the numbing medications your dentist may use during the procedure. They are, in fact, safe for both you and your baby.

Dental X-Rays During Pregnancy

Yes, it's safe to get an X-ray during pregnancy. Although radiation from dental X-rays is extremely low, your dentist or hygienist will cover you with a leaded apron that minimizes exposure to the abdomen. Your dental office will also cover your throat with a leaded collar to protect your thyroid from radiation.