7 Best Toothpaste for Bleeding Gums During Pregnancy Canada 2026

You’re brushing your teeth one morning during your second trimester, and suddenly — there it is. Pink foam, a little blood, and that familiar twinge of “is this normal?” Yes, mama, it absolutely is. But “normal” doesn’t mean you should just ignore it. Finding the right toothpaste for bleeding gums during pregnancy is one of the most overlooked yet impactful steps you can take for your oral health and your baby’s well-being right now.

Here’s the quick answer you came looking for: pregnancy gingivitis is the swelling, redness, and bleeding of the gums caused by hormonal surges — primarily elevated estrogen and progesterone — that make your gum tissues hypersensitive to the plaque bacteria that are always present in your mouth. According to the Government of Canada’s oral health guidelines, these hormonal changes can amplify the gum’s inflammatory response, making even small amounts of plaque feel like a full-on assault on your gum line.

What’s more important: this isn’t just a cosmetic issue. Research cited by HealthLink BC notes that untreated periodontal (gum and bone) disease during pregnancy has been associated with an increased risk of pre-term delivery and low birth weight. I know — suddenly that tube of toothpaste feels a lot more significant, doesn’t it?

The ideal toothpaste for bleeding gums during pregnancy should be: fluoride-containing, SLS-free (or low-SLS), formulated with stannous fluoride rather than sodium monofluorophosphate alone, and free of triclosan and harsh abrasives like charcoal. In Canada, you’ll be pleased to know that most mainstream brands available on Amazon.ca tick many of these boxes — but some are clearly better than others for pregnant women specifically.

I’ve done the deep dive so you don’t have to. Below is everything a Canadian mum-to-be needs to know, from the top seven products to a practical usage guide and a detailed buying framework.

Quick Comparison: Top 7 Toothpastes for Pregnancy Bleeding Gums

Table Analysis: The standout pattern here is that stannous fluoride dominates the top clinical picks — and for good reason. It’s not just anti-cavity; it actively kills the plaque bacteria that trigger gum inflammation. Parodontax and Sensodyne lead for targeted gum care, while Boka and Hello fill a real gap for moms who prefer fluoride-free or natural formulas. The CAD pricing on Amazon.ca typically runs $2–$5 higher per tube than US equivalents, but you’re avoiding cross-border shipping delays, duty costs, and the headache of dealing with American return policies while pregnant — a trade-off most Canadian moms will happily accept.

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Top 7 Toothpastes for Bleeding Gums During Pregnancy: Expert Analysis

1. Parodontax Clean Mint Toothpaste for Bleeding Gums

If there’s one toothpaste that dentists and pregnancy oral care resources consistently point to for gestational gingivitis management, it’s Parodontax — and this Clean Mint formula is the one to start with.

The active ingredient is stabilised stannous fluoride (0.454%), and what sets this apart from standard sodium fluoride toothpastes is its dual mechanism: it both prevents cavities and kills the specific plaque bacteria that cause gum inflammation. Clinical studies show it removes three times more plaque than sodium monofluorophosphate toothpastes with regular twice-daily use.

For a Canadian mom in the middle of her second trimester — when pregnancy gingivitis tends to peak — this means you’re not just masking bleeding with a gentle formula; you’re actively addressing the bacterial cause. The formula is SLS-free, which matters because SLS can worsen the canker sores and mucosal sensitivity that many pregnant women experience. The mint flavour is present but not aggressive — important when first-trimester nausea lingers into the second.

Canadian buyers report noticing a reduction in gum bleeding within two to three weeks of consistent twice-daily use, which aligns with clinical data. The taste takes a little getting used to — it’s slightly salty compared to conventional toothpastes, reflecting the stannous mineral profile.

✅ Clinically proven to reduce bleeding gums

✅ SLS-free and enamel-safe

✅ Available in multi-packs on Amazon.ca (better value per tube)

❌ Slightly metallic/salty taste — can be off-putting in early pregnancy with nausea

❌ Does not whiten teeth noticeably

Available in the $8–$14 CAD range per tube; multi-packs often drop the per-unit cost meaningfully — check current pricing on Amazon.ca.

