Your gums play a vital role during pregnancy, acting as the foundation for your overall oral health and even impacting the well-being of your growing baby. While it’s perfectly normal for your gums to experience increased sensitivity and swelling due to hormonal changes, neglecting proper gum care can lead to a condition called pregnancy gingivitis, or gum disease. This inflammatory condition has been linked to several pregnancy complications, making it crucial for expectant mothers to prioritise their gum health during this delicate time.
We’ll delve into the connection between gum disease and pregnancy risks, exploring the potential consequences and underlying mechanisms. But don’t worry; we’ll also provide you with practical tips and strategies to maintain optimal gum health throughout your pregnancy journey, ensuring the best possible outcome for both you and your little one.
1. The Link Between Gum Disease and Pregnancy Complications
Gum disease during pregnancy has been associated with an increased risk of several complications, including preeclampsia (high blood pressure), preterm birth, and low birth weight. But how exactly does this oral health issue potentially contribute to these adverse outcomes?
According to research, the inflammation caused by gum disease can enter the bloodstream and trigger an exaggerated immune response throughout the body. This heightened inflammatory state may then interfere with the placenta’s ability to deliver adequate nutrients and oxygen to the developing foetus, leading to potential growth restrictions or premature labour.
One study published in the Journal of Periodontology found that women with moderate to severe gum disease were at a significantly increased risk of delivering preterm, low-birth-weight babies compared to mothers with healthy gums. Another study published in the Journal of Clinical Periodontology revealed a strong association between gum disease and preeclampsia, a potentially life-threatening condition characterised by high blood pressure and protein in the urine.
While the exact mechanisms behind these connections are still being studied, experts believe that the inflammatory molecules and bacteria released by gum disease may contribute to the placental inflammation and dysfunction observed in these complications.
2. Maintaining Gum Health During Pregnancy
Excellent oral hygiene is your best defence against gum disease during pregnancy. However, the hormonal changes that occur during this time can make your gums more vulnerable to inflammation and bleeding, even with diligent brushing and flossing.
As your progesterone levels rise, your gums may become more sensitive to plaque and bacterial buildup, leading to pregnancy gingivitis. This condition is characterised by swollen, tender, and bleeding gums, and if left untreated, it can progress to more severe forms of gum disease.
However, don’t worry – pregnancy gingivitis typically resolves after childbirth when your hormone levels return to normal. In the meantime, prioritising your oral care routine and seeking professional assistance if needed is crucial to maintaining gum health during pregnancy. Here are some simple yet effective steps to incorporate into your daily routine:
- Brush your teeth twice daily for two minutes each time, using a soft-bristled brush and fluoride toothpaste. Proper brushing technique is essential for removing plaque and food particles from your teeth and gums.
- Floss daily to remove plaque and food debris from between your teeth and beneath the gum line, areas your toothbrush can’t reach.
- Rinse with an antimicrobial mouthwash to help reduce bacteria in your mouth and promote gum health.
- Eat a balanced, nutrient-rich diet and stay hydrated to support your overall health and immune system.
- If you experience morning sickness, avoid brushing immediately after vomiting, as the stomach acid can temporarily weaken your enamel. Instead, rinse your mouth with water and brush about an hour later.
In addition to your at-home routine, it’s crucial to maintain regular dental visits and cleanings during pregnancy. Your dental professional can provide a thorough cleaning and identify any areas of concern that may require additional attention or treatment.
3. The Role of a Periodontist
A periodontist, like our team at Harley Street, is a dental specialist who focuses on the prevention, diagnosis, and treatment of gum diseases and other issues affecting the supporting structures of the teeth. During pregnancy, periodontal expertise can be invaluable in maintaining your gum health and addressing any concerns that may arise.
If you’re experiencing persistent gum inflammation, bleeding, or discomfort, your dentist may recommend a visit to a periodontist. Our periodontists can provide specialised treatments, such as scaling and root planing (a deep cleaning procedure to remove plaque and tartar buildup beneath the gum line) or targeted therapies for active gum disease.
