It is a common perception among pregnant females that they should refrain themselves from visiting a dentist till they deliver a baby. But this is just a myth because even dentists suggest that it is very crucial to maintain a good oral hygiene during pregnancy. Reason being that many disorders start from poor oral hygiene. American Dental Association (ADA) has also launched a fact sheet that lists the things that are to be done to maintain a good oral health during pregnancy.

The Best Time to Visit a Dentist during Pregnancy

Though routine dentist visit is safe during pregnancy and it is good to schedule a dental appointment but this visit should be restricted to minor oral procedures like tooth cleaning, dental filling etc.

Pregnancy is divided into three trimesters: First trimester (first, second and third month), second trimester (fourth, fifth and sixth month) and third trimester (seventh, eighth and ninth month).

Second Trimester best for Dental Treatment: The best time to see a dentist is during second trimester of pregnancy. Reason being, there are chances of miscarriage during first trimester of pregnancy if you undergo extensive dental procedures like dental extraction and during the third trimester, dental procedures can bring anxiety in the patient thereby causing early labor pains.

Also inform the dentist about your pregnancy so that s/he also takes very care of the thing.

Pregnancy and dental Visit

Dental X-rays during Pregnancy: Dental X-rays are not considered safe during first trimester of pregnancy because of the fetal organ development going on inside the womb and taking X-rays might pose a risk. But if it is an extreme emergency, digital X-rays can be taken which have 90 percent reduction in radiations as compared to normal X-rays. But to be on a safe side, X-rays are generally avoided.

Dental Fillings and crowns: Composite dental fillings and getting dental crowns are safe during pregnancy. Never ever go for silver amalgam filling if you are pregnant. Also there are chances that dental filling can affect you especially if you are in pain that is an indicative factor that you have a possible infection. So, it is better to discuss with the dentist before undergoing filling.

Medications during pregnancy:  Administration of local anesthesia (only if administered under recommended dosage) is safe during pregnancy. Certain medications like benzodiazepines (lorazepam, triazolam etc.), codeine, hydrocodone, nitrous oxide or laughing gas should be avoided. Also avoid aspirin.

Drugs that are safe to be taken during pregnancy are Acetaminophen, ibuprofen, penicillin, amoxicillin; clindamycin and naproxen are safe to be taken during pregnancy.

During pregnancy, there are lots of hormonal changes going around within the mother-to-be body along with deficiency of vitamin A, D. All these factors contribute to gum problems like gingivitis. So, in order to prevent this you can oral anti-bacterial mouthwash along with brushing and flossing.

Ten Tips about dental care during pregnancy

  1. Brush your teeth twice daily and floss at least once a day. Use fluoridated tooth paste.

  2. Don’t fear of dental visits during pregnancy and inform your dentist regarding your pregnancy.

  3. While sitting in a dental chair, don’t cross your legs. This obstructs the normal blood flow.

  4. Keep yourself relaxed while at the dental office.

  5. Keep a well balanced diet by eating organic fruits and vegetables.

  6. Avoid sugary stuff as it can induce caries formation.

  7. Drink lots and lots of water.

  8. Use Tooth brush will small head. It will reduce gagging.

  9. While brushing take adequate time. And concentrate fully on the brushing technique.

  10. Chew xylitol containing gum after meals. It helps neutralize the acids and fight against the bacteria causing caries.

Morning Sickness and Caries

  1. Since morning sickness is a common problem during first trimester of pregnancy so it is advised that you brush after about an hour of vomiting. Vomiting is a common symptom associated with morning sickness.

  2. Vomiting leads to acid attack thereby eroding the enamel from tooth and immediate brushing will further erode the enamel thereby exposing your teeth to caries.

  3. Rinse your mouth with alcohol-free fluoride containing mouthwash after vomiting. This will protect your teeth from acid attack form the stomach.

Leave Comment


  • Dr.Ritz

    Dr.Ritz 22 - September - 2012, at 02:40 AM

  • Hi IPSA,Research has not shown any health effects from amalgam fillings in pregnant women. However,mercury can cross the placenta.So,you should not get amalgam fillings during pregnancy.I would advice you to go for composite filling instead of amalgam filling as composite are tooth colored fillings and also safe during pregnancy.Also,second trimester is the safest time for getting dental treatments done.Make sure the dentist knows you are pregnant so she can decide on the best method of treatment if you do have any other problems which need treatment.Good luck!!

  • Ipsa Koehler

    Ipsa Koehler 21 - September - 2012, at 22:44 PM

  • Doctor i am going to a dentist tomorrow for filling. Tooth is upper left back region molar. I have heard a lot about mercury poisoning and i am also 4 months pregnants. So would it be safe for me to get the amalgam filling done and what is the difference between amalgam and tooth colored filling. What precuation do i need to take. I am very nervous

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