2. Sensodyne Sensitivity & Gum Toothpaste

Sensodyne built its reputation on sensitivity relief, but this particular formulation does something clever: it targets both tooth sensitivity and gum health simultaneously — making it arguably the most versatile pick for a pregnant woman dealing with the double whammy of hypersensitive teeth and inflamed gums.

The formula contains stannous fluoride, which handles the gum protection side, alongside potassium nitrate, which calms the nerve pain associated with sensitivity. In practical terms, if you’re wincing every time you drink cold water (another fun pregnancy perk) and your gums are also bleeding, this is the tube that addresses both problems without needing to juggle two products.

This is particularly relevant in Canada, where drinking cold water from the tap is common year-round — and where cold-weather beverages like iced coffee remain popular even in winter. The added sensitivity shield means you can enjoy your drinks without dreading the tooth-zap that follows.

Canadian customer reviews frequently highlight how gentle the formula feels while still being effective — a combination that matters when your gums are already aggravated and you just want something that doesn’t make things worse.

✅ Dual-action: sensitivity relief + gum protection

✅ SLS-free and endorsed by dental professionals for sensitive users

✅ Widely available at most Canadian pharmacy chains and on Amazon.ca

❌ Premium price compared to basic stannous fluoride options

❌ Whitening version not recommended during pregnancy due to peroxide

Typically in the $10–$16 CAD range per tube on Amazon.ca. Worth every penny if sensitivity is part of your pregnancy dental picture.

3. Colgate Total Advanced Gum Health Toothpaste

Colgate Total is one of Canada’s most trusted toothpaste brands, and the Advanced Gum Health formulation represents a meaningful upgrade over the standard Total line for pregnant women. The modern Colgate Total formula now uses stannous fluoride (replacing the older triclosan formulation, which has been phased out — important to note if you’re working through an old tube at the back of the bathroom cabinet).

The key selling point here is 12-hour antibacterial action — Colgate claims the stannous fluoride in this formula binds to teeth and gums and keeps working between brushing sessions. For a pregnant woman whose hormone-driven gum inflammation doesn’t take a break between meals, that sustained protection is genuinely useful.

The caveat: Colgate Total does contain SLS, which some pregnant women with heightened oral sensitivity may find irritating. If you’re prone to canker sores or have noticed your gum tissue feels particularly tender, you may find Parodontax or Sensodyne more comfortable. But if SLS doesn’t bother you and you’re looking for the most accessible, pharmacy-shelf option across Canada — from Vancouver to Halifax — Colgate Total Advanced Gum Health is a solid, affordable choice.

✅ Widely available coast-to-coast in Canada (pharmacies, grocery stores, Amazon.ca)

✅ Budget-friendly, often available in multi-packs

✅ Modern formula is triclosan-free

❌ Contains SLS — may irritate already-sensitive pregnancy gums

❌ Less specialized for gum disease than Parodontax

Price range: $7–$12 CAD per tube. Excellent value for everyday use.

4. Crest Pro-Health Advanced Gum Protection Toothpaste

Crest Pro-Health Advanced is available directly on Amazon.ca and through most major Canadian pharmacy chains, making it one of the most accessible pregnancy-safe gum protection options on the market. Crest Canada’s own website positions this product specifically for gingivitis reversal — a claim backed by its stabilized stannous fluoride formula.

What I appreciate most about this formulation from a pregnancy perspective is its clinical track record. Crest has published a meaningful body of research supporting stannous fluoride’s efficacy in reversing early gingivitis, and “early gingivitis” is exactly what most cases of pregnancy gingivitis are — caught and managed before they escalate to periodontitis.