Scaling and root planing involve carefully removing plaque, tartar, and bacterial deposits from the tooth surfaces and root areas. This process helps eliminate the sources of inflammation and allows the gum tissues to heal and reattach to the teeth. In some cases, antimicrobial or antibiotic treatments may be recommended to control the bacterial infection associated with gum disease.
Additionally, our periodontists can offer preventive measures, such as customised oral hygiene instructions, antimicrobial treatments, and frequent monitoring, to help manage your gum health proactively during this critical period.
4. Tips for Expectant Mothers
To ensure optimal gum health throughout your pregnancy, here are some essential tips to keep in mind:
- Maintain regular dental visits and cleanings, as recommended by your dentist or periodontist. These appointments are crucial for monitoring your gum health and addressing any concerns promptly.
- Practise diligent oral hygiene at home, including brushing, flossing, and using an antimicrobial mouthwash as directed by your dental professional.
- Communicate openly with your dental team about your pregnancy and any concerns you may have regarding your gum health. They can provide personalised advice and adjust your treatment plan as needed.
- Seek prompt treatment for any gum-related issues, such as persistent inflammation, bleeding, or discomfort. Addressing these concerns early can prevent further progression of gum disease and potential complications.
- Be mindful of your diet and hydration levels, as a balanced, nutrient-rich diet and adequate water intake can support your overall health and immune function.
Extra Care and Precaution
Hormonal changes during pregnancy can make your gums more vulnerable to plaque, leading to inflammation and bleeding. This is also called pregnancy gingivitis or gum disease.
It’s caused when your body produces more of the hormone progesterone, which boosts the blood supply to the mouth and makes gums more sensitive to bacteria. (The good news is, that once your baby’s born, pregnancy gingivitis should go away.)
If you experience morning sickness, try to avoid brushing immediately after vomiting to protect your enamel. Instead, rinse your mouth with water and brush about an hour later, once the acid levels have neutralised.
- Brush your teeth twice a day for a full 2 minutes
- Use a toothpaste that has 1000 to 1500 parts per million (ppm) of fluoride in it.
- Spit out toothpaste when you’ve finished, but do not rinse.
Conclusion
Your gum health during pregnancy is closely intertwined with the well-being of both you and your growing baby. By understanding the potential risks associated with gum disease and taking proactive steps to maintain a healthy mouth, you can reduce your chances of experiencing pregnancy complications and ensure the best possible outcome for your little one.
Remember, your dental team is there to support you throughout this incredible journey. Don’t hesitate to consult a periodontist if you have any concerns or need specialised care. By prioritising your gum health, you’ll not only promote a more comfortable pregnancy but also give your baby the best possible start in life.
Find Out Whether You Need to See a Periodontist
Periodontal health is a crucial aspect of overall well-being, yet it’s often overlooked until issues become severe. A periodontist is a dental specialist focusing on the prevention, diagnosis, and treatment of periodontal disease, as well as the placement of dental implants. Maintaining healthy gums is essential not only for a beautiful smile but also for your general health. Here are ten signs that you might need to schedule a visit to a periodontist.
Bleeding Gums
One of the earliest and most common signs of periodontal disease is gum bleeding. Bleeding, especially when brushing or flossing, indicates that your gums are inflamed. This inflammation, known as gingivitis, can progress to more serious periodontal disease if left untreated. If you notice persistent bleeding, it’s time to seek professional help.
Persistent Bad Breath
Chronic bad breath, or halitosis, can be more than just an embarrassing inconvenience. It often stems from bacterial buildup in the mouth, which is a hallmark of periodontal disease. Unlike the temporary bad breath from foods like garlic or onions, persistent bad breath is a sign that bacteria are thriving below the gumline, causing infection and odour. If mouthwash and good oral hygiene aren’t enough to combat bad breath, a periodontist can help diagnose and treat the underlying cause.
Swollen or Red Gums
Healthy gums should be firm and pink. Swollen, red, or tender gums are a clear indication of inflammation, which can be an early sign of periodontal disease. This inflammation is your body’s response to bacterial infection in the gum tissue. If your gums appear puffy or red, especially along the gumline, it’s essential to seek professional evaluation to prevent further damage.
