Clearwater FL Periodontist Dr. Todd Britten: Pregnancy and Gum Disease

Professional dental cleanings and routine check ups are particularly important during pregnancy.

Fluctuating hormone levels during pregnancy can cause normal, healthy gums to become red, irritated and swollen. Pregnancy Gingivitis (inflammation of the gums) is the body’s exaggerated response to plaque and calculus. It can range from gums that are redder than usual, to severe swelling and bleeding of the gums. Often a routine dental hygiene visit  as well as increased oral hygiene care at home can help to keep this condition under control.

 
Sometimes a pregnancy tumor can form on the gums during pregnancy. This large uncomfortable overgrowth of gum tissue forms as a lump on the between the teeth or along the gum line and often has deep red pinpoint markings on it forms on inflamed gum tissue. These growths can occur at any time during the course of pregnancy, although they usually occur during the second trimester. These growths, while not at all cancerous, may require antibiotic treatment or to be removed surgically by your dentist or periodontist.

It is better to be closely monitored before your pregnancy if possible to catch any potential problems before they occur as well to minimize any need for dental x-rays during pregnancy. It is also important during pregnancy to stay current with your regular dental hygiene visits and examinations to catch any potential gum or tooth problems at the earliest possible time.  Although dentists will typically postpone major treatment until after delivery, emergencies do come up and need to be addressed.  Since your baby’s organs are being formed in the first trimester, this work is ideally taken care of during the second trimester to minimize any potential risk.
  
Some major studies have shown a link between gum disease and premature birth. This is likely due to the levels of elevated inflammatory chemicals in the bloodstream of a pregnant mother due to untreated gum disease.  One study published in The Journal of the American Dental Association found that pregnant women with chronic gum disease were four to seven times more likely to deliver prematurely (before week 37) and underweight babies than mothers with healthy gums.  Mothers with severe periodontal disease delivered the most prematurely, at 32 weeks. 

You can contact Dr. Todd Britten in his Clearwater, Florida periodontal practice at 727-586-2681 or visit his website at www.brittenperio.com