How to have good oral health during pregnancy

The classic signs of pregnancy usually include fatigue and morning sickness, to say the least, but did you know that being pregnant may even affect your oral health? Hormonal changes in the body can lead to oral changes, which can leave the gums more vulnerable to bacterial plaque accumulation. This can cause inflammation, bleeding and sensitivity.

We’ve asked one of our top periodontists Dr Neesha Patel to explain everything you need to know about pregnancy gingivitis and pregnancy epulis. Read Dr Patel’s tips on good oral hygiene to ensure that your teeth and gums remain as healthy as possible when you’re expecting.

What is pregnancy gingivitis?

The hormonal changes that occur during pregnancy can cause an increased immune response to bacterial plaque, which can lead to swollen and bleeding gums. It is important that women understand these symptoms are not normal and seek advice and treatment from a dental professional to prevent the condition from deteriorating.

What is pregnancy epulis?

A pregnancy epulis is a benign, usually painless lump (or overgrowth of gum) on the gum that bleeds when brushing your teeth. It can occur anywhere on the body but is more common in the mouth and is usually located where gingivitis is present. This overgrowth can lead to further plaque accumulation. Treatment is sometimes necessary to ensure that the area is kept clean. Once the baby is born, the epulis will usually resolve. If the epulis causes discomfort, interferes with chewing or brushing, or bleeds excessively, it can be safely removed during pregnancy.
 

How can I have good oral hygiene during pregnancy?

It is important to practice good oral hygiene during pregnancy by adhering to the following:

• Brush your teeth carefully twice a day for two minutes.
• Clean between the teeth daily using floss or interdental brushes before tooth brushing.
• Use a fluoridated toothpaste, spit out after brushing and do not rinse to maintain fluoride concentration to help protect the tooth enamel.
• Use an alcohol-free fluoride mouthwash at a different time to brushing your teeth.
• Ensure you follow your doctor’s advice on eating a nutritious diet. Your baby’s teeth develop between the third and sixth months of pregnancy, therefore you need to ensure you have enough vitamin A, C and D, protein, calcium and phosphorous.
• Foods high in sugars and regular snacking leads to tooth decay. Snack on foods such as raw vegetables and cheese.
• In cases of morning sickness, rinse your mouth with plain water and do not brush for one hour. This allows time for the tooth surface to re-harden following exposure to stomach acid.

Continue to see your dentist for your regular check-ups during pregnancy and if you notice any changes in your mouth, see your dentist sooner.

Do not hesitate to book an appointment with Dr Patel if you’re concerned about your oral health.