Loose Teeth
Gum disease affects the tissues that support your teeth, including the periodontal ligament and jawbone. As these structures deteriorate, teeth can become loose and may eventually fall out if the disease is not treated. Loose teeth are a serious sign that you need immediate periodontal care. Addressing the issue promptly can save your teeth and prevent further complications.
Receding Gums
Gum recession occurs when the gum tissue pulls back, exposing more of the tooth or its root. This condition can be a sign of advanced periodontal disease. Receding gums can cause sensitivity and increase the risk of cavities and tooth loss. Early signs of gum recession include longer-looking teeth or increased sensitivity. Visiting a periodontist can help identify the cause and prevent progression.
Pain While Chewing
Experiencing pain while chewing can be a signal of periodontal problems. While tooth decay can also cause chewing discomfort, periodontal disease often leads to pain due to inflammation, infection, or damage to the supporting structures of the teeth. Distinguishing between different types of dental pain is crucial, and a periodontist can diagnose and treat the specific cause of your discomfort.
Gum Pocket Formation
Gum pockets are spaces that form between the teeth and gums due to the detachment of the gum tissue from the teeth. These pockets can become deeper over time, trapping food particles and bacteria, which exacerbates the infection. Early detection and treatment of gum pockets are vital to prevent severe periodontal disease. Regular dental check-ups can help identify and manage this condition effectively.
Changes in Bite
Periodontal disease can alter the way your teeth fit together when you bite, chew, or speak. If you notice changes in your bite or the alignment of your teeth, it could be due to shifting caused by bone loss or gum disease. Such changes should not be ignored, as they can lead to more severe dental issues. A periodontist can assess these changes and provide appropriate treatment to stabilise your bite.
Sensitivity to Temperature
Increased sensitivity to hot or cold foods and beverages is another sign of gum issues. This sensitivity often results from exposed tooth roots due to receding gums or enamel loss. While sensitivity can also be caused by tooth decay, periodontal disease should be considered if it’s accompanied by other symptoms like gum recession or swelling. Consulting a periodontist can help determine the exact cause and appropriate treatment.
5 Tips for Maintaining Healthy Gums
Learn effective strategies to keep your gums healthy and prevent periodontal disease.
Conclusion
Recognising the signs of periodontal disease early can prevent severe dental problems and maintain your oral health. If you experience any of the symptoms mentioned above, it’s crucial to seek professional advice from a periodontist. Early intervention can save your teeth, improve your gum health, and enhance your overall well-being. Don’t wait until the problem becomes too severe—schedule a consultation with our periodontist today if you notice any of these signs.
Can gum disease affect my general health?
The simple answer is yes, gum disease can affect your general health. The mouth is connected with the rest of the body. It is the doorway to the body, rather than a separate organ, and is the access point for bacteria to enter the bloodstream via the gums.
There are particularly strong associations between diabetes and heart disease. When considering diabetes, not only does gum disease have an effect on diabetic control, but it also increases the risk of diabetes in healthy individuals.
The good news is that treating gum/periodontal disease may have a positive impact on general health. So don’t ignore the signs of gum disease and take the necessary steps to ensure healthy gums. Remember, healthy gums = healthy body.
For more information on gum health, disease, dental, and articles, make sure to read our other blogs.
More information on periodontal can be found on the British Society of Periodontology and Implant dentistry website.
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Can gum/periodontal disease treatment make a difference to my life?
Gum/periodontal disease can have a negative impact on your quality of life. For example, bad breath may affect your confidence to get close to someone, loose teeth may affect your ability to eat hard foods, tooth loss may affect your nutritional status and the teeth may change position leading to an unattractive smile.
Treating gum/periodontal condition will make a difference to the quality of your life and daily functions. If the condition is treated, you would not have to worry about bad breath, you could eat the foods you like and future tooth loss is prevented. Even individuals who initially don’t have any major symptoms from the condition often say that their mouth feels healthier and they feel better in themselves.
