Pregnancy is one of the few times NHS dentistry in England is completely free, and it is also a time when your teeth and gums need more attention, not less. Here is how it works.
What is free
If you are pregnant, or have had a baby in the last 12 months, all NHS dental treatment is free. That covers check ups, hygiene treatment, fillings, extractions, root canals, crowns and dentures, at any NHS practice that will see you.
How to prove it
You need a maternity exemption certificate, often called a MatEx. Ask your midwife, GP or health visitor for form FW8, fill it in, and the certificate is posted to you. It is valid until 12 months after your due date, or 12 months after the birth if you apply afterwards. Take it to appointments; if you are asked to pay before it arrives you can claim the money back with form HC5.
Why your gums may bleed more
Hormone changes make gums more sensitive to plaque, and many people get pregnancy gingivitis: red, swollen gums that bleed when brushed. It usually settles after the birth, but it is a reason to keep brushing and to see a dentist rather than to back off. A hygienist appointment during pregnancy is free and worthwhile.
What dentists do and avoid during pregnancy
- Routine treatment is safe and goes ahead as normal, including fillings and extractions. Local anaesthetic is fine.
- X rays are generally postponed unless there is a clear clinical need, even though the dose from dental X rays is tiny.
- Amalgam (silver) fillings are not used for pregnant or breastfeeding patients unless the dentist considers it strictly necessary, under a rule that applies across the UK and EU. You get a white filling instead.
- Non urgent cosmetic work is usually left until after the birth.
Tell the practice you are pregnant when you book, even early on, so they can plan around it.
Morning sickness and your teeth
Stomach acid from vomiting softens enamel. Rinse your mouth with water or a fluoride mouthwash after being sick, and wait about an hour before brushing, because brushing softened enamel wears it away.
After the birth
Your free treatment runs for 12 months after the baby arrives, and your baby's own NHS dental care is free too. Take them to the dentist when their first teeth come through, and by their first birthday.
This is general information, not clinical advice. Your dentist and midwife can advise on your own situation.