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The House of Nirvana
THON Resource Center™
The HG Care Hub™
Protective Care Guide
Oral Health During HG
Repeated vomiting bathes teeth in stomach acid, and enamel does not grow back. Protecting your teeth is simple once you know how — keep this by the bathroom sink.
For: WomenTime: 2 minutes to learnFormat: Letter · print or complete on screen
The one rule that surprises everyone
Do not brush your teeth right after vomiting. Acid softens enamel, and brushing immediately can scrub it away. Rinse first, wait, then brush.
After vomiting — in this order
Rinse with plain water, or water with a small amount of baking soda (about 1 teaspoon per cup) to neutralize the acid
Wait at least 30 minutes so enamel can re-harden
Then brush with a soft toothbrush and fluoride toothpaste
Every day
At night, smear a little fluoride toothpaste on your teeth and leave it (do not rinse) for extra protection
Stay as hydrated as you can — saliva protects teeth
If mint toothpaste triggers nausea, try unflavored or child-flavored fluoride toothpaste
Keep rinse water and a cup wherever you tend to be sick
Tell your dentist
That you are pregnant and have Hyperemesis Gravidarum
Ask: "What can we do now to protect my enamel?"
Ask: "Should I use a prescription fluoride rinse or varnish?"
Why it matters
Enamel erosion from HG can cause sensitivity, cavities, and lasting damage — but it is largely preventable with these steps. Your teeth are part of your health, and protecting them is part of HG care.
Part of the THON Companion Series™ · Evidence-informed · Last reviewed July 2026 · Next review January 2027
This resource is educational and does not replace the advice, diagnosis, or treatment of your physician or another qualified healthcare professional. If you cannot keep fluids down, feel faint, or believe you are experiencing an emergency, contact your provider or seek emergency care. © 2026 The House of Nirvana · thehouseofnirvana.org · info@thehouseofnirvana.org · You are not alone.