Doctors advise dental check-up before pregnancy

KABUL (Pajhwok): Health specialists recommend that women should undergo a dental examination before becoming pregnant to ensure good oral health, as procedures such as fillings or extractions can pose risks during pregnancy.

Dr. Zarghona Mahdi, a gynaecologist in Kabul, explained that pregnancy involved physical and hormonal changes that affect a woman’s overall health— including oral health, which plays a crucial role in the digestive system. “If digestion is disrupted, both mother and foetus may face nutritional issues”.

She noted that during the first trimester, many women experience nausea and vomiting, which can increase mouth acidity and lead to tooth decay and gum problems.

Dr. Mahdi added that reduced immunity and increased acidity could cause normally beneficial oral bacteria to become harmful, leading to white spots on the teeth.

She advised women to visit a dentist before pregnancy for a complete oral health check-up— not just for the teeth but the entire mouth.
“The mouth should be examined for any decay or cavities that may require treatment. If untreated, they can worsen. Overall, maintaining oral hygiene is vital. Women should brush their teeth after every meal using fluoride or antibacterial toothpaste,” she said.

She also recommended increasing intake of calcium- and vitamin D-rich foods during pregnancy, such as eggs, milk, fruits, and vegetables, and advised spending at least 10 minutes daily in sunlight for vitamin D absorption.

Dental treatment during pregnancy

Dr. Mahdi explained: “Permanent dental treatments are not recommended in the first trimester. The second trimester is the safest period for dental care, while in the third trimester, certain medications are restricted.”

How can pregnant women relieve toothache?

“At the onset of toothache, apply a warm compress to the affected area to reduce swelling and ease pain. If that fails, try rinsing with cold salt water. If the pain persists, simple paracetamol can be taken for relief,” she advised.

Dr. Ismail Yaqubi, a specialist in oral and dental diseases, said gum inflammation and bleeding are common during pregnancy and may cause tooth pain.

He stressed the importance of a healthy diet: “If teeth are not in good condition, chewing becomes difficult, leading to poor nutrition, which can negatively affect both mother and unborn child.”

He added: “Dental treatment is safe during the second trimester. In the first and third trimesters, it should be limited to emergencies only, due to the potential risks associated with anaesthesia and some medications.”

Mothers’ experiences

Fatima Ahmadi said: “During my first pregnancy, I experienced unbearable toothache. My family advised me not to take any medicine during that time.”

Now pregnant again, she manages her pain with mouthwash and mild painkillers, following her doctor’s guidance.

Similarly, Rukhsar Mohammadi recalled: “In my first pregnancy, certain foods triggered tooth pain. Everyone told me not to take medication, fearing it would harm the baby.”

She later found out from her doctor that her pain was due to food sensitivity, not a dental problem.

kk/ma