25 weeks pregnant + red and swollen gums

       Patient: Hi Maldives, I am about 25 weeks pregnant and will soon enter 26 weeks, during which my gums are red and swollen and sometimes bleed. And is it okay if I treat it now? How is it usually treated? Will the treatment not affect the baby? Thank you!  Liu Shujun, Department of Prosthodontics, Beijing Stomatological Hospital: During pregnancy, the existing gum inflammation will be aggravated due to the increase of hormone level. Red, swollen and bleeding gums are often the main complaint of patients. Your disease should be diagnosed as gingivitis during pregnancy. It was first reported in the foreign literature in 1996 that pregnant women with severe periodontitis had a 7.5 times higher risk of preterm low birth weight newborns than those with healthy periodontal disease. The American Medical Association recommends that women have a periodontal examination by a dentist and receive prompt periodontal treatment and good maintenance before pregnancy, or at least as soon as possible once they become pregnant, in order to reduce the risk. You need treatment now. The main thing is periodontal cleaning to remove any local irritants, plaque control and personal maintenance of the mouth. The condition is manageable. The treatment should be done gently and conservatively. It can also be treated in stages, so the pain of treatment will not be too obvious, do not be nervous, it will not affect the fetus. Do not have concerns. (Because pregnant women have worries, many doctors are also prone to worries) I have treated many pregnant women and they all went well. If you need, you can contact me.  Patient: Thank you, how can I contact you if I want to see you?