The practical reality: if you’re in your second trimester in Ottawa and your dentist is booked out for three weeks, this is the kind of over-the-counter option that actively works toward healing your gums in the interim. It won’t replace a professional clean, but it moves the needle in the right direction between appointments.

Canadian reviews note it’s slightly more minty and refreshing than Parodontax — a welcome quality if pregnancy nausea has made your taste preferences unpredictable.

✅ Clinically studied for gingivitis reversal

✅ Refreshing mint flavour — more palatable for nausea-prone moms

✅ Available Prime-eligible on Amazon.ca

❌ Contains SLS

❌ Slightly less targeted for severe gum bleeding than Parodontax

Typically $7–$13 CAD on Amazon.ca. Excellent mainstream option.

5. Boka Nano Hydroxyapatite Toothpaste (Ela Mint)

Here’s where we get into territory that genuinely surprises a lot of Canadian moms: fluoride-free toothpaste that actually works. Boka’s nano-hydroxyapatite (nano-HA) formula is one of the best-documented fluoride alternatives, and it’s available on Amazon.ca — usually in the $18–$28 CAD range, making it a premium but accessible option.

Nano-HA is a bioidentical form of the mineral that makes up about 97% of your tooth enamel. Rather than forming a protective fluoride layer over the tooth surface, nano-HA particles actually integrate into micro-damaged enamel and repair it from within. For a pregnant woman who is also dealing with enamel erosion from morning sickness vomiting (a very common issue), the remineralizing mechanism of nano-HA is arguably even more valuable than standard fluoride.

Critically, Boka is SLS-free, which reduces gum irritation significantly. The Ela Mint flavour is gentle and clean — not aggressively minty — which many moms in their first and second trimesters find much more manageable.

The honest limitation: nano-HA’s antibacterial effect on plaque is less robust than stannous fluoride’s. If your bleeding is significant or your dentist has flagged periodontal concerns, Boka works best as a complement to professional treatment, not a standalone. But for a mild hormonal gum response in a health-conscious mom who prefers to minimize fluoride exposure — Boka is genuinely excellent.

✅ SLS-free, fluoride-free, naturally derived

✅ Remineralizes enamel damaged by morning sickness acids

✅ Available on Amazon.ca (Prime-eligible)

❌ Less antibacterial than stannous fluoride options

❌ Higher price point — $18–$28 CAD per tube

6. Hello Antiplaque + Whitening Fluoride Toothpaste

Hello is a Canadian pharmacy favourite and has been quietly building a strong reputation among health-conscious shoppers since landing on Amazon.ca shelves. The Antiplaque + Whitening version is relevant here because it threads a needle that many pregnant women care about: being effective against plaque and gum inflammation while remaining gentler and more “natural” than mainstream clinical brands.

Hello’s formula includes fluoride for cavity prevention, uses SLS-free surfactants derived from coconut oil (a detail that genuinely matters for pregnant women with oral sensitivity), and avoids artificial dyes, preservatives, and triclosan. The whitening component uses hydrogen peroxide at a low, ADA-safe concentration — low enough that it won’t aggravate pregnancy gingivitis the way high-concentration whitening treatments would.

What makes Hello particularly appealing in the Canadian context is its bilingual labelling (French/English) and its presence in major Canadian retailers, making it easy to find whether you’re in Montreal or Winnipeg. For Quebec-based moms, the fully bilingual packaging also means product safety information is readily accessible without having to translate anything.

✅ SLS-free with natural coconut-derived surfactants

✅ Bilingual packaging (English/French) — fully compliant with Canadian labelling requirements

✅ Gentle enough for daily use through all trimesters

❌ Whitening effect is mild — don’t expect dramatic results

❌ Less clinically targeted for severe gingivitis than Parodontax

Price range: $10–$16 CAD on Amazon.ca. Great for moms who want a natural-leaning product that still performs.

