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Gum inflammation in pregnancy

 
, medical expert
Last reviewed: 05.07.2025
 
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Inflammation of the gums is one of the most common dental diseases. Redness and bleeding are the first signs of inflammation. Moreover, this disease has no age limit. It is typical for both adults and children. Inflammation of the gums during pregnancy is a problem that should not be forgotten during this period.

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Causes of gum inflammation during pregnancy

A number of changes occur in the body of a pregnant woman against the background of a hormonal surge or toxicosis. As a result, the blood supply to the mucous membranes is disrupted. And this is a threat of inflammatory processes. As a result, the gums become more sensitive, change color, swell and are damaged when brushing teeth. Which can lead to more serious consequences and diseases.

Another cause of inflammation is tartar. After eating, it is necessary to carefully remove food debris. Otherwise, this leads to the formation of plaque on the teeth, which contain a large number of bacteria. They are the cause of inflammatory processes in the oral cavity. Plaque that is not “removed” in time hardens and turns into tartar, which forms voids between the gum and the tooth, and pus can accumulate in them. During pregnancy, the content of microorganisms in plaque increases.

Also, during this period, which is special for women, the symptoms of low-grade inflammation that was present before pregnancy may worsen.

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Symptoms of gum inflammation during pregnancy

Inflammation of the gums during pregnancy is observed mainly in the period from 2 to 8 months. Based on this, the symptoms for the first and second half of pregnancy may be different. Inflammation in the first half is described by the symptoms:

  • painful sensations when brushing teeth;
  • change in gum color;
  • blood on the gums;
  • swelling of the gums.

The most pronounced factor that women complain about, and which indicates an inflammatory process, is pain in the gums. And not only during brushing, but also at rest. Many people, in order not to experience discomfort once again, brush their teeth much less often, thereby increasing the proportion of bacteria. As a result, the condition of the gums becomes even more critical.

Symptoms of gum inflammation during pregnancy in the second half are characterized by hypertrophy - growth of the edge and papillae of the gum. Mainly, it is expressed on the front teeth. Such hypertrophy is of two types:

  • edematous (gingival papillae are soft, bleeding, loose);
  • fibrous (enlarged, dense gingival papillae).

At the first signs of gum inflammation: bad breath, burning, pain, ulcers - you must immediately seek help from a dentist. To avoid negative effects on the fetus, which can cause gum disease.

Diagnosis of gum inflammation during pregnancy

Due to the fact that gum inflammation can begin in pregnant women even if the oral cavity was healthy. At least, there were no complaints. Therefore, the first and main diagnostician is the woman herself. It is necessary to examine the oral cavity daily, monitor the condition of the gums, bad breath. The appearance of bleeding, which is repeated every time you brush your teeth, eat food - a sign of gum inflammation. A constant feeling of discomfort and burning, pain when pressing on the gum area are a significant reason to visit a doctor, as well as an increase in plaque and gum growth. However, a dental examination will be the final factor for diagnosing the disease.

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Treatment of gum inflammation during pregnancy

Treatment for gum inflammation during pregnancy includes:

  • Removal of plaque and tartar. It is performed using hand instruments, since ultrasound and laser therapy are prohibited for pregnant women. They can cause side effects in the early stages (sudden birth, abortion, etc.). After dental cleaning, the teeth are polished.
  • Use of anti-inflammatory drugs. The course of therapy prescribed by the doctor includes rinsing and the use of antiseptic gels.
    • Prescribe an aqueous solution (0.05%) of chlorhexidine, aqueous infusions of herbs (sage, chamomile). Rinse the mouth twice a day, for at least 45 seconds. Fluoride rinses reduce the impact of caries on teeth and thus reduce the number of pathogenic bacteria, and as a result - relieve the inflammatory process.
    • gels are prescribed: Metrogyl Denta (for women in the second and third trimesters), Holisal. Apply to the edge of the gum, interdental space, twice a day. After application, for about three hours, it is not recommended to eat or rinse the mouth. If an irresistible desire arises, you can drink some water.
  • The entire course of treatment takes no more than ten days.
  • Diet: more vitamins, less carbohydrates. Avoid frequent snacking. Monitor your oral hygiene after meals.
  • Use of specialized toothpastes.

In case of marginal gum growth (mild form), the above-mentioned local treatment can be used throughout the entire period. Additionally, gum massage is prescribed. In severe cases, active treatment (surgery, medicinal injections) may be required. However, this form of therapy is carried out after childbirth.

How to prevent gum inflammation during pregnancy?

It is important to remember that the health of our body and organism depends, first of all, on our attention to it. Therefore, even taking into account the fact that pregnant women are prone to gum inflammation, independent hygiene significantly reduces the risk of the disease. Prevention of gum inflammation during pregnancy includes several simple rules:

  • a properly selected toothbrush with soft bristles that allows frequent use (especially when bleeding occurs);
  • constant, thorough rinsing and rinsing of the mouth (there are dental instruments for rinsing hard-to-reach areas);
  • brushing teeth after each meal, in addition to twice a day. Using dental floss before using a toothbrush and toothpaste;
  • eating plenty of fruits and vegetables;
  • reduction, or better yet, elimination of carbohydrate-containing foods from the diet: sweet, sticky, etc.;
  • regular visits to the dentist.

All the points mentioned above should be observed not only by pregnant women with gum inflammation, but also by all people who care about themselves and want to have beautiful teeth and gums. A couple of hours a day now - healthy and strong teeth later.

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