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Dental Care During Pregnancy: What Every Mom Should Know

dental care during pregnancy

Table of Contents

Dr. Pirooz
By Yassee Pirooz, DMD

Key Points

  • Despite common myths, regular dental visits, cleanings, and necessary treatments are safe for both mother and baby, and are highly recommended to prevent and manage oral health issues.
  • Pregnancy significantly impacts oral health due to hormonal changes. Expectant mothers are more susceptible to conditions like pregnancy gingivitis and increased cavity risk, necessitating diligent home care and professional attention.
  • Prioritizing oral health in pregnancy prevents complications and benefits long-term well-being. Addressing dental problems promptly helps avoid adverse pregnancy outcomes and sets a positive foundation for the child’s future oral health.

Pregnancy is a remarkable journey, filled with anticipation, joy, and myriad physical changes. While much of the focus naturally gravitates toward the growing baby and the mother’s overall well-being, one crucial aspect often gets overlooked: oral health. 

Many expectant mothers find themselves wondering, “Can you go to the dentist when pregnant?” The answer is a resounding yes! Not only is it safe, but it’s also incredibly important for both your health and the health of your developing baby. In fact, studies show that approximately 60-75% of pregnant women experience oral health issues, highlighting the widespread need for focused dental care during this special time.1

Also, general health is inextricably tied to oral health, so staying on top of the latter is vital to your overall well-being. This becomes even more important during pregnancy. Hormonal shifts, dietary changes, and morning sickness can all impact your teeth and gums, potentially leading to dental problems and pregnancy complications if not addressed. 

Understanding these unique challenges and knowing how to maintain excellent dental care during pregnancy is paramount. That is why we have put together the guide below that explains dental challenges pregnant women face and answers common questions they have. It will give you all the information you need to ensure you and your developing baby are as healthy as possible. 

Addressing the Myth of Avoiding the Dentist While Pregnant

First, let’s take on the most common concern about “dangers” associated with visiting the dentist while pregnant. This stems mainly from two beliefs: (1) the misconception that any health procedures that can be pushed until after delivery should be, and (2) that X-rays are dangerous for pregnant mothers. pregnancy test

These are myths that need to be debunked. Routine dental cleanings are not only safe but highly recommended. The American Dental Association (ADA) and the American College of Obstetricians and Gynecologists (ACOG) both encourage pregnant women to continue their regular dental check-ups and to address any emerging dental issues.2

That is because checkups help remove plaque and tartar buildup, which can be exacerbated by hormonal changes during pregnancy. They can also catch and halt more serious oral health problems (more on that below). Delaying such treatments is unnecessary and potentially harmful. 

X-rays, when necessary and with proper shielding, are also considered safe. Your dentist will take all precautions to ensure your comfort and safety, as well as that of your baby. It is always best to inform your dentist as soon as you know you’re pregnant so they can adjust your care accordingly.

How Pregnancy Impacts Your Teeth and Gums

Pregnancy brings about significant hormonal fluctuations, particularly in estrogen and progesterone.3 These hormones play a vital role in supporting the pregnancy, but they also have a direct impact on your oral tissues. This is why many women experience noticeable changes in their teeth and pregnancy, leading to potential dental problems and pregnancy-related oral issues.

Pregnancy Gingivitis

One of the most common issues pregnant women experience is pregnancy gingivitis.4 This is an inflammation of the gums, characterized by redness, swelling, and bleeding, especially when brushing or flossing. The increased blood flow due to hormonal changes makes gums more sensitive and prone to inflammation. 

While common, pregnancy gingivitis is not something to ignore. Left untreated, it can progress to more severe forms of gum disease, known as periodontitis. This has been linked to adverse pregnancy outcomes like preterm birth and low birth weight.5

Cavities

Another concern is the heightened risk of pregnancy and cavities. Several factors contribute to this. 

Morning sickness, with its associated stomach acid exposure, can erode tooth enamel, making teeth more susceptible to decay.6 Additionally, changes in dietary habits, such as increased snacking on carbohydrates and sugary foods to combat nausea or cravings, can also fuel cavity-causing bacteria. Reduced salivary flow, another common pregnancy symptom, further diminishes the mouth’s natural defense against acid and bacteria.

Tumors

Less common but still possible are pregnancy tumors (pyogenic granulomas).7 Despite the alarming name, these are benign (non-cancerous) growths that appear on the gums, often between teeth. 

They are usually painless but can bleed easily. They typically resolve on their own after childbirth, but if they interfere with eating or speaking, your dentist in Raleigh NC can safely remove them.

Recognizing the Warning Signs

Being proactive about your oral health during pregnancy means knowing what signs to look for. If you experience any of the following, it is time to schedule an appointment with your Raleigh dentist:

  • Bleeding gums: Even slight bleeding when brushing or flossing.
  • Swollen or tender gums: Gums that appear puffy or are sensitive to touch.
  • Persistent bad breath: Despite good oral hygiene.
  • Loose teeth: A rare but serious sign of advanced gum disease.
  • Tooth sensitivity: Especially to hot, cold, or sweet foods.
  • Pain in your teeth or jaw: Could indicate a cavity or other issue.
  • Sores or lumps in your mouth: Any unusual growths should be checked.

The worst thing you can do is dismiss these symptoms as “just part of pregnancy.” Early intervention can prevent minor issues from becoming major dental problems and pregnancy complications.

