Pregnancy: Your Body

Pregnancy: Your Body

Dental care in pregnancy

Seeing the dentist while pregnant is safe and recommended, including cleanings, fillings, x-rays with a shield, and local numbing.

General research · seeking a stewardpregnancyAlso searched as: dentist pregnant, x-rays pregnant

What it is

Dentist pregnant, x-rays pregnant: many mothers skip the dentist for nine months out of caution, and some dentists still send them away. Both are wrong. Pregnancy makes gums bleed and swell, and morning sickness bathes teeth in acid. ACOG and the American Dental Association both say dental care in pregnancy is safe and needed. In California, Medi-Cal covers dental care in pregnancy and for a year after.

What's typical

A cleaning and exam are fine in any trimester. The second trimester is the most comfortable for longer work. Fillings, root canals, and extractions are done when needed, since an untreated infection is the bigger risk. X-rays with a lead apron deliver a tiny dose. Local numbing is safe.

What's known

ACOG and the ADA both state that delaying needed dental care in pregnancy carries more risk than doing it. Some studies linked gum disease to preterm birth; treating it in pregnancy improved the mother's health, even if birth outcomes did not clearly change.

What helps

  • Book a cleaning in the first or second trimester and tell the office how far along you are.
  • After vomiting, rinse with water, wait 30 minutes, then brush.
  • If cost is the barrier, ask about Medi-Cal dental or a dental school clinic.

When to call someone

  • Nowfacial swelling with fever or trouble swallowing or breathing. That is an infection that needs same-day care.
  • Todaya toothache that keeps you up, a broken tooth, or a painful swollen bump on the gum.
  • At your next visittell your prenatal provider about any dental work planned.

Who helps

Pediatric dentistOB-GYNMidwife

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Sources

  • American College of Obstetricians and Gynecologists — Committee opinion on oral health care during pregnancy and through the lifespan
  • American Dental Association — Pregnancy and dental care patient page
  • California Department of Health Care Services — Medi-Cal Dental program: pregnancy coverage

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