Pregnancy brings about numerous physical changes in a woman’s body, and while many of these changes are expected, others can come with unexpected challenges. One such issue that many pregnant women may face is a toothache during pregnancy. Tooth pain can be distressing at any time, but when you’re expecting, it can feel more complicated. Hormonal changes, morning sickness, and other factors can all contribute to tooth sensitivity, gum sensitivity, and gum disease during pregnancy. In this blog, we will explore safe and effective ways to manage toothache during pregnancy, and how to care for your oral health while ensuring your baby’s health.
Causes of Toothache During Pregnancy
Understanding the root cause of tooth pain during pregnancy is essential for finding the right treatment. You may experience a toothache during pregnancy for several reasons, including hormonal changes, increased plaque buildup, and pregnancy gingivitis.
1. Hormonal Changes
During pregnancy, the body undergoes significant hormonal changes that can affect oral health. Increased progesterone and estrogen levels can lead to gum disease and gum swelling. These hormones can make your gums more sensitive and prone to bleeding and swollen gums.
Pregnancy gingivitis, a common condition among expectant mothers, occurs when gum tissue becomes inflamed due to hormonal fluctuations. This can result in gum sensitivity and pain, which can cause unbearable tooth pain in some cases.
2. Morning Sickness
Morning sickness is another contributing factor to toothaches during pregnancy. Frequent vomiting associated with morning sickness can introduce stomach acid into the mouth, eroding tooth enamel and leading to tooth decay and tooth sensitivity. Over time, this can cause discomfort, pain, and an increased risk of developing cavities.
3. Increased Plaque and Bacterial Growth
Pregnancy can change the body’s blood flow, increasing plaque buildup on the teeth. This plaque buildup can harbor bacteria, contributing to dental problems such as cavities and gum disease. Dental issues during pregnancy, if left untreated, can worsen and lead to severe toothache and infection.
4. Dietary Changes
Many pregnant women experience food and drink sensitivities during pregnancy. If you’re consuming more sugary foods to manage nausea or cravings, this can increase the likelihood of plaque formation, which can lead to tooth decay. A balanced diet is important for good oral hygiene and maintaining oral health throughout pregnancy.
Safe Ways to Treat a Toothache During Pregnancy
When you’re pregnant and experiencing a toothache, it’s essential to choose pain relief methods that are safe for both you and your baby. Below are some safe ways to manage tooth pain during pregnancy:
1. Use a Cold Compress
If you’re experiencing swelling or inflammation along with a toothache, applying a cold compress to the affected area can help reduce swelling and numb the pain. A cold compress is a safe and effective home remedy for providing temporary relief from pain during pregnancy.
To use a cold compress:
- Wrap ice cubes in a clean cloth or use a commercially available ice pack.
- Apply it to the affected tooth and surrounding area for 15–20 minutes.
- Repeat the process every few hours as needed.
This method can help alleviate pain and reduce inflammation caused by swollen gums or a dental abscess.
2. Saltwater Rinse

A saltwater rinse is a gentle yet effective way to manage gum sensitivity and reduce bacterial growth in your mouth. Saltwater’s antibacterial properties can help promote healing, reduce inflammation, and soothe painful gums.
To make a saltwater rinse:
- Mix one teaspoon of salt in a glass of warm water.
- Swish the solution in your mouth for 30 seconds before spitting it out.
- Repeat several times a day, especially after eating or drinking.
This rinse is gentle enough to be used during pregnancy and can help with tooth pain, gum pain, and oral hygiene.
3. Clove Oil for Tooth Pain Relief
Clove oil is a natural remedy known for its pain-relieving and antimicrobial properties. It can temporarily relieve tooth pain and gum sensitivity during pregnancy. Clove oil contains eugenol, which acts as a numbing agent, similar to the effects of over-the-counter topical numbing gels.
To use clove oil:
- Apply a small amount of clove oil to a cotton ball or gauze.
- Gently press it against the affected area for a few minutes.
Clove oil is considered safe during pregnancy, but it should be used in moderation. Avoid swallowing it, and consult your dentist if you have concerns about clove oil.