Essential Dental Care During Pregnancy: Your Action Plan

Maintaining optimal dental care during pregnancy involves a combination of consistent home care and regular professional visits. Here is your comprehensive plan of action:

  1. Inform Your Dentist: As soon as you confirm your pregnancy, inform your dental office in Raleigh NC. This allows them to tailor your treatment plan and take appropriate precautions.pregnant patient
  2. Maintain Excellent Oral Hygiene:
    • Brush twice a day: Use a soft-bristled toothbrush and fluoride toothpaste. Brush gently but thoroughly, paying close attention to the gumline.
    • Floss daily: Flossing removes plaque and food particles from between your teeth and under the gumline where your toothbrush cannot reach.
    • Rinse with an antimicrobial mouthwash: Your dentist might recommend a non-alcohol mouthwash to help control bacteria.
  3. Address Morning Sickness:
    • Do not brush immediately after vomiting: Stomach acid can soften tooth enamel, and brushing too soon can cause further erosion. Instead, rinse your mouth thoroughly with water or a fluoride mouthwash. You can also mix a teaspoon of baking soda in a cup of water and rinse with that to neutralize the acid.
    • Eat smaller, more frequent meals: This can help reduce nausea.
  4. Manage Cravings and Diet:
    • Limit sugary and acidic foods: While cravings are common, try to minimize your intake of sugary snacks, sodas, and acidic fruits.
    • Choose nutritious options: Focus on fruits, vegetables, lean proteins, and dairy products. Dairy products are excellent sources of calcium, vital for both your baby’s developing bones and your own teeth.
  5. Schedule Regular Dental Check-ups:
    • Continue your routine cleanings: Most dentists recommend at least one cleaning during pregnancy, and often two if your last one was more than six months ago.
    • Do not postpone necessary treatments: If you have a cavity or other dental problem, it is generally safer to treat it during pregnancy than to delay it. Untreated infections can spread and potentially affect your baby. The second trimester is often considered the safest time for non-emergency dental procedures.
  6. Discuss Medications: Always inform your dentist about any medications you are taking. They will choose safe local anesthetics and any necessary prescriptions.

Finding the Right Raleigh Dentist for Your Pregnancy Journey

When you are looking for dental offices in Raleigh NC, it is beneficial to find a practice that is experienced in treating pregnant patients. Consider the following in your search:

  • Ask about their experience with pregnant patients: While most dentists are capable, some have specific protocols or additional training.
  • Ensure they understand your comfort needs: Pregnancy can bring discomfort, so a dental team sensitive to this can make a big difference.
  • Verify their approach to X-rays and medications: They should be able to clearly explain their safety protocols.

The Long-Term Impact: Beyond Pregnancy

Maintaining excellent oral health during pregnancy is not just about the nine months; it has long-term implications for both you and your child. Studies suggest a link between a mother’s oral health and her child’s future oral health, and bacteria that cause cavities can be passed from mother to baby. By taking care of your own teeth, you are not only safeguarding your smile but also setting a healthy example and reducing the risk of early childhood caries for your little one.

Pregnancy is a time of immense change and excitement. Don’t let concerns about your oral health add unnecessary stress. By understanding the unique challenges of committing to diligent dental care during pregnancy, and seeking professional help from trusted Raleigh dentists, you can ensure a healthy smile for yourself and a healthy start for your baby. 

At Wells Family Dental Group, we prioritize the safety, comfort, and oral health outcomes for all our patients. Our dentists and staff have many decades of cumulative experience treating pregnant patients and are focused on addressing their unique needs during this special time. Reach out to us today to schedule a visit.

References

  1. “Talking to Pregnant Women about Oral Health,” Centers for Disease Control and Prevention, May 2024, https://www.cdc.gov/oral-health/hcp/conversation-tips/talking-to-pregnant-women-about-oral-health.html.
  2. “Pregnancy,” Research Services and Scientific Information, ADA Library and Archives, American Dental Association, June 2023, https://www.ada.org/resources/ada-library/oral-health-topics/pregnancy.
  3. “Hormones During Pregnancy,” Johns Hopkins Medicine, retrieved on May 22, 2025, from: https://www.hopkinsmedicine.org/health/conditions-and-diseases/staying-healthy-during-pregnancy/hormones-during-pregnancy.
  4. Jocelyne Gare, Aida Kanoute, Giovanna Orsini, et al., “Prevalence, Severity of Extension, and Risk Factors of Gingivitis in a 3-Month Pregnant Population: A Multicenter Cross-Sectional Study,” Journal of Clinical Medicine, May 2023, https://pmc.ncbi.nlm.nih.gov/articles/PMC10179599/. 
  5. Amare Teshome and Asmare Yitayeh, “Relationship between periodontal disease and preterm low birth weight: systematic review,” Pan African Medical Journal, July 2016, https://pmc.ncbi.nlm.nih.gov/articles/PMC5075444/#cit0006. 
  6. “Protect Your Teeth During Morning Sickness,” Arcora Foundation, August 2018, https://arcorafoundation.org/mighty-mouth/protect-your-teeth-during-morning-sickness/.
  7. Parul Sarwal and Kamolyut Lapumnuaypol, “Pyogenic Granuloma,” National Institutes of Health, September 2024, https://www.ncbi.nlm.nih.gov/books/NBK556077/. 
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