Dental treatment before and during pregnancy. Why is it important?

Oral health plays a vital role not only for the mother’s health but also for the proper development of the baby. During pregnancy, a woman’s body undergoes many hormonal changes that can significantly affect the condition of the teeth and gums. At the SmileTime clinic in Prague 9, we specialize in gentle and safe care for pregnant patients to ensure their health and comfort.

Why is dental care during pregnancy important?

  • Hormonal changes: Increased hormone levels (estrogen and progesterone) increase blood flow to the gums, making them more sensitive and prone to inflammation (pregnancy gingivitis). This can lead to swelling, bleeding, and discomfort.
  • Risk of tooth decay: Pregnancy increases the risk of cavities. Changes in dietary habits or acid reflux can weaken tooth enamel. In such cases, a high-quality white composite filling is required.
  • Inflammation and infections: Untreated infections can negatively impact the mother’s overall health and potentially increase the risk of pregnancy complications.

How does maternal oral health affect the child?

Bacteria from untreated inflammations or cavities can affect fetal development through the bloodstream. Research suggests that poor gum health may be linked to a higher risk of premature birth or low birth weight. Caring for the mother’s teeth reduces the likelihood of transmitting harmful bacteria to the baby after birth.

Dental care before pregnancy

Care before pregnancy is essential for maintaining oral health and preventing potential complications during pregnancy.

Prevention as a foundation

Regular preventive check-ups and dental hygiene are key. During a visit:

  • The dentist evaluates the condition of your teeth and gums.
  • Professional tartar removal and plaque cleaning are performed to prevent inflammation.
  • We provide recommendations on improving your daily dental hygiene.

Treating cavities and gum inflammation

Tooth decay or gum disease can negatively affect overall health. Therefore, we recommend:

Individualized Advice

Every patient is unique. We provide advice on fluoride toothpastes, using soft toothbrushes, and nutritional habits that support dental health.

Changes in the mouth during pregnancy

Hormonal impact

  • Pregnancy gingivitis: Inflammation causing swelling and bleeding. If left untreated, it can lead to periodontitis.
  • Increased decay risk: Dietary changes and difficult hygiene increase the risk of cavities.

Sensitivity and vomiting-related risks

Frequent vomiting (common in the first trimester) weakens enamel. We recommend rinsing your mouth with water or fluoride mouthwash after vomiting to neutralize acids. Do not brush immediately after vomiting to avoid damaging the weakened enamel.

Safe dental procedures during pregnancy

When is it safe?

  • Ideal trimester: The second trimester (weeks 13 to 27) is best for routine procedures.
  • First trimester: Only essential treatments, such as acute pain management, are advised.
  • Third trimester: Elective procedures should be postponed until after birth for the mother’s comfort.

Safety of anesthesia and routine work

Local anesthesia is safe for both mother and baby. Routine procedures like fillings, decay treatment, or tartar removal can be performed without worry.

Procedures to avoid

  • X-rays: Only if absolutely necessary, using protective lead aprons.
  • Cosmetic work: Procedures like teeth whitening should be postponed until after childbirth.

Daily care recommendations

  1. Brush twice daily with a soft toothbrush.
  2. Do not forget interdental cleaning with brushes or floss.
  3. Use fluoride products to strengthen enamel.

Common problems and solutions

In cases of severe gum inflammation, our team at SmileTime will recommend safe treatment. If tooth pain occurs, root canal treatment can be safely and gently performed during pregnancy if needed.


At SmileTime clinic, we offer pregnant patients professional care that is safe and effective. We are contracted with the VZP insurance company. Give us a call, and we will be happy to advise you on an individual care plan for this important period of your life.

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