Gums in pregnancy

Pregnancy Gingivitis: Bleeding and Swollen Gums While Pregnant

Hormones make gums react more strongly to plaque in pregnancy, so they bleed and swell more easily. It is common, treatable and usually settles with thorough cleaning at home and a professional clean.

  • Professional cleaning safe in pregnancy
  • Gums charted, not guessed
  • Open daily 10:00–20:00

Tell us how many weeks pregnant you are when you book, so we can plan the visit around you.

Quick answer

Why do my gums bleed during pregnancy?

During pregnancy, hormonal changes exaggerate the gums' reaction to the bacteria in plaque, so gums become red, puffy and bleed when you brush. This is called pregnancy gingivitis. The plaque, not the pregnancy alone, is the trigger, which is why careful brushing, cleaning between the teeth and a professional clean usually settle it. At Creative Arts in Dubai, gum cleaning is carried out safely at any stage of pregnancy.

Who treats you here Dr. Duaa Ameen General Dentist · Dr. Taban Ameen Dentist

Every dentist’s licence can be checked on the DHA Sheryan medical directory.

27 yearsIn-house dental laboratory in the same building
Written planItemised treatment plan before you commit
Open daily10:00–20:00, seven days a week
Jumeirah 3614 Jumeira St, Umm Suqeim 1, Dubai
Symptoms

What does pregnancy gingivitis look and feel like?

Signs often appear from the second or third month and can increase as the pregnancy goes on.

01

Bleeding when you brush or floss

Pink toothpaste froth or blood on floss is usually the first sign, often around the front teeth and between the back teeth.

02

Red, puffy gum edges

The gum between the teeth becomes swollen and shiny instead of firm and pale pink, and may feel tender.

03

Bad taste or breath

Inflamed gums and trapped plaque can cause a stale taste, which is easily confused with the taste changes of pregnancy.

04

A soft lump on the gum

Some women develop a red, soft growth between two teeth that bleeds easily. It is described below and needs a check, but is usually not serious.

Causes

Why does pregnancy make gums bleed more?

Plaque is a sticky film of bacteria that builds up along the gum line every day. In anyone, plaque that is left there causes gingivitis: inflamed gums that bleed. In pregnancy, raised hormone levels change the blood vessels and the immune response in the gums, so the same amount of plaque provokes a stronger reaction. The American Dental Association explains that gingivitis in pregnancy may result from hormonal changes that exaggerate the gum tissue's response to bacteria.

That has two practical consequences. First, gums that bleed are not a reason to brush less. Bleeding is a sign of inflammation caused by plaque, and removing the plaque is what calms it. Second, gums that were already a little inflamed before pregnancy tend to get worse, so a gum check early in pregnancy is useful.

Other things can add to it: morning sickness that makes brushing difficult, more frequent snacking, a drier mouth, and crowded teeth or old fillings that trap plaque. If gums were bleeding before you were pregnant, or you have deeper gum pockets, gingivitis may be part of a longer-standing gum problem; our guide to gingivitis vs periodontitis explains the difference.

Gum lump

What is a pregnancy tumour on the gum?

Despite the name, a so-called pregnancy tumour is not cancer. Its medical name is pyogenic granuloma, also called pregnancy epulis. The ADA describes it as a round growth, usually connected to the gum by a thin cord of tissue, that may develop due to hormonal changes. It is typically red or purple, soft and bleeds easily, and most often appears between two teeth where plaque collects.

In general terms it often shrinks or disappears after the birth, so the usual approach is to keep the area very clean and monitor it. Removal may be considered if it bleeds repeatedly, gets in the way of eating or brushing, or does not settle after the pregnancy. Any lump in the mouth should be examined, and one that does not behave like a typical pregnancy granuloma, or persists, is checked further.

Normal or not?

Bleeding gums in pregnancy: what is common and when to see a dentist

Use this as a guide only. A gum check measures the gums and finds the cause.

What you noticeCommon in pregnancyBook a dental visit
Bleeding when brushingA little pink froth that improves within one to two weeks of careful cleaningBleeding that continues despite good cleaning, or bleeding without brushing
SwellingSlightly puffy gum edges between the teethSwelling around one tooth, a gum boil, or gums that are very painful
Gum lumpNone, or a small soft lump that has been checkedAny new lump, especially one that bleeds a lot, grows quickly or gets in the way
TeethTeeth feel normalA tooth that feels loose, gums pulling back, or pain on biting
Breath and tasteMild stale taste that improves with cleaningA bad taste with pus or a tender, swollen area
Treatment options

How is pregnancy gingivitis treated, from simple to more involved?

Most women need only the first two or three rows. Treatment is chosen after the gums are examined and measured.

OptionWhen it fitsWhat it involves
Better home careEvery caseBrushing twice a day at the gum line with fluoride toothpaste, and daily cleaning between the teeth with floss or interdental brushes
Professional cleanPlaque or tartar along the gum lineScaling and polishing, or Guided Biofilm Therapy; safe at any stage of pregnancy
Review visitModerate inflammation or a gum lumpA check a few weeks later to confirm the gums are settling, and further cleaning if needed
Deep cleaningGum pockets or bone loss suggest periodontitisCleaning below the gum line under local anaesthetic, which may be used in pregnancy; see deep cleaning
Removal of a gum lumpA granuloma that bleeds repeatedly or interferes with eating, or persists after the birthA minor soft-tissue procedure under local anaesthetic, timed with your pregnancy in mind

Mouthwash does not replace brushing and cleaning between the teeth; ask before starting a medicated rinse in pregnancy.

