section_path: Management/Dental care
section_name: Dental care
paragraph_text: Dental care
  
  The increased levels of progesterone and estrogen during pregnancy make gingivitis more likely; the gums become edematous, red in colour, and tend to bleed. Also a pyogenic granuloma or "pregnancy tumor", is commonly seen on the labial surface of the papilla. Lesions can be treated by local debridement or deep incision depending on their size, and by following adequate oral hygiene measures. There have been suggestions that severe periodontitis may increase the risk of having preterm birth and low birth weight; however, a Cochrane review found insufficient evidence to determine if periodontitis can develop adverse birth outcomes.