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Common Dental Problems during Pregnancy

Pregnancy affects nearly every as­pect of a woman’s life, including her oral health. You may think of your oral health as just one more thing to worry about, but taking care of your mouth and teeth is actually very important during pregnancy.

It is an old saying that a woman loses at least one tooth during a pregnancy. This is no longer true, but there is a real danger of causing irreversible damage to your teeth during pregnancy.

 Common Dental Problems during Pregnancy  

  1. Pregnancy Gingivitis

pregnancy and oral health

Pregnancy Gingivitis

Most women experience redness and bleeding of gums during pregnancy, whereas some women have severe swell­ing and bleeding.

All of these changes are referred to as “pregnancy gingivitis.” They can start as early as the second month. The condition tends to peak around the eighth month and then taper off after the baby is born.

Pregnancy gingivitis is most common in the front of the mouth. The symp­toms are the same as those for gingi­vitis, but some of the causes are dif­ferent.

Increased hormone levels may be partly responsible for pregnancy gingivitis. During pregnancy, the level of progesterone in your body can be 10 times higher than normal.

 This may enhance growth of certain bac­teria that cause gingivitis. Also, your immune system may work differently during pregnancy. This could change the way your body reacts to the bac­teria that cause gingivitis.

 We cannot control the hormonal changes during pregnancy but we can certainly minimize the effects of pregnancy gingivitis by practicing good oral hygiene.

  •  Brush twice a day, for at least two minutes each time.
  • Floss every day.
  • Using an antimicrobial mouth rinse also may help you control your gum infection. Some dentists suggest us­ing rinses that don’t contain alcohol, but it is not clear whether alcohol ­based rinses have a negative effect on pregnancy.
  • Be sure to have your dentist check the health of your gums while you are pregnant. In fact, it’s a good idea to get a proper check-up and comprehensive treatment of dental problems even before you get pregnant.


Pregnancy gingivitis usu­ally can be treated with a professional cleaning. This can be done at any time during your pregnancy, but preferably during the second trimester. More ag­gressive treatments, such as periodon­tal surgery, should be postponed until after delivery, because this condition may decrease or completely go away after delivery.

 2.   Pregnancy Tumour (Pregnancy Granuloma or Pyogenic Granuloma)

pregnancy and oral tumors

Pregnancy Tumors

A pregnancy granuloma is a growth on the gums that occurs in 2% to 10% of pregnant women. It is also known as a pyogenic granuloma or pregnancy tumour.

Pregnancy tumours are mis­named. They are not actually tumours and are not cancerous. They are not even dangerous, although they can cause discomfort.

 Pregnancy granulomas usually develop in the second trimester. The pregnancy period is divided into three trimes­ters – from the first month to the third, fourth to the sixth and from seven to the ninth month.

 They are red nod­ules, typically found near the upper gum line, but can also be found else­where in the mouth. These growths bleed easily and can form an ulcer or crust over. Pregnancy granulomas usu­ally are attached to the gum or mucous membrane by a narrow stalk of tissue.

 The exact cause of pregnancy granu­lomas is unknown, although poor oral hygiene is a primary factor. Trauma, -: hormones, viruses and blood ves­sel malformations have also been suspected as co-factors. Women with these growths usually have widespread pregnancy gingivitis.

 Pregnancy granulomas will disappear after your baby is born. If a growth in­terferes with speaking or eating, you may need to have it removed before you give birth.

Lasers are very effective, comfortable and safe in removing such troublesome growths.

  •  Tooth Erosion
pregnancy and tooth erosion

Tooth Erosion

In women with severe morning sick­ness, frequent vomiting can erode the enamel on the back of the front teeth. If you are vomiting frequently, contact your dental office for information on how to prevent enamel erosion.

  •  Dry Mouth

Many pregnant women complain of dry mouth. You can combat dry mouth by drinking plenty of water and by us­ing sugarless hard candies or gum to stimulate saliva secretion and keep your mouth moist.

  •  Excessive Saliva

Less commonly, pregnant women feel they have too much saliva in their mouths. This condition occurs very early in a pregnancy. It disappears by the end of the first trimester. It may be associated with nausea.

Dr Madan’s Final Comments: We strongly advise all ladies who are planning to start a family to get a check-up done, and get treated all problems which are detected so that your pregnancy period is smooth and free from the pain and stress of dental problems.
Dr Madan’s dental centres are at the forefront of technology and we are routinely using lasers to provide comfortable and safe surgery.

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