People who become pregnant during orthodontic treatment, or who are thinking of starting treatment while pregnant, often ask similar questions: Will braces harm the baby? Do I need to pause treatment? In this article you can find general answers to these questions.
How does pregnancy affect your teeth?
Hormonal changes make the gums more sensitive; bleeding and swelling are common. Because of changes in the gums and the tissues around the teeth, the teeth may feel slightly loose. Nausea and vomiting can expose the enamel to acid. For details, see our article on pregnancy and oral health.
Is orthodontic treatment safe for the baby during pregnancy?
Brackets, wires and clear aligners are not devices that directly affect the baby. Ongoing orthodontic treatment can often be continued throughout pregnancy. Any changes to the treatment plan (for example the need for X-rays or postponing additional procedures) are assessed together with your orthodontist.
Starting a new treatment
When deciding whether to start a new orthodontic treatment during pregnancy, the following points are considered:
- X-rays may be needed for the initial records; to avoid unnecessary X-rays, postponing treatment until after the birth may be preferred in some cases.
- Gum sensitivity and nausea can make it harder to keep up with treatment.
- As this is a planned, non-urgent treatment, timing is decided according to personal preference and the orthodontist's assessment.
Are dental X-rays safe during pregnancy?
The dose used in dental X-rays is low, and they can be taken when needed with suitable protective measures. Still, leaving X-rays that can wait, such as orthodontic records, until after the birth is a common approach. Always tell your dentist that you are pregnant.
How is oral hygiene affected?
Gum inflammation is more likely while wearing braces. Carefully cleaning around the brackets and under the wire with an interdental brush is important. People wearing clear aligners should not put the aligners back in after meals without brushing. After vomiting, rinsing the mouth with water and waiting a little before brushing protects the enamel.
Is orthodontic treatment more uncomfortable during pregnancy?
Because the gums become more sensitive, some mothers may feel more tenderness during treatment. If pain relief is needed, always consult your obstetrician first.
Clear aligners or braces?
Because clear aligners are removable, they can make gum care easier; however, nausea can make wearing aligners for 20–22 hours a day difficult for some mothers. Which method suits you depends on your personal situation. For a short answer about wearing clear aligners during pregnancy, see our frequently asked questions page.
