I have been planning my smile makeover for forever. I literally got the treatment plan from my dentist two years ago, but because insurance won’t cover most of it, I’ve had to save. My plan was to start with teeth whitening and then replace my metal fillings and then do some veneers. Well, I got the teeth whitening done a couple weeks ago and my appointment to start the rest of the work is next week. I just found out I’m pregnant. I don’t even know how far along I am, but I’m sure I must have been when I had my teeth whitened. Everything I can find says that you shouldn’t bleach your teeth while you’re pregnant, but nothing tells me why. Could I have hurt the baby?  — A Terrified Mama to Be

Dear Terrified Mama,
Relax and take a couple of deep breaths. There is no evidence to suggest any harm will come to your little one. In order for any kind of drug, medical material, or piece of medical equipment to be deemed safe during pregnancy, it has to get FDA clearance. The only way to get this is by having controlled trials in which healthy babies are born after the product has been used on the expectant mother. Naturally, there isn’t a whole lot of interest in the medical community, or with moms-to-be, in pursuing clinical trials. That doesn’t mean it will cause harm. It simply means it hasn’t been proven to be safe.

While this might seem like a slight nuance in language, it’s everything to the FDA and to manufacturers. This is why each one will tell you to either consult your doctor or not to use it if you’re expecting. There have been no reports whatsoever recognized by a reputable agency of babies being harmed by tooth whitening products. The warnings are simply a protective measure.

If you’re still concerned, have a chat with your OB/GYN. She’ll likely set your mind at ease. With that said, you may want to hold off on the additional cosmetic work until after you’ve delivered. Restorative treatment needed due to decay is generally ok after the first trimester and with clearance from your OB, but cosmetic work is usually on the no-no list because of the anesthetic and stress. Your OB may advise you otherwise, though, so always defer to her for treatment going forward. You can pick up where you left off with the cosmetic work after the baby is born. If need be, a few days of whitening at home should be able to boost your color back up to where it is now.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.