4. Baking Soda
Baking soda can be used as a gentle exfoliator to help clean teeth and neutralize acids in the mouth. It can also help reduce plaque buildup, which contributes to tooth decay and gum disease. Brushing with baking soda can help freshen breath and relieve minor discomfort caused by tooth sensitivity.
To use baking soda:
- Sprinkle a small amount of baking soda onto a soft toothbrush.
- Gently brush your teeth and gums, avoiding harsh scrubbing that may irritate sensitive gums.
- Rinse thoroughly with water afterward.
5. Maintain Good Oral Hygiene
Good oral hygiene is key to managing tooth pain and preventing dental problems during pregnancy. Brushing your teeth twice daily with fluoride toothpaste and flossing regularly can help maintain oral health and prevent tooth decay. It’s important to use a soft toothbrush to avoid irritating sensitive gums.
Additionally, if you are experiencing pregnancy gingivitis, brushing gently along the gum line is crucial to avoid further irritation. A dental hygienist can guide you on how to clean your teeth effectively without exacerbating gum sensitivity.
6. Use Sugar-Free Gum or Pomegranate Juice
If you experience morning sickness or increased cravings for sugary foods, try chewing sugar-free gum or drinking sugar-free pomegranate juice. These options can help promote saliva production, essential for neutralizing stomach acid that can erode tooth enamel.
7. Avoid Hot or Cold Food and Drinks
If tooth sensitivity is a significant issue during pregnancy, it’s best to avoid hot or cold food and beverages, as they can trigger sharp pain. Opt for foods and drinks at room temperature to prevent aggravating tooth pain and gum sensitivity.
8. Over-the-Counter Pain Relief (With Caution)
While many over-the-counter pain relievers are safe for use during pregnancy, it’s important to use caution when choosing a medication. Acetaminophen (Tylenol) is generally considered safe for pregnant women when used as directed for pain relief. However, ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided, especially during the third trimester, as they may affect the baby’s heart and kidney development.
Always consult your doctor or dentist before taking any medication during pregnancy.
When to See a Dentist
While home remedies can provide temporary relief, seeking professional help is essential if the tooth pain persists or worsens. Ignoring dental problems during pregnancy can lead to complications such as a tooth abscess or gum disease, both of which require professional treatment.
Dental visits during pregnancy are generally safe and recommended to ensure your oral health is well-maintained. It’s best to schedule a dental checkup early in your pregnancy, as your dentist can monitor and address any issues before they become more severe.
If you experience unbearable tooth pain, swollen gums, or other symptoms such as fever or pus drainage from a tooth abscess, it’s important to see your dentist immediately.
Preventing Tooth Pain and Gum Disease During Pregnancy

The best way to prevent a toothache during pregnancy is through consistent oral care and a healthy diet. Here are a few tips to keep your teeth and gums in top shape during pregnancy:
- Brush your teeth twice daily with fluoride toothpaste and floss regularly to remove plaque and prevent tooth decay.
- Eat a balanced diet rich in vitamins and minerals, including calcium and vitamin D, to support your oral and baby’s health.
- Visit your dentist regularly for checkups and cleanings to catch any potential issues early.
- Drink plenty of water to stay hydrated and neutralize stomach acid that can harm tooth enamel.
Conclusion
Various factors, including hormonal changes, morning sickness, and pregnancy gingivitis, can cause a toothache during pregnancy. While home remedies like cold compresses, saltwater rinses, and clove oil can help provide temporary relief, it’s important to seek professional dental treatment if the pain persists. Maintaining good oral hygiene, eating a healthy diet, and scheduling regular dental appointments are essential for managing tooth pain and preventing complications during pregnancy. Always consult your dentist or doctor before using any medication or remedy to ensure it is safe for you and your baby.
References
https://www.healthline.com/health/pregnancy/pregnancy-teeth-pain
https://www.colgate.com/en-us/oral-health/oral-care-during-pregnancy/avoiding-a-toothache-during-pregnancy
https://crest.com/en-us/oral-care-tips/pregnancy/toothache-during-pregnancy-causes-treatments?srsltid=AfmBOopQQn07-kVk32zuYWPwdxXqeif1L87mVtZXvnMNZgjt616erDHK
