Pregnancy gingivitis is generally most severe in the latter part of the pregnancy and diminishes during the ninth month. Tumors can sometimes develop from sore gums they are usually harmless and require no intervention unless they are uncomfortable or inhibit speech.
Research supports a ban on X-rays during pregnancy except in emergencies, when they may be necessary to diagnose infections, which can spread and complicate a pregnancy if left untreated. Antibiotics such as Tetracycline, and painkillers such as Aspirin and Ibuprofen should be avoided although Penicillin, Amoxicillin and Tylenol may be used after consultation with the attending obstetrician.
In general, elective dental treatment should be postponed until after child birth although necessary treatment such as broken teeth and fillings or cavities are best treated during the second trimester.
When planning a family, pre-pregnancy checkups and X-rays are essential, as any treatment diagnosed can then be performed prior to the onset of pregnancy. This will also provide a foundation for maintenance care during pregnancy.