Why You MUST See a Dentist During Pregnancy

Pregnancy is a time of profound physical and emotional changes, and while most expectant mothers focus on antenatal checkups, scans, and general pregnancy care, one aspect that often goes overlooked is dental health. While it might seem like an unnecessary extra appointment during an already busy time, seeing a dentist during pregnancy is essential for your well-being and the health of your baby. The idea that pregnancy has no effect on your oral health is not only outdated, but it’s also a misconception that could lead to complications if left unaddressed. In this article, we’ll explore all the reasons why it’s crucial to see a dentist during pregnancy, and the various ways in which antenatal care can benefit from oral health support. We’ll dive into the science behind pregnancy hormones, discuss the link between oral health and pregnancy complications, and provide evidence-backed reasons why regular dental visits should be an integral part of your antenatal routine.

1. Pregnancy and Hormonal Changes: How They Affect Your Teeth and Gums

One of the primary reasons why expectant mothers should prioritise antenatal dental care is due to the significant hormonal changes that occur during pregnancy. These hormonal shifts can have a direct impact on the health of your teeth and gums.

Pregnancy Hormones and Gum Sensitivity

• Increased Progesterone and Oestrogen: During pregnancy, the body undergoes an increase in hormones like progesterone and oestrogen. These hormones help maintain a healthy pregnancy but also lead to increased blood flow to the gums, making them more prone to infection. Pregnant women may experience gingivitis, a condition characterised by swollen, bleeding gums. If left untreated, this can progress into a more severe form of gum disease known as periodontitis, which has been linked to premature birth and low birth weight. Research Insight: A 2018 study published in the Journal of Pregnancy found that pregnancy gingivitis affects up to 70% of women during their pregnancy. This common condition can be easily treated with regular dental care and proper brushing habits.

2. The Link Between Oral Health and Pregnancy Complications

Maintaining proper dental care during pregnancy is not just about avoiding uncomfortable gum disease—it’s about protecting your baby’s health as well. Several studies have shown a connection between poor oral health and adverse pregnancy outcomes.

Risk of Premature Birth and Low Birth Weight

• Infections and Inflammation: Poor oral hygiene can lead to an increase in bacteria in the mouth, which can travel to the bloodstream and cause systemic inflammation. This has been linked to a higher risk of premature birth and low birth weight. In fact, a 2019 study in The British Dental Journal concluded that periodontal disease could increase the risk of preterm delivery by 18%.
• Gestational Diabetes: Pregnancy can also increase the risk of developing gestational diabetes, and there’s a growing body of evidence suggesting that periodontal disease may exacerbate this condition. Regular visits to the dentist can help identify gum infections early and prevent them from becoming a risk factor in managing gestational diabetes. Why It’s Important: While these studies don’t claim that poor oral health directly causes these pregnancy complications, they do show a strong correlation. This highlights why seeing a dentist as part of your antenatal care plan is crucial to minimise risks.

3. Pregnancy-Specific Dental Conditions

Pregnancy can lead to a variety of dental problems, some of which are unique to this stage of life. These issues are a direct result of the hormonal and physical changes that occur in the body.

Pregnancy Tumours

• Pyogenic Granuloma: This benign growth is sometimes referred to as a “pregnancy tumour.” It often develops on the gums as a result of hormonal changes and can cause bleeding and discomfort. Though they are typically harmless and resolve after delivery, it’s important to monitor these growths with your dentist to prevent further issues.

Morning Sickness and Acid Erosion

• Acid Erosion from Vomiting: For many women, morning sickness is a common but unpleasant part of pregnancy. The frequent vomiting associated with morning sickness can cause stomach acids to erode tooth enamel, increasing the risk of cavities. To protect your teeth, it’s advised to avoid brushing your teeth immediately after vomiting, as the enamel is softer at that moment. Instead, rinse your mouth with water and wait 30 minutes before brushing.

4. How to Incorporate Dental Care Into Your Antenatal Routine

Your dental care should be integrated into your antenatal health plan just like any other aspect of your pregnancy. Here are some practical steps you can take:

Regular Check-ups and Cleanings

• Antenatal Check-ups: Many women often overlook the importance of regular dental check-ups during pregnancy, but it’s recommended to have a dental check-up at least once during each trimester. During these visits, your dentist can monitor the health of your gums, identify early signs of gum disease, and clean your teeth professionally. It’s especially important to see your dentist if you have concerns such as bleeding gums or tooth pain.

Preventive Measures

• Use Antenatal-Friendly Products: Make sure to use toothpaste that contains fluoride, as it helps to remineralise your teeth. You should also avoid highly acidic foods and drinks that can worsen acid erosion. Moreover, talk to your dentist about safe products to use during pregnancy, as some mouthwashes and dental products may contain ingredients that aren’t recommended during pregnancy.

5. The Role of Antenatal Vitamins in Oral Health

During pregnancy, antenatal vitamins are essential for both the health of the mother and the developing baby. These vitamins often include important nutrients that contribute to the health of the teeth and gums.

Vitamin D and Calcium

• Bone Health: Both Vitamin D and calcium are crucial for maintaining strong bones and teeth. During pregnancy, the body prioritises the health of the baby, which can deplete the mother’s calcium stores. Ensuring you get enough of these nutrients through diet and antenatal vitamins can help prevent tooth decay and maintain strong teeth.

Folate’s Role in Dental Health

• Folate: Folate is vital for a healthy pregnancy, but did you know that it’s also essential for maintaining healthy gums? A deficiency in folate has been linked to gum disease, so taking your antenatal vitamins regularly is an important step in maintaining both your oral and overall health during pregnancy.

6. The Importance of Relaxation During Pregnancy and Dental Visits

While regular dental visits are vital, so too is managing the stress and anxiety that often accompanies them. Pregnancy can make many women more anxious, and the idea of going to the dentist can feel overwhelming. However, maintaining antenatal support through relaxation techniques, such as prenatal yoga and antenatal massage, can help ease the stress associated with dental visits.

Relaxation Techniques

• Prenatal Yoga: Practising pregnancy yoga can help reduce stress and anxiety, making you feel more relaxed and less fearful when visiting the dentist. Plus, regular yoga during pregnancy can improve circulation and overall health, contributing to your overall well-being.

Antenatal Massage for Stress Relief

• Massage During Pregnancy: Antenatal massage is an excellent way to reduce muscle tension and anxiety before your dental visit. Stress management during pregnancy plays a huge role in your overall health, and managing this stress can help ensure that your dental appointments go smoothly.

Prioritise Your Oral Health During Pregnancy

It’s clear that seeing a dentist during pregnancy isn’t just about addressing cosmetic concerns—it’s about safeguarding your health and the health of your baby. From hormonal changes to specific dental conditions like pregnancy gingivitis, there are a variety of factors that make dental care during pregnancy an essential part of your antenatal routine. Not only will regular dental visits help reduce the risk of complications like premature birth or gestational diabetes, but they’ll also ensure that your smile remains bright throughout this exciting time. Make sure to integrate dental visits into your antenatal care plan, and work with your dentist to address any concerns. If you haven’t already, consider booking an appointment with a dentist who understands the unique needs of pregnant women.