Which factors contribute to reduced oral hygiene during pregnancy?

• A. Nausea, gag reflex, reflux, morning sickness, and reduced desire
• B. Increased energy and appetite
• C. Frequent dental visits
• D. Improved gag reflex

Answer: (A)

During pregnancy, several factors disrupt routine oral hygiene. Nausea and morning sickness make brushing and flossing uncomfortable or unappealing, so cleaning may be skipped or rushed. The gag reflex can become more sensitive, adding further discomfort when brushing. Reflux or heartburn exposes the mouth to acid, which irritates teeth and gums and can make regular cleaning feel less appealing. Fatigue and hormonal shifts can also reduce motivation or desire to maintain daily oral care. Taken together, these factors commonly lead to reduced oral hygiene during pregnancy. The other options describe things that would tend to support or improve hygiene—more energy, greater appetite, frequent dental visits, or a stronger gag reflex—so they don’t fit the pattern described.