Your visit

What happens at a gum check while pregnant?

Appointments are kept comfortable, with the chair more upright later in pregnancy and breaks whenever you need them.

  1. Medical history

    How many weeks pregnant you are, any complications, medicines and how your gums have changed.

    A few minutes
  2. Gum examination

    The gums are looked at and gently measured around each tooth to see whether this is gingivitis alone or deeper gum disease.

    Same visit
  3. Cleaning

    Plaque and tartar are removed. If the gums are tender, the cleaning can be split into two shorter visits.

    Same or next visit
  4. Home-care plan

    You are shown which areas bleed and how to clean them, including the right size of interdental brush.

    Same visit
  5. Review

    A follow-up to check the gums are improving, and a plan for another clean later in pregnancy or after the birth if needed.

    A few weeks later
Questions

Can gum inflammation in pregnancy affect the baby?

Researchers have studied links between gum disease and pregnancy outcomes for many years, with mixed results, and whether treating gum disease during pregnancy changes those outcomes has not been clearly shown. What is clear is that gum treatment is safe in pregnancy and good for your own health, so there is no reason to delay it.

Some people search whether gum inflammation predicts a baby's sex. It does not; gum changes are caused by hormones and plaque in all pregnancies.

For other dental questions in pregnancy, including X-rays, anaesthetic and which treatments to postpone, see dental care during pregnancy. If a tooth rather than the gum is hurting, read toothache during pregnancy.

When to get help quickly

Contact the clinic during opening hours, 10:00–20:00 daily, for a swollen, painful area around one tooth, a gum boil or pus, or a gum lump that bleeds heavily. Go to a hospital emergency department straight away for facial swelling with fever, difficulty breathing or swallowing, swelling spreading towards the eye or neck, or bleeding you cannot control.

Who treats you

Dentists who look after gums in pregnancy

Dr. Duaa Ameen and Dr. Taban Ameen focus on gum care and hygiene at Creative Arts. They examine and measure the gums, carry out cleaning that is safe in pregnancy, and plan follow-up around your due date.

Sources

Clinical statements on this page are consistent with these independent sources. They describe averages from studies, not a promise for any one patient.

  1. American Dental Association. Pregnancy (Oral Health Topics). ADA, 2024.
Patient questions

Frequently asked questions

Is it safe to have a teeth cleaning while pregnant?

Yes. Professional cleaning is preventive treatment, which the American Dental Association states is safe throughout pregnancy. Removing plaque and tartar is the main treatment for pregnancy gingivitis, so there is no benefit in waiting. Later in pregnancy the chair is kept more upright and you can take breaks whenever you need them.

When does pregnancy gingivitis start and when does it go away?

Many women notice bleeding gums from the second or third month, and it can increase as the pregnancy goes on. Gums often calm down after the birth as hormone levels change, but plaque-related inflammation will persist if the plaque is not removed, so good cleaning remains important afterwards.

Should I stop flossing if my gums bleed in pregnancy?

No. Bleeding is a sign of inflammation caused by plaque, and cleaning between the teeth is what removes it. Be gentle and consistent; with daily cleaning, bleeding from pregnancy gingivitis usually reduces within one to two weeks. If it does not, book a gum check, because tartar or deeper pockets may need professional cleaning.

Is a lump on the gum during pregnancy dangerous?

A soft, red lump between two teeth in pregnancy is usually a pyogenic granuloma, often called a pregnancy tumour, which is not cancer. It often shrinks after the birth. It should still be examined, kept very clean, and removed if it bleeds repeatedly, interferes with eating or persists after the pregnancy.

Can pregnancy gingivitis turn into periodontitis?

Gingivitis affects only the gum and is reversible. If plaque and tartar stay for long periods, inflammation can spread to the tissues that hold the teeth, which is periodontitis. That is why bleeding gums in pregnancy are worth treating rather than waiting until after the birth, especially if your gums bled before pregnancy.

Do swollen gums in pregnancy mean I need deep cleaning?

Usually not. Most pregnancy gingivitis settles with home care and a standard professional clean. Deep cleaning is considered only if measurements show gum pockets or other signs of periodontitis. It can be done during pregnancy under local anaesthetic when needed, and is otherwise planned around your due date.

Visit us

One clinic, in Jumeirah 3 / Umm Suqeim 1

Creative Arts has a single clinic on Jumeira Street (Jumeirah Beach Road). Ask about parking when you book.

  • Address614 Jumeira St, Jumeirah 3, Umm Suqeim 1, Dubai
  • Opening hoursDaily 10:00–20:00, including Friday and Sunday
  • Neighbouring areasJumeirah 1–3, Umm Suqeim 1–3, Al Wasl, Al Safa, Al Manara
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