Dental Work During Pregnancy: What ADA and ACOG Say

Can I have dental work while I am pregnant?

Yes, in general. The American College of Obstetricians and Gynecologists (ACOG) says oral health is an important component of general health and should be maintained during pregnancy and through a woman’s lifespan. The American Dental Association (ADA) says oral health care, including dental radiographs and local anesthesia, is considered safe at any point during pregnancy.

The ADA also says it agrees with ACOG that emergency treatments, such as extractions, root canals, or restorations, can be performed during pregnancy, and that delaying treatment may lead to more complex problems. This post is general information, not advice for your own pregnancy. Your dentist and your obstetrician can answer personal questions.

What do the ADA and ACOG say about common treatments?

The table sums up the main points from the two groups.

The last two rows matter. Nitrous oxide is the one item that is handled differently. Read our post on nitrous oxide for more. For a high-risk pregnancy, your dentist will want to speak with your doctor.

What should I tell my dental team?

MouthHealthy says to let your dental team know how far along you are and to share your expected due date. It says this can help them plan care and look for signs of pregnancy-related issues in your mouth. Tell them even if you are not 100% sure yet.

Also share:

• Every medicine and supplement you take
• Whether your doctor calls your pregnancy high-risk
• Any nausea or vomiting
• Any bleeding or tenderness in your gums

MouthHealthy says that if your pregnancy has been classified as high-risk, your dentist or doctor might recommend that certain treatments be postponed. Ask your doctor about your own case.

Why do gums change during pregnancy?

MouthHealthy says higher hormone levels during pregnancy affect the way your gums react to plaque, the sticky film that builds up on teeth. Some people develop swollen, tender gums that may bleed a little when they brush or floss. This is a form of gingivitis.

Since gingivitis can lead to more serious gum disease, your dentist will recommend ways to treat any symptoms. MouthHealthy says you may need more frequent cleanings during pregnancy, or an antimicrobial mouth rinse. A dental cleaning removes plaque you cannot reach at home.

What does morning sickness do to teeth?

MouthHealthy says morning sickness can increase the level of acids in your mouth. Acid can damage the shiny, protective coating on your teeth, called enamel. The ADA says patients should be encouraged to avoid toothbrushing immediately after vomiting, because it exposes the teeth to stomach acid. It suggests rinsing with a diluted solution of 1 cup of water and 1 teaspoon of baking soda to neutralize the acid.

Ask your dentist what fits your own situation. Our glossary explains enamel erosion.

Does my oral health affect my baby?

ACOG says optimal maternal oral hygiene during the perinatal period may decrease the amount of caries-producing oral bacteria transmitted to the infant during common parenting behavior, such as sharing spoons. In other words, a healthier mouth for you may help your baby’s mouth as well.

ACOG also notes that some studies have shown a possible association between gum infection and preterm birth, but evidence has failed to show any improvement in outcomes after dental treatment during pregnancy. It adds that these studies did not raise concern about the safety of dental services during pregnancy. For a broader look, read our guide on oral health and overall health.

What if I have a toothache or a broken tooth while pregnant?

Call your dentist and say you are pregnant. The ADA and ACOG agree that emergency treatments can be performed during pregnancy and that delaying treatment may lead to more complex problems. MouthHealthy says that for all dental emergencies it is important to visit your dentist as soon as possible. Our dental emergency guide lists the signs that need fast care.

Go to an emergency room for trouble breathing or swallowing.

What questions can I bring to my dentist and obstetrician?

• Is my pregnancy considered high-risk, and does that change my dental plan?
• Which treatments should happen now, and which can wait?
• Is any medicine in my dental plan a concern for my pregnancy?
• How can I protect my teeth if I have morning sickness?
• Do I need more frequent cleanings?

Your two providers can answer these for your own case. The sources in this post give general information only.

When should I schedule a visit?

Many people book a check-up as soon as they learn they are pregnant. MouthHealthy says it is a good idea to take care of cleanings and needed procedures, such as fillings, before your baby arrives. Ask your dentist and obstetrician about timing for your case.

Town Center Dental treats every member of the family, from infants to grandparents, as its family dentistry page describes.

Next step

To book a check-up or ask a question about your visit, call Town Center Dental at (636) 273-5866 or request an appointment. Tell the office you are pregnant when you call. Your dentist will talk with you about what to expect.