Toothaches are a common dental problem that can affect individuals of all ages and backgrounds. While various factors can contribute to toothaches, including poor oral hygiene, dental decay, or gum disease, one often overlooked aspect is the impact of pregnancy on the same. Yes, pregnancy can indeed cause toothache in some women.
Although toothaches can happen to anyone, the hormonal changes and physiological shifts that occur during pregnancy can exacerbate dental issues and lead to discomfort in expectant mothers.
Understanding the relationship between pregnancy and toothache is crucial for women’s oral health during this unique and transformative period of their lives.

Causes of toothache in pregnancy
During pregnancy, women experience various physiological changes, including an increase in blood flow throughout their bodies. This increased blood flow is necessary to support the growing fetus and provide essential nutrients and oxygen. However, this heightened circulation can also have an impact on oral health and contribute to toothache.
The increased blood flow during pregnancy affects the gums, which are highly vascularized tissues in the mouth. The hormonal changes that occur during pregnancy, particularly the elevated levels of progesterone, can lead to an exaggerated response of the gums to plaque bacteria. This condition is known as pregnancy gingivitis. The gums may become swollen, tender, and more prone to bleeding.
The combination of increased blood flow and the exaggerated response of the gums can result in toothache. The swollen gums may start to recede and expose the tooth roots, which are not as protected by enamel as the crowns of the teeth. This exposure can lead to tooth sensitivity and discomfort, especially when consuming hot or cold foods and beverages.
Additionally, the accumulation of plaque and bacteria around the teeth due to inadequate oral hygiene can contribute to tooth decay and cavities, further causing toothache.
Other potential causes of toothaches during this period include:
- Pregnancy cravings and changes in dietary habits may increase the risk of tooth decay and cavities. If a pregnant woman consumes sugary or acidic foods and beverages more frequently, it can contribute to tooth enamel erosion and the development of dental problems.
- Morning sickness, with frequent vomiting and acid reflux, can expose the teeth to stomach acid, which can weaken the tooth enamel and lead to tooth sensitivity or decay.
If a pregnant woman experiences toothache or any dental concerns, it is important that you consult with a dentist who can provide appropriate treatment options that are safe.
Remedies and preventive measures for toothache when pregnant
When experiencing a toothache during pregnancy, you should approach treatment with caution due to the limitations on certain medications and interventions. However, there are remedies and preventive measures you can take to alleviate the discomfort and maintain good oral health throughout your pregnancy.
Here are some home remedies:
Brush your teeth with baking soda
You can brush your teeth or rinse your mouth with baking soda, which has an alkaline pH that neutralizes acids in the mouth. However, be gentle while brushing to avoid damaging your tooth enamel.
Consider safe pain relief options
Acetaminophen, such as Tylenol, is generally considered safe during pregnancy and can help relieve toothache pain. Avoid anti-inflammatory pain relievers like ibuprofen and aspirin, as they can have potential risks for your baby.
Salt water rinses
Gargling with salt water can help remove food particles and debris stuck between your teeth. It also acts as a natural antibacterial agent, which can reduce the bacteria causing your toothache. Use warm water for the rinses to maximize temporary pain relief.
Here are some preventive measures:
Choose a soft-bristled brush
Use a soft-bristled toothbrush to clean your teeth gently without causing further soreness or bleeding gums. Make sure to replace it every three months or sooner if you have a dental problem.
Avoid trigger foods
Pay attention to foods and beverages that may trigger tooth sensitivity, such as tea or ice cream, and avoid them if they cause discomfort. In most cases, gum sensitivity tends to subside after pregnancy, allowing you to enjoy hot and cold foods again in the future.
Reduce consumption of sugary snacks
Sugary foods can contribute to tooth decay and soreness. Try to limit your intake of sweets and ensure that you rinse your mouth with water or brush your teeth afterward to remove any residual sugar and debris.
Eat more crunchy foods
Crunchy items like apples and granola can contribute to oral health and help prevent gum disease, tooth decay, and toothaches. Their texture and crunchiness can act as a natural abrasive that helps remove plaque from your teeth, in addition to stimulating saliva production since they require more chewing.
Stay hydrated
Drinking enough water helps keep your mouth clean by rinsing away food debris and bacteria. It also supports your body’s ability to fight infections and inflammation that may contribute to toothaches.
See your dentist
Don’t skip your regular dental checkups during pregnancy. Inform your dentist about your pregnancy so that appropriate precautions can be taken. Your dental team can provide guidance specific to your needs and offer further tips to avoid toothaches during pregnancy.
Final thoughts
Remember, maintaining good oral hygiene practices, regular dental checkups, and communicating with your dentist about your pregnancy are essential for keeping your smile healthy throughout your prenatal journey. Consult with your dentist for personalized advice and recommendations regarding toothaches during pregnancy.