Is It Safe To Go to the Dentist While Pregnant?

Pregnancy fills your calendar with many, many recommended healthcare visits. Given all those appointments, you might be tempted to skip that trip to the dentist for your regular six-month cleaning and exam.

A word of advice? Don’t cancel. You might need that visit now more than ever.

Pregnancy increases your risk for dental issues that can affect you and the fetus if left untreated. It’s critically important to continue getting oral care and needed dental work during this time.

To learn more, we turn to Ob/Gyn Julian Peskin, MD.

How can pregnancy cause dental issues?

It’s not exactly shocking news that pregnancy ramps up hormone production. But what may surprise you a bit is how that increased hormone load can lead to periodontal (or gum) disease.

That surge in hormones can cause inflammation in your gums, explains Dr. Peskin. Food can more easily become trapped in swollen gums, leading to a plaque buildup on your gumline and gingivitis.

It’s estimated that 60% to 75% of those who are pregnant develop gingivitis, according to the U.S. Centers for Disease Control and Prevention (CDC).

Pregnancy hormones also can cause morning sickness and vomiting. Acid that gushes up from your stomach when you vomit can eat away at the tough layer of enamel on your teeth, leading to decay and cavities.

The gag reflex and nausea that come with morning sickness can also make you less likely to brush your teeth well, adding to the potential for decay.

Risks of gum disease while pregnant

Severe cases of gum disease can cause potential complications in your pregnancy. Research links periodontal disease to:

• Low birth weight rate (intrauterine growth restriction) for your baby.
• Preeclampsia during pregnancy, which often results in pre-term births.

Is dental work safe during pregnancy?

The benefits of seeing a dentist during pregnancy far outweigh any potential risks. That’s true whether you’re talking about basic tooth cleaning, having a cavity filled or more involved dental work.

“It’s perfectly fine to have gum surgery or other major dental work performed during pregnancy,” says Dr. Peskin. “You don’t have to wait.”

If you need considerable dental work and are experiencing morning sickness, talk to your dentist about the timing. “It’s probably best to do it in the second or third trimester when you aren’t experiencing as much nausea, vomiting or gag reflex,” she adds.

Are dental X-rays safe while pregnant?

If you’re getting a dental X-ray, let your dentist know if you’re pregnant. “They will use a lead apron to protect your developing fetus and your thyroid,” says Dr. Peskin.

What about anesthetics?

Local anesthetics (such as lidocaine) are considered safe to use during a dental procedure while pregnant, says Dr. Peskin. Studies show that any chance of a negative effect on you or the fetus is minimal at best.

But again, it’s always best to talk to your dentist and let them know that you’re pregnant before any procedures.

Oral hygiene during pregnancy

The keys to good oral health are the same whether you’re pregnant or not. Keep brushing your teeth at least twice a day with toothpaste and continue to floss. If you use mouthwash, look for an alcohol-free product.

Shop for bland-tasting toothpaste if flavored varieties seem to jumpstart morning sickness. If you do vomit, rinsing with a simple mix of water and baking soda can help protect your teeth.

Tips for keeping teeth and gums healthy

Keep brushing and flossing your chompers and DO NOT CANCEL your regular visit for a dental exam. If your gums suddenly get more sensitive or start to bleed, talk to your dentist about getting checked for gingivitis.

Plus, eat a healthy, balanced pregnancy diet that includes tooth-friendly vitamins and minerals such as calcium, phosphorous, protein and vitamins A, C and D.