Make sure to read our other blogs to keep a check on your gums. Or contact us if you have any questions or feedback, or would like to book an appointment.
How well does gum/periodontal disease treatment work?
Gum/periodontal disease treatment works really well!
It’s not all doom and gloom when it comes to gum disease. The treatment for the condition is highly predictive and works very well. Of course, the earlier it’s treated the more predictable it is. The first line of treatment is usually ‘non-surgical debridement, which involves disinfecting the gum pockets, allowing them to heal and close up. Even for very advanced cases, there are many options to get the condition under control and ensure the mouth is healthy again.
Although gum/periodontal condition can’t be cured, it can be stabilised. Once it has been stabilised, life-long maintenance of health is simple.
Check out our other blogs if you want to learn more about your dental care. Or contact us if you have any questions or feedback, or would like to book an appointment.
Why are my gums bleeding during pregnancy?
Pregnancy changes your body and that includes your gums too! This means you are more at risk of gum disease and may experience signs of this such as bleeding gums. These signs should not be ignored, as gum disease treatment is safe, effective, and important during pregnancy. Pregnant women should be aware that dental X-rays can be undertaken and local anaesthesia can be delivered without additional risk either to the mother or the foetus. In fact, the risks of no treatment are much higher.
Even without any of the symptoms, if you’re pregnant, it’s always a good idea to get a gum screen and take the necessary precautions to prevent gum disease.
Check out our other articles if you want to learn more about your dental care. Or contact us if you have any questions or feedback, or would like to book an appointment.
Does gum disease run in families?
Genetics and underlying susceptibility play a big role in determining whether you suffer from gum/periodontal condition. Although the plaque/bacteria are the initial cause, your genetic makeup affects how you react to that plaque. For example, your response may be exaggerated if you are genetically more susceptible. Especially if you are young, have a severe disease, and have no other risk factors, this may be the central reason as to why you have developed the disease.
Even if gum disease runs in your family, it doesn’t mean the treatment won’t be successful. In fact, treatment for this is generally highly predictable.
Does my diet affect my gums?
Nutrition and diet have a role in gum/periodontal problems. An imbalance or deficiencies can increase the risk and severity of periodontal disease by affecting the body’s resistance and potential for repair.
Therefore, it’s important to have a healthy intake of fibre, fruit and vegetables and reduce the level of refined sugars to prevent dental disease and improve general health.
Can you cure gum/periodontal disease?
You can never really ‘cure’ gum/periodontal condition but you can treat and stabilise it. Once treated and the gums are healthy, you need to ensure life-long regular maintenance at home and with your hygienist to ensure you minimise any chances of relapse.
Check out our other articles if you want to learn more about your dental care. Or contact us if you have any questions, or feedback, or would like to book an appointment.
What if I leave my gums untreated?
If your gum/periodontal condition is left untreated, this can result in your teeth loosening up and eventual tooth loss. Other associated symptoms may also start to develop including bleeding gums, gum boils, bad breath, bad taste and painful gums/teeth.
You may get very few symptoms until it is advanced so it is important to catch it early, as it’s a preventable and treatable condition.
Are lasers needed to treat my gum?
The simple answer to the question above is no.
Laser is an acronym for Light Amplification by Stimulated Emission of Radiation. The evidence base for using lasers in the treatment of periodontal/gum problems is unclear. However, what we do know is that they do not have any additional advantages over conventional treatment.
Conventional therapy has been used predictably for many decades and often those who use lasers will charge you more for the treatment, but the outcome will be the same as that for conventional therapy. So further well-designed studies are required before the widespread use of lasers in periodontology can be advocated.
If I have gum disease is it safe to have dental implants?
Dental implants have become a popular choice for replacing missing teeth. Implants are manufactured from titanium and can support crowns, bridges or dentures.
For patients with advanced gum/periodontal problems, it is often tempting to want to replace loose teeth with implants. The first thing to remember is that nothing beats your own tooth! So wherever you can, you should always try and save your natural tooth, even if it is loose.
