Swollen gums during pregnancy?

Pregnancy gingivitis

Gingival inflammation or swollen gums, occurs when plaque (sticky deposit) build-up containing bacteria on teeth and produces toxins that irritate the gums because of poor dental hygiene or because the saliva is too acidic. In pregnancy is exacerbated during a period of progesterone and estrogen imbalance. These hormones cause increased vascularity of connective tissue (increased blood flow to the mouth), making the gums friable and thus contributing to gingivitis.

When do they appear?

If the mother had a pre-existing gingival inflammation tends to appear in the second month and peaks in the eight months of gestation. Then, decrease in the last month of pregnancy and postpartum, they’re reduced or similar to the second month of pregnancy.

Area most affected?

Commonly the papillae (inter-proximal area) of the anterior teeth and the molars are the ones that get gingivitis throughout pregnancy. Swollen gums, may be sore and they can be more susceptible to bleeding, especially when brushed or flossed.

Left untreated?

If gingivitis is left untreated in pregnancy it may lead to periodontitis (gum infection that damages the soft tissue and destroys the bone), usually in mothers who suffer from serious gum diseases that might lead to preterm labor, low birth weight and preeclampsia, also really serious complications if the bacteria enter the bloodstream.

Epulis gravidarum

You may also develop (but rare) a focal, highly vascular small lump or nodule called epulis gravidarum, a pyogenic granuloma that occasionally appear in an area where you have gingivitis but typically regresses spontaneously after delivery. If it’s really uncomfortable, interfering with chewing or brushing, or starts to bleed too much, it can be removed while pregnant.


Take the best dental and oral care including brushing of teeth, flossing, and scrape tongue twice a day. Try to always buy high-quality products to use for your health care, especially during pregnancy.

  • For plaque removal you may use crest gum detoxify deep clean toothpaste, and crest gum care mouthwash, cool wintergreen, which neutralizes plaque bacteria around your gum line and reduces bleeding gums.
  • Eat a lot of vitamin C rich food for gum health
  • Take calcium for dental support

Note: Baby obtains calcium from the mother’s body stores, not from her teeth.

These are some really good remedies you also can use:

  • Arnica reduce swelling and gum pain.
  • Warm salt water gargling reduces swelling or warm lemon water
  • Use lemongrass essential oil to mouthwash, more effective than traditional chlorhexidine mouthwash at reducing plaque and gingivitis levels
  • Rub Aloe vera in gums or use aloe vera mouthwash, effective as chlorhexidine
  • Massage tea tree essential oils to reduce swelling, pain and irritation in gums and significantly reduce gingival bleeding.
  • Chew sugarless gum (Xylitol Gum) decrease the rate of tooth decay, increases saliva, equalize the Ph in the mouth, reducing cavity growth.

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