Pregnancy is a period full of physical and hormonal changes, which do not leave oral health unaffected. Changes in a woman’s body can lead to increased gum sensitivity, causing many expectant mothers to develop what is known as pregnancy gingivitis. Pregnancy gingivitis
At the same time, many women are undergoing orthodontic treatment or are considering starting it. The question that arises is: Can pregnancy be combined with braces or Invisalign, and what should be considered regarding gingivitis?
Let’s take a detailed look at everything a pregnant woman needs to know about orthodontic treatment and the prevention of pregnancy gingivitis.
What is pregnancy gingivitis?
Pregnancy gingivitis is a form of gum inflammation that often occurs during pregnancy, affecting approximately 50–70% of expectant mothers. It is mainly caused by hormonal changes (increased progesterone and estrogen), which enhance gum vascularization and make them more sensitive to the presence of bacterial plaque.
Symptoms:
- Redness and swelling of the gums
- Bleeding during brushing or flossing
- Sensitivity or a burning sensation in the gums
- In advanced cases, unpleasant breath and pain
Although pregnancy gingivitis is reversible, if left untreated it can lead to periodontitis, a more severe form of gum disease that also affects the stability of the teeth.
Pregnancy Gingivitis and Orthodontic Treatment
The presence of braces makes cleaning more difficult, as bacterial plaque easily accumulates around the brackets and wires. As a result, pregnancy gingivitis may manifest more intensely.
On the other hand, clear Invisalign aligners offer a significant advantage: they can be removed during meals and cleaning, making oral hygiene easier. However, they require regular cleaning, as the aligners can harbor bacteria and worsen inflammation if not properly washed.
It is important for a pregnant woman to inform her orthodontist of any changes she notices in her gums so that the necessary adjustments can be made to the treatment.
Is it safe to continue orthodontic treatment during pregnancy?
Orthodontic treatment is not contraindicated during pregnancy. Braces or aligners do not contain substances that could harm the fetus. The main concern is diagnostic examinations: X-rays are avoided, especially during the first trimester, unless absolutely necessary.
Additionally, pregnancy can cause changes in tissue biology and the rate of tooth movement. This does not mean that the treatment will fail, but it may require extra care or additional time.
Tips for Preventing Pregnancy Gingivitis in Pregnant Women Undergoing Orthodontic Treatment
- Thorough brushing after every meal, using a soft toothbrush and fluoride toothpaste.
- Use interdental brushes or floss, especially for patients with braces.
- Clean Invisalign aligners with water and a special cleaning solution.
- Alcohol-free mouthwashes suitable for pregnant women, which reduce bacteria and gum bleeding.
- A balanced diet rich in calcium, vitamin C, and vitamin D, which strengthens the gums and teeth.
- Frequent visits to the orthodontist to monitor treatment progress and the condition of the gums.
- Consultation with the gynecologist before any intervention to ensure complete safety for the pregnancy.
Invisalign and Pregnancy: An Additional Advantage
Invisalign is considered more convenient for pregnant women because:
- It can be easily removed, facilitating oral hygiene.
- It does not irritate or injure the gums.
- It requires fewer visits to the orthodontist, as the aligners are provided in sets for several weeks.
This way, the woman can continue her treatment uninterrupted while simultaneously protecting her health.
Conclusion
Pregnancy gingivitis is a common issue, but with proper care it can be managed effectively. Expectant mothers undergoing orthodontic treatment need to be especially careful, as braces make oral hygiene more challenging, while clear Invisalign aligners help maintain clean teeth and healthy gums.
Collaboration between the orthodontist, the pregnant woman, and the gynecologist is key to a safe and successful treatment, without complications for either the mother or the baby.
For more information about pregnancy gingivitis, orthodontic treatment, and personalized guidance from a specialized professional, you can consult orthodontist Dr. Angeliki Nikolopoulou, with clinics in Chalandri and Koropi.