Check out our other articles if you want to learn more about your dental care. Or contact us if you have any questions or feedback, or would like to book an appointment. Follow us on Instagram to get updated on our latest treatments!
Have you had a check-up recently?
In London, 55.7% of people have not seen a dentist in the last 24 months. The highest figure in the country. Skipping those crucial dental check-ups during the pandemic has had a huge knock-on effect on us all—one that can lead to more than just a toothache. Let’s delve into gum disease…
What is gum disease?
Gum disease, also known as gingivitis or periodontitis, is a common condition where the gums become swollen, sore, or infected.
If you are suffering from gingivitis, your gums may appear red and swollen and will bleed, particularly during brushing or flossing. This is due to inflammation along the gumline. The individual may also experience a bad taste or persistent mouth odour for a prolonged period of time. Frequent white spots or large amounts of plaque on the gums are also tell-tale signs of gum disease.
How does it occur?
There are multiple stages of gum disease. In simple terms, it is an infection of the tissues that hold your teeth in place. This is typically a result of poor or a lack of brushing of the teeth and a lack of interdental cleaning/flossing that creates plaque buildup on your teeth that hardens.
Gingivitis: This is the reversible stage of Gum disease, where the swelling and redness begin. Only the gums are involved.
Periodontitis: This derives from the word periodontal, which means “around the tooth” and refers to the structures that surround and support teeth. The second stage involves the bone around the tooth. You lose bone and pockets open up between your gum and tooth.
Other complications include a bad taste, mobile teeth and receding gums.
Who Does It Affect?
Gum disease has the potential to affect anyone of all ages.
Several risk factors that can increase the chances of periodontal diseases include smoking, poor oral hygiene, diabetes, medication, age, hereditary links, and stress.
According to BUPA, it has been concluded that over 90% of adults in the UK have some form of gum disease, even if only a small amount.
What Do Healthy Gums Look Like?
Healthy gums will appear pink and firm. They will not bleed when you brush or floss, nor will they feel sensitive or swollen when brushing, flossing or eating certain foods.
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Natural Ways to Prevent Gum Disease
The good news is that it can be prevented!
- Brush your teeth twice a day and ensure to clean between your teeth too.
- Consider using an electric toothbrush to maximise your cleaning.
- Clean between your teeth using interdental brushes or floss daily.
- Visit your dentist regularly for a check-up and any maintenance as needed.
What are the benefits of treating periodontal disease?
It starts with Gum Disease, but it can get a lot worse if you don’t follow up with proper, effective treatment. Gum Disease has proven to be linked to dangerous health problems in other parts of your body and can increase your risk of
If treated correctly, the corresponding reductions in hospital admissions are:
- 39% in diabetes patients
- 29% in heart disease patients
- 21% in stroke patients
What Treatments Do We Offer?
Here is a list of the relevant consultations and treatments that we offer to help you fight Gum Disease:
Periodontal Consultation
The first appointment will always be a periodontal consultation. This will involve a comprehensive discussion to ensure we are aware of your personal concerns and aims of treatment. This will be followed by a detailed periodontal examination, which involves measuring the position of the gums and determining whether or not spaces (pockets) have opened up between the gums and the teeth.
Non-Surgical Periodontal Therapy
If you have been diagnosed with periodontitis, then treatment will usually begin with non-surgical periodontal therapy. Treatment will only work with good home care and so an important part of this treatment is us giving you tailored oral hygiene instructions. The bacteria and ‘build-up’ under the gum line and within the pocket are then removed through a technique called root surface debridement. This is usually carried out under local anaesthetic to ensure you are comfortable throughout the process. The aims of this treatment are to reduce the depth of the pockets and increase the ability to maintain good oral hygiene in the area.
Pocket Reduction Surgery
If the pockets are not reduced with non-surgical periodontal therapy then surgery may be suggested. This will involve reshaping the gums and bone. Sometimes, bone regenerative materials (synthetic/human/animal derived) may be placed around the teeth.
Gum Recession
Several methods are available to treat gum recession and to reverse it in most cases. At RW Perio, we perform gum grafts, which require pulling the gum down over the receded area and/or taking a small piece of tissue from the roof of your mouth. The graft will improve not only the appearance of the gums but also the thickness.
