It is especially important to maintain good oral health during pregnancy. Studies indicate that pregnant women who have severe periodontal (gum) disease may be at increased risk for pre-term delivery, which in turn increases the risk of having a low birth weight baby.

If you notice any changes in your mouth during pregnancy, see Dr. Applegate immediately.

Is there a connection between my pregnancy and oral health?
Eating a balanced diet is necessary to provide the correct amounts of nutrients to nourish both you and your child. What you eat during the nine months of pregnancy affects the development of your unborn child -- including teeth. Your baby's teeth begin to develop between the third and sixth month of pregnancy, so it is important that you receive sufficient amounts of nutrients - especially calcium, protein, phosphorous, and vitamins A, C, and D.

Do I lose calcium from my teeth during pregnancy?
It is a myth that calcium is lost from a woman's teeth during pregnancy. The calcium your baby needs is provided by your diet, not your teeth. However, if dietary calcium is inadequate, your body will provide this mineral from stores in your bones. An adequate intake of dairy products (the primary source of calcium) or the supplements your obstetrician may recommend will help ensure that you get all the calcium you need during your pregnancy.

What if I need a dental radiograph examination while pregnant?
A radiograph may be needed for dental treatment or a dental emergency that cannot wait until after the baby is born. Untreated dental infections can pose a risk to the fetus and dental treatment may be necessary to maintain the health of the mother and child. Radiation from dental X-rays is extremely low nowadays. However, every precaution is taken to minimize radiation exposure. For example, a leaded apron minimizes exposure to the abdomen and may be used when any dental radiograph is taken. A leaded thyroid collar will protect the thyroid from radiation, and should be used whenever possible. The use of a leaded thyroid collar is strongly recommended for women of childbearing age, pregnant women and children.

Does pregnancy affect my gums?
Gingivitis, especially common during the second to eighth months of pregnancy, may cause red, puffy or tender gums that tend to bleed when you brush. This sensitivity is an exaggerated response to plaque and is caused by an increased level of progesterone in your system. Dr. Applegate may recommend more frequent cleanings during your second trimester or early third trimester to help you avoid problems.

What are pregnancy tumors?
Occasionally overgrowths of gum tissue, called pregnancy tumors, appear on the gums during the second trimester. These localized growths or swellings are usually found between the teeth and are believed to be related to excess plaque. They bleed easily and are characterized by a red, raw-looking mulberry-like surface. They are often surgically removed after the baby is born. If you experience pregnancy tumors, see Dr. Applegate.

What can I do to keep my mouth healthy while pregnant?
To help prevent tooth decay and periodontal disease, brush your teeth thoroughly twice a day with a fluoride toothpaste to remove plaque. Be sure to clean between your teeth daily with floss or interdental cleaners. Ask Dr. Applegate to show you how to brush and floss correctly. When choosing oral care products, look for those that display the American Dental Association's Seal of Acceptance, your assurance that they have met ADA standards of safety and effectiveness.