Gum Swelling During Pregnancy: Causes and Remedies

Regarding gum swelling and redness?

Hello, I have swelling in the gums between my front teeth, which bleeds when I brush but does not hurt, and there is no pain when I press on it.
It has been about a week, and the swollen gum between my front teeth resembles a small ball that can be flipped.
In the past couple of days, in addition to brushing more frequently, I have been using mouthwash in the morning and evening, and applying an herbal ointment for inflammation.
I am currently pregnant, and I have never experienced this before.
Could this be related to my pregnancy? Will using mouthwash, the herbal anti-inflammatory ointment, and maintaining good oral hygiene help improve the redness and swelling? Thank you.

amy, 20~29 year old female. Ask Date: 2016/01/10

Dr. Zeng Guanghui reply Dentistry

In the above situation, as long as you try to keep the plaque between the teeth clean, the bleeding will improve.
However, due to hormonal changes during pregnancy, the gums may become more sensitive and prone to inflammation.
It is essential to brush your teeth regularly and use mouthwash to reduce the severity of inflammation and prevent gum redness and swelling.

Reply Date: 2016/01/10

More Info

Gum swelling during pregnancy is a common issue that many expectant mothers experience, often referred to as pregnancy gingivitis. This condition is primarily caused by hormonal changes that occur during pregnancy, which can increase blood flow to the gums and make them more sensitive and prone to inflammation. The increased levels of hormones, particularly progesterone, can also affect the way your body responds to plaque, leading to gum irritation and swelling.

In your case, the swelling and bleeding of the gums, especially around the area between your front teeth, could indeed be related to your pregnancy. The fact that you are experiencing these symptoms for the first time during pregnancy suggests that hormonal changes are likely playing a significant role. Additionally, the increased blood volume and changes in the immune response during pregnancy can exacerbate existing dental issues or make the gums more susceptible to inflammation.

To address your concerns, it is essential to maintain good oral hygiene, which you are already doing by brushing your teeth regularly and using mouthwash. Here are some recommendations to further improve your gum health during pregnancy:
1. Continue Good Oral Hygiene: Brush your teeth at least twice a day with fluoride toothpaste and floss daily. This helps remove plaque and food particles that can contribute to gum disease.

2. Use Antimicrobial Mouthwash: While you are using a herbal mouthwash, consider using an antimicrobial mouthwash that is safe for pregnant women. This can help reduce bacteria in the mouth and decrease inflammation.

3. Stay Hydrated: Drinking plenty of water can help wash away food particles and bacteria, reducing the risk of gum irritation.

4. Regular Dental Check-ups: It is crucial to maintain regular dental visits during pregnancy. Your dentist can provide professional cleanings and check for any signs of gum disease or other dental issues.

5. Dietary Considerations: Eating a balanced diet rich in vitamins and minerals, particularly vitamin C and calcium, can support gum health. Avoid sugary snacks and beverages that can contribute to plaque buildup.

6. Consult Your Dentist: If the swelling persists or worsens, it is advisable to consult your dentist. They can provide a thorough examination and may recommend treatments that are safe during pregnancy.

Regarding the use of herbal ointments, while some natural remedies can be beneficial, it is essential to ensure that any product you use is safe for pregnant women. Always consult with your healthcare provider before trying new treatments.

In summary, gum swelling during pregnancy is often linked to hormonal changes and can be managed with good oral hygiene practices and regular dental care. If you notice any significant changes or if the swelling does not improve, seeking professional dental advice is crucial. Taking these steps can help ensure that your oral health remains in good condition throughout your pregnancy.

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