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News | May 22, 2026

Maintaining oral health during pregnancy

By TRICARE Communications

Pregnancy brings many changes to your body, and your mouth is no exception. Hormonal shifts, morning sickness, and changes to diet can all affect your oral health. The good news is that dentists can provide safe, effective care throughout your pregnancy. Staying on top of your oral health during pregnancy can go a long way toward protecting both you and your baby.

Dental visits are safe at any stage

Many people worry about going to the dentist while pregnant. But leading health organizations, including the U.S. Department of Health and Human Services, agree that routine and emergency dental care is safe at any point during pregnancy. This includes X-rays and local anesthesia. Putting off needed treatment during this crucial time can lead to bigger problems, so don’t skip your dental appointments.

If you’re pregnant, let your dentist know. They may want to connect with your OB-GYN, especially if you have a high-risk pregnancy or need pain medication.

Common oral health issues during pregnancy

Pregnancy can make some dental problems more likely to occur. Below are a few to watch for.

Gum disease (gingivitis): Hormonal changes during pregnancy can make your gums more reactive to bacteria. This can lead to swollen, tender, or bleeding gums. Brushing and flossing every day can help keep this in check.

Tooth decay: Cravings may lead to more snacking, and morning sickness can bring stomach acid into the mouth. Both raise the risk of cavities. Dry mouth from nausea can also play a role.

Enamel erosion: If you vomit due to morning sickness, stomach acid can wear down your tooth enamel. Don’t brush your teeth right after vomiting, as this can cause more damage. Instead, rinse with a mix of one cup of water and one teaspoon of baking soda to temper the acidity.

Pregnancy growths: Some people develop a small, benign growth on the gums called a pyogenic granuloma. It’s linked to hormonal changes and is usually harmless, but your dentist should take a look.

How to protect your oral health

Good daily habits are your best defense. Brush twice a day for two minutes with a soft-bristled toothbrush and fluoride toothpaste. Clean between your teeth once a day with floss or an interdental cleaner. If your dentist recommends a fluoride varnish to help protect against erosion, that’s a safe option during pregnancy.

Medications and nitrous oxide

Telling your dentist that you’re pregnant is important so they know to give you the right medications. Local anesthetics are safe during pregnancy. Several antibiotics, such as penicillin, amoxicillin, and clindamycin, are also safe options if needed. Talk with your OB-GYN before taking any pain medication beyond dental anesthesia.

Nitrous oxide, also known as laughing gas, should be avoided during pregnancy. There is a risk of harm to the baby, so pregnant patients and dental staff should limit exposure.

The bottom line

Oral health is part of your overall health — and that matters even more when you’re pregnant. Keep up with your dental care, brush and floss daily, and tell your dentist and OB-GYN about your pregnancy. With the right care, you can protect your smile and support a healthy pregnancy. Check out the TRICARE Dental Program Wellness Program to learn more about additional dental benefits during pregnancy.

Would you like the latest TRICARE news sent to you by email? Visit TRICARE Subscriptions to get benefit updates, news, and more.

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