How Can I Make My Gums Healthy Again?
Creating a routine for oral hygiene that you can follow every morning and night is the first step. In order to keep your gums healthy, consistency is key. Follow the steps above to maintain healthy gums, stick to your routine religiously and try to cut down on sugary foods and drink as much as possible.
We want you to feel confidence in your smile.
Want to take the next step with us?
RW Perio is a specialist private practice dedicated to the treatment of periodontal (gum) diseases, in a comfortable and caring environment. As a leading periodontist in London, our aim is to assist every patient to achieve and maintain optimal gum health.
If you have any concerns about your oral health, you can book an appointment with us or give us a call at our specialist clinic located on 75 Harley Street.
Get in touch with us today or Try Our Online Gum Health Check now!
Ready to read more? Take a look at our other blogs if you are interested in learning further about dental care.
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Bleeding gums are often an indication of gum disease, which can cause severe problems if left untreated.
It’s important to understand what your bleeding gums may be trying to tell you about your oral health and how to take steps to maintain healthy gums and teeth.
What is Gum Disease?
Gum disease is a common condition that affects the soft tissues of the mouth, including the gums, tongue, and cheeks. It is caused by bacteria in plaque, which is a sticky film that forms on teeth. When plaque is not removed, it hardens into tartar, which can lead to inflammation and infection in the gums.
There are two stages of gum disease:
Gingivitis
This is the early stage of gum disease, characterised by red, swollen, and bleeding gums. At this stage, the damage can be reversed with proper oral hygiene and regular visits to the dentist.
Periodontitis
If gingivitis is left untreated, it can progress to periodontitis. This is a more advanced stage of gum disease, where the infection has spread to the supporting tissues and bones around the teeth. In severe cases, periodontitis can lead to tooth loss.
What Causes Gum Disease?
The most common cause of gum disease is poor oral hygiene. When plaque is not removed, it can harden into tartar, which cannot be removed by brushing and flossing alone.
Other factors that can contribute to gum disease include:
- Smoking or using other tobacco products
- Genetics
- Hormonal changes, such as those during pregnancy or menopause
- Certain medications, such as anti-depressants and anti-epileptics
- Chronic diseases, such as diabetes and heart disease
What are the Symptoms of Gum Disease?
The symptoms of gum disease can vary depending on the stage of the condition.
In the early stages, symptoms may include:
- Red, swollen, or bleeding gums
- Bad breath
- Receding gums
- Tooth Sensitivity
- In more advanced stages, symptoms may include:
- Loose teeth
- Changes in the bite or the way teeth fit together
- Pus or discharge from the gums
- Painful chewing
- If you are experiencing any of these symptoms, it’s important to visit a periodontist or dentist as soon as possible.
Why is Gum Health Important?
Maintaining healthy gums is important not just for your oral health, but also for your overall health. Studies have shown that there is a link between gum disease and other health conditions, such as diabetes, heart disease, and stroke.
In addition to reducing your risk of other health problems, maintaining healthy gums can also help you avoid more costly and invasive dental procedures down the road.
How to Maintain Healthy Gums
Maintaining healthy gums starts with proper oral hygiene. This includes brushing your teeth at least twice a day with fluoride toothpaste, flossing at least once daily, and using an antiseptic mouthwash.
In addition to these basic habits, there are a few other things you can do to promote gum health:
- Quit smoking or using tobacco products
- Limit your consumption of sugary and acidic foods and drinks
- Visit a periodontist or dentist for regular check-ups and cleanings
- Consider using an electric toothbrush, which can be more effective at removing plaque than a manual toothbrush
Apply Routine Check
Bleeding gums may be a sign of gum disease, which can lead to serious oral health problems if left untreated. By understanding the symptoms of gum disease, its causes, and how to maintain healthy gums, you can take steps to protect your oral and overall health. Remember to visit your specialist periodontist here at RW Perio or dentist regularly for check-ups and cleanings, and to practice daily dental hygiene at home.