Pregnancy and oral health: your questions answered

In this week’s Q&A, our group clinical advisor, Dr Paul O’Dwyer, answers your queries about pregnancy and oral health

 Q: Why do my gums feel swollen and tender during pregnancy?

A: Hormonal changes during pregnancy increase blood flow to the gum tissue, which can cause gums to become more sensitive, leading to inflammation and bleeding. This common condition is referred to as pregnancy gingivitis, a mild form of gum disease.

Q: Should I be worried about bleeding gums?

A: If left untreated, pregnancy gingivitis can develop into full periodontal disease, which infects the bone and other tissue supporting the teeth. It is important therefore, to keep the teeth and gums as clean and healthy as possible during pregnancy, by maintaining a good oral health routine.

Q: Will my gums return to normal after pregnancy?

A: Gums usually return to normal after delivery, and any sensitivity should also diminish.

Q: Is it safe to visit the dentist while pregnant?

A: It is safe and recommended to continue to visit your dentist or dental hygienist for a check-up and routine dental work during pregnancy. However, dental x-rays should be avoided while pregnant. Always make sure to tell your dentist that you are pregnant.

Q: Will morning sickness damage my teeth?

A: When you experience morning sickness, you expose your teeth to acid, which can soften your enamel. If you brush straight away, you can risk hurting your enamel further while it is still sensitive. Instead, rinse your mouth with water or an alcohol-free mouthwash, and wait 30 minutes before brushing.

Q: How can I protect my teeth and gums during pregnancy?

• Brush teeth thoroughly at least twice daily, using a fluoride toothpaste
• Floss teeth every day
• Rinse with water or alcohol-free mouthwash after morning sickness
• Introduce a soft-bristled brush for sensitive teeth
• Schedule a dental check-up and professional clean
• Maintain a balanced and varied diet
• Avoid snacking on food or drinks with a high sugar content
• Take note of food or drinks that trigger sensitivity

For more tips and advice on looking after your family’s oral health, visit dentalcareireland.ie