What causes teeth and gum problems in pregnancy?

Gum problems are common in pregnancy. Your gums may bleed when you brush or floss them. The hormone progesterone softens your gums and increases the blood supply to them. The build-up of plaque, which coats your teeth between cleaning, also make your gums more prone to bleeding.

It is important to take care of your teeth in pregnancy, partly to avoid bleeding gums (gingivitis) developing into the more serious condition of periodontitis. One study has shown that infection can progress from your gums into your teeth and jaw bones, and may even cause premature labour.

How can I prevent teeth and gum problems?

You should brush your teeth at least twice a day, before you have breakfast, and before you go to bed. Brush thoroughly, but gently, for at least two minutes, and no sooner than one hour after eating or drinking. Use a brush with soft bristles, or an electric toothbrush, with fluoride toothpaste. Floss at least once a day, ideally before you go to bed.

If you have pregnancy sickness, you shouldn't brush your teeth straight after vomiting.

The acidity of stomach contents can corrode your teeth, and brushing will make the problem worse. Freshen your mouth after being sick by rubbing fluoride toothpaste over your teeth with your finger and then rinsing your mouth with water.

The acid in citrus fruit can also soften your tooth enamel. So if you've had a glass of orange juice, wait for an hour before cleaning your teeth.

Try to eat a balanced diet and avoid fizzy or sugary drinks. Cut down or cut out sugary snacks such as cakes and biscuits to protect your teeth against decay.