Maternal Dental Care

It is advised to see your dentist before the pregnancy to in order to carry out any outstanding treatment required. In addition, routine dental treatment is best avoided in the first and third trimesters and any major procedures postponed until after the baby is born, unless of course there is an emergency.

Advances in technology have made dental X-rays much safer and the use of lead aprons during x-rays can reduce the radiation to mother and baby. Nevertheless, X-rays are usually avoided in the first trimester and only taken if absolutely necessary.

It is very important to maintain a healthy and balanced diet during pregnancy for the health of both baby and mother. Avoiding sugary cravings is important as they can eventually result in tooth decay. Try and maintain a healthy diet including nutrient-rich fruit and vegetables containing all the important vitamins and minerals for both baby and mother.

Vitamin C is important to maintain healthy gums and an effective immune system for mother. Baby’s teeth start forming 6 weeks into pregnancy, vitamin D and calcium will help produce healthy teeth in addition to strong bones. Multivitamins are a very good source of some of the key vitamins and minerals and can complement a balanced diet, you can ask your midwife for further advice on this.

Pregnancy gingivitis

Studies show that the most common oral condition experienced by pregnant women is a form of gum disease known as pregnancy gingivitis. This consists of red, swollen and bleeding gums and normally begins in the second month and peaks in month eight. Hormonal changes during this period exaggerate the way gums react to the build-up of dental plaque on teeth. Therefore, the best way to prevent this is to brush and floss regularly to prevent the build-up of plaque. Visiting the hygienist regularly can also help in maintaining healthy gums and good maternal dental health.

Enamel erosion

For some women, morning sickness is a major symptom of pregnancy and can be very distressing. Stomach acids from frequent and excessive vomiting can soften the surfaces on the teeth. It is therefore important not to brush right away after vomiting, as it will brush away the softened tooth surface. In order to neutralise the acid in the mouth after vomiting, rinsing the mouth with a mixture of baking soda (1 teaspoon) dissolved in a cup of water will help prevent softening of the tooth structure. Furthermore, the use of a fluoride mouthwash will also help strengthen the teeth.

Pregnancy granulomas

These are small red swellings on the gum line that occur in about 10% of pregnant women. They usually develop in the second trimester and disappear after the baby is born. They are not harmful, but if the swelling is painful or causes speech problems you may need to seek the advice of your dentist or GP in order to have them removed.