7. ARONAL Gum Protection Toothpaste

ARONAL is a European gum care specialist that has found a small but loyal following on Amazon.ca among buyers who are frustrated with mainstream North American formulas. Available through SINCERA CANADA on Amazon.ca, this 75 ml tube takes a different approach to gum health: rather than relying primarily on fluoride chemistry, it uses zinc and Vitamin A (retinyl acetate) as its primary gum-protective agents.

The rationale behind this formula is that zinc ions inhibit the enzymes in plaque bacteria that cause gum inflammation, while Vitamin A supports the regeneration of gum tissue and the mucosal lining of the mouth. For a pregnant woman whose gums are not just inflamed but actually undergoing tissue changes due to hormonal shifts, the tissue-regenerative angle of Vitamin A is an interesting and clinically logical addition.

Important note for Canadian buyers: Vitamin A in toothpaste is topically applied and is not absorbed systemically in meaningful amounts — so the standard pregnancy caution about oral Vitamin A supplementation does not apply here. That said, always run any new oral care product by your OB or midwife if you have concerns.

Stock levels on Amazon.ca can fluctuate — ARONAL is a niche import and doesn’t always have the same availability as major brands. If it’s in stock, it’s worth trying; if not, Parodontax is the closest functional alternative.

✅ Unique zinc + Vitamin A formula targets gum tissue regeneration

✅ SLS-free and gentle

✅ Ships from Canadian Amazon fulfillment (when in stock)

❌ Availability on Amazon.ca can be inconsistent

❌ Less clinically documented than stannous fluoride options in North American research

Price range: $12–$20 CAD. A worthwhile alternative for moms seeking European-style gum care.

How to Use Toothpaste for Pregnancy Gingivitis: A Practical Guide

Understanding which toothpaste to buy is only half the battle. How you use it matters at least as much — and most product labels won’t tell you any of this.

Brushing Technique for Pregnancy Gingivitis

The biggest mistake pregnant women make is brushing too hard. When your gums are already inflamed and bleeding, it’s tempting to brush more aggressively to “clean them out” — this is exactly wrong. Use a soft-bristled toothbrush (ultra-soft if your gums are particularly raw) and hold it at a 45-degree angle to the gum line. Use gentle circular motions rather than back-and-forth scrubbing. The goal is disrupting plaque at the gum margin, not scraping the gum itself.

Timing Around Morning Sickness

If you’re experiencing morning sickness — especially in the first trimester — do not brush immediately after vomiting. Stomach acid temporarily softens tooth enamel, and brushing within 30 minutes accelerates enamel erosion. Instead, rinse with water or a diluted baking soda solution (one teaspoon of baking soda in a glass of water) to neutralize acid, then wait 30 minutes before brushing. This is a detail that makes a real difference to long-term enamel health.

Frequency and Duration

The Government of Canada’s pregnancy oral health guidelines recommend brushing twice daily for at least two minutes with fluoride toothpaste. For stannous fluoride products like Parodontax or Sensodyne Sensitivity & Gum, the twice-daily schedule is clinically required to maintain the antibacterial ion concentration at your gum line — once a day simply isn’t enough to see meaningful improvement.

Flossing: Non-Negotiable

No toothpaste — not even the best stannous fluoride formula — reaches between your teeth. Bleeding gums often start in the tight interproximal spaces where your brush can’t reach. Floss gently once daily. If regular string floss makes bleeding worse initially, try a water flosser on a low pressure setting; these are gentler on inflamed tissue while still being effective at clearing plaque.

Cold Water Rinsing in Canadian Winters

One often-overlooked Canadian-specific tip: many pregnant women find that rinsing with very cold tap water after brushing aggravates tooth sensitivity. If this is you, rinse with lukewarm water — especially during winter months when cold temperatures are ambient. Sensitivity-targeted formulas like Sensodyne create a protective layer over dentinal tubules that can be disrupted by immediate cold exposure after application.

Real Canadian Moms: Which Toothpaste Fits Your Situation?

Every pregnancy is different, and the “best” toothpaste for bleeding gums during pregnancy depends on your specific combination of symptoms, preferences, and budget. Here are three Canadian profiles to help you identify yourself.

