When you are pregnant, it seems everyone has advice for you- on what to eat or how to prevent morning sickness. It’s likely however, that no one has ever told you how important it is to take care of your oral health. Some people still believe that they have more tooth decay during and because of pregnancy. Research has shown that this is not true and that any relationship is indirect. Factors that result in tooth decay formation are the same during pregnancy as at other times, but there are some factors that may contribute to an apparent increase in the rate of tooth decay:

• Previous neglect - The existing tooth decay during pregnancy may represent years of accumulation
• Diet during pregnancy - Unusual cravings may be for sweet foods
• Neglect of personal oral hygiene – Lack of interest in daily flossing and brushing or rinsing immediately following the consumption of sweets. The smell of toothpaste or the act of brushing may precipitate nausea

Women with current tooth decay, or a history of extensive tooth decay, are at greater risk of having children who get cavities before the age of 5. Tooth decay is a bacterial infection. Infants are not born with the bacteria that cause decay. Most acquire these bacteria from their mothers. Common ways to transmit these bacteria are kissing, sharing utensils, cleaning off a pacifier with your mouth, or an infant putting his or her hand in your mouth. If you are pregnant and have cavities, you can reduce your child’s risk of developing early tooth decay by improving your own oral health.

Here are some important steps you can take:

• See a dentist for treatment of all untreated cavities
• Brush and floss daily
• Use products, such as gum and mints that contain xylitol

It is true that the hormonal changes of pregnancy cause many women to experience “pregnancy gingivitis” – swelling, bleeding or tenderness in the gums. One is not doomed to have dental problems when pregnant. Keeping ones mouth healthy before and during pregnancy will improve chances of having a healthy pregnancy and a healthy baby.