This hormonal increase exaggerates the way the gum tissues react to the bacteria in plaque, resulting in an increased likelihood that a pregnant women will develop gum disease if her daily plaque control is not adequate. It is important to note, that it is the plaque, and not the increased hormone levels that is the major cause of pregnancy gingivitis. Swelling of the gums is usually first seen in the second month of pregnancy and generally reaches a peak by the middle of the last trimester. It can remain that way for 3-6 months after delivery. The seriousness of the gingivitis can range from mild to severe depending on the gum problems existing before pregnancy.
Pregnancy generally worsens preexisting gum problems, sometimes dramatically.
Use a soft toothbrush with rounded bristles. Choose a size and shape that allows you to clean the chewing surface, the cheek side, and the tongue side of the tooth. Visit your oral health professional such as your dental hygienist regularly for advice and therapy on oral disease prevention and oral health promotion while you are pregnant. This is a good time to ask your hygienist if you are brushing and flossing effectively and if there is room for improvement in your daily plaque control. By practicing good oral hygiene, and visiting your dental hygienist regularly, gingivitis can be prevented during pregnancy.