Gingivitis is an inflammation of the gums that causes redness, swelling and tenderness. It's common during pregnancy and usually goes away after delivery. You can manage and even prevent gingivitis with good oral hygiene and a routine dental visit while you are pregnant.
Gingivitis is an inflammation of the gums. When you don’t brush your teeth properly, a sticky film of bacteria called plaque forms on them. The accumulation of plaque along your gumline causes your gums to become red, swollen and tender.
During pregnancy, the surge of hormones in your body makes you more susceptible to gingivitis.
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According to the Centers for Disease Control and Prevention (CDC), gingivitis affects 60% to 75% of pregnant people.
Pregnancy gingivitis is caused by an increase in estrogen and progesterone levels. These are essential hormones that help the fetus grow and develop, but they also cause many changes to your body.
One of these changes is increased inflammation of your gums. Although the exact way this happens isn’t clear, healthcare providers think it may be due to:
The main symptoms involve changes to your gums, such as:
But if left untreated, gingivitis can lead to periodontitis which is linked to preterm delivery and low birth weight. In periodontitis, inflammation causes your gums to pull away from your teeth, leaving pockets that can become infected. Eventually, this can lead to tooth loss.
Your Ob/Gyn or dentist will ask you about your symptoms and look at your gums and teeth to confirm the diagnosis.
If your symptoms are severe, you may need dental X-rays. Your dentist will take precautions to shield the fetus from radiation.
Dental and obstetric experts agree that X-rays during pregnancy are safe with the correct shielding. And it may be easier to have dental work done while you are pregnant than after your baby arrives.
The main treatment to reduce gum inflammation is a dental cleaning to remove plaque buildup. Your dentist will also recommend good oral hygiene to help reduce your symptoms, including:
If your symptoms are severe or getting worse, your dentist may prescribe:
There’s nothing you can do to change your hormone levels during pregnancy, but you can take other steps to prevent pregnancy gingivitis. The best things you can do are:
You can also improve your oral health by:
The good news is that your gums should return to normal after pregnancy.
You can manage pregnancy gingivitis and even prevent it with a visit to the dentist and good oral hygiene. If periodontitis develops, it may lead to tooth loss. You may also be at higher risk of premature delivery and having a baby with low birth weight.
Talk to your Ob/Gyn or dentist if you are having any problems with your gums while you are pregnant.
A note from Cleveland Clinic
When you are pregnant, your body changes in many ways. If you notice that your gums are red, swollen, and bleed when you brush, you’re not alone. Pregnancy gingivitis is very common and highly treatable. Don’t ignore your symptoms, because gingivitis can turn into a more serious condition. Good oral hygiene and nutrition can help. You should also see a dentist for a routine teeth cleaning. After your delivery, your symptoms should improve.
Last reviewed by a Cleveland Clinic medical professional on 03/07/2022.
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