​Dental Scaling During Pregnancy

Hormonal Changes and Their Effects on Oral Health

Hormonal changes during pregnancy, such as increased progesterone and estrogen levels, can significantly impact oral health. These changes may lead to:

•       Gingivitis (also known as pregnancy gingivitis): A condition that causes the gums to become red, swollen, and prone to bleeding. 
•       Periodontitis (advanced gum infection): Gingivitis can develop into a more serious disease that can damage the bones around the teeth. 
•       Risk of premature birth and low birth weight: Research has shown that gum infection and periodontal disease can increase the risk of premature birth.

Centers for Disease Control and Prevention (CDC)

“Gum disease during pregnancy can increase the risk of preterm birth and low birth weight. Regular dental care can help prevent these complications.”

 Is Teeth Scaling Safe During Pregnancy?

Yes, teeth scaling is entirely safe, and there is no evidence that this process harms the fetus. Scaling is a noninvasive procedure that only removes plaque and tartar accumulated on the teeth and gums.

 American Pregnancy Association

“Teeth scaling during pregnancy is not only safe but also essential for preventing oral infections that could negatively impact both the mother and the baby.”

Benefits of Teeth Scaling During Pregnancy

Teeth scaling during pregnancy, if done correctly and at the right time, can have numerous benefits for the health of the mother and fetus. Here are the most important benefits of this preventive measure:

1. Reduces inflammation and gum infection 

Hormonal changes during pregnancy can cause inflammation and even bleeding of the gums. Scaling helps remove plaque and tartar buildup and prevents periodontitis (gum infection), a risk factor for premature birth.

2. Prevents serious oral diseases 

Plaque buildup can lead to tooth decay and oral infections, which threaten the health of the mother and the fetus. Regular scaling minimizes the risk of these problems.

3. Maintains overall health 

Oral infections during pregnancy can lead to increased systemic inflammation. Scaling helps improve the mother’s overall health and prevents the adverse effects of infections on the fetus.

4. Create a sense of comfort and confidence 

Maintaining oral hygiene and preventing lousy breath puts the expectant mother in a better mental and physical state.

5. Preventing more serious problems and higher costs 

Scaling is a simple and cost-effective procedure that can prevent more expensive treatments, such as treating advanced gum infections or dental surgeries in the future.

American Dental Association (ADA)

“Maintaining oral health during pregnancy is crucial for the overall health of both the mother and baby. Dental treatments such as scaling are safe and recommended during pregnancy.”

Common concerns and scientific answers

•       Anesthesia: If the scaling requires anesthesia, safe and approved drugs for pregnancy are used. 
•       X-rays: Scaling does not usually require imaging. If imaging is necessary, an abdominal protector is used for the safety of the fetus. 
•       Pain or complications: Scaling is generally painless and has no complications for the fetus.

Best Time for Teeth Scaling During Pregnancy

Scaling is safe at any pregnancy stage, but dentists recommend the best time for the second trimester (weeks 14 to 20). Morning sickness is less during this time, the mother is more comfortable, and there are fewer potential risks (although rare). Of course, if the need for scaling is urgent, it can be done anytime during pregnancy.

 First trimester and scaling: Should it be done or postponed?

The first trimester of pregnancy is when the baby’s vital organs are forming. For this reason, doctors usually recommend avoiding unnecessary dental treatments during this period. Although scaling is a noninvasive and safe procedure, postponing it until the second trimester is advisable to ensure peace of mind and reduce any stress or potential discomfort for the mother.

Why does it make sense to postpone scaling?

1.     The priority is stabilizing the fetus: In the first trimester, the fetus is in the early stages of development, and the mother’s body is adjusting to hormonal changes. 
2.     Maternal nausea and increased sensitivity to dental procedures: Many women experience morning sickness during this period, making it difficult to sit in the dentist’s chair for a long time. 
3.     Prevent anxiety: Although scaling is not dangerous, visiting the dentist may cause unnecessary stress, which should be avoided in the first trimester.

The role of oral hygiene in the first trimester

Due to increased hormone levels, pregnant mothers are more prone to inflammation and bleeding gums. Therefore, if scaling is not necessary, it is recommended to pay more attention to oral hygiene during this period: 

•       Regular brushing with fluoride toothpaste. 
•       Flossing: to prevent plaque from accumulating between the teeth. 
•       Safe mouthwashes: if prescribed by a doctor. 

These measures can help reduce gingivitis and minimize the need for immediate scaling.