Profile 1: The Toronto Condo Dweller, Second Trimester, Moderate Bleeding

You’re 22 weeks pregnant, commuting part-time, and noticing pink in the sink every morning. Your gums bleed when you brush and when you floss, but your last dental checkup showed no signs of periodontitis. Budget matters — you’re saving for a nursery.

Best pick: Parodontax Clean Mint, around $8–$14 CAD per tube. The stannous fluoride formula is the most clinically targeted option for moderate gestational gingivitis, and it’s widely available on Amazon.ca with Prime shipping. Buy a two-pack to lower your per-unit cost and never run out mid-pregnancy.

Profile 2: The Vancouver Island Mom, First Trimester, Sensitivity + Bleeding

You’re 10 weeks along, morning sickness is real, and cold water now makes your teeth ache. Your gums aren’t bleeding heavily yet, but you can tell they’re more sensitive than usual. You’re health-conscious and prefer fewer synthetic ingredients where possible.

Best pick: Sensodyne Sensitivity & Gum for the dual action, with Boka Nano Hydroxyapatite as an alternating fluoride-free option. Using both — switching between them morning and evening — is a strategy some Canadian holistic dentists endorse during pregnancy. Amazon.ca Prime makes getting both delivered to even rural BC addresses manageable.

Profile 3: The Calgary Mom, Third Trimester, Natural Products Preference

You’re 34 weeks, your gestational gingivitis has been present since the second trimester, and you’ve been trying to minimize synthetic chemicals across your household. You’ve already switched to fragrance-free cleaners and natural personal care products.

Best pick: Hello Antiplaque + Whitening for daily use, supplemented with ARONAL when available. Neither compromises your natural-product ethos while both providing meaningful gum care. Remember that the final trimester is also when pregnancy gingivitis often begins to ease as your body starts preparing for delivery — so you may be closer to the finish line than you think.

How to Choose the Right Toothpaste for Bleeding Gums During Pregnancy in Canada

If you’re standing in a pharmacy aisle (or scrolling Amazon.ca at midnight with swollen feet) trying to make a decision, here’s a systematic framework:

1. Check for stannous fluoride first. If the active ingredient on the label reads “stannous fluoride 0.454%,” that’s your best friend against pregnancy gingivitis. It’s antibacterial and anti-inflammatory, not just anti-cavity.
2. Scan the inactive ingredients for SLS. Sodium lauryl sulfate (SLS) is the foaming agent in most conventional toothpastes. It’s not dangerous, but it irritates already-sensitive pregnancy gums and can trigger canker sores. If your gums are very sore, go SLS-free.
3. Avoid charcoal formulas. Charcoal toothpastes are abrasive. During pregnancy, your enamel may already be weakened by dietary acid or morning sickness. You don’t need abrasion; you need remineralization.
4. Avoid high-concentration whitening formulas. The ADA recommends postponing aggressive whitening during pregnancy, not because peroxide is proven harmful, but because pregnancy gingivitis makes the gum tissue exceptionally reactive to peroxide. Low-concentration options like Hello are fine; whitening strips or professional trays should wait until postpartum.
5. Confirm Amazon.ca availability, not just Amazon.com. Some niche gum-health brands ship only from US warehouses. Always verify you’re adding to your Amazon.ca cart, not being redirected to .com, which may have different pricing, shipping timelines, and import duties once it crosses the border.
6. Consider the $35 CAD free shipping threshold. Amazon.ca offers free shipping on orders over $35 CAD for non-Prime members. If your chosen toothpaste doesn’t hit that threshold alone, bundle it with another pregnancy oral care item — a soft toothbrush, floss picks, or an alcohol-free mouthwash.
7. Talk to your dentist before the end of your first trimester. The dentalcare.ca pregnancy oral health guidelines recommend establishing a dental care plan early in pregnancy, not waiting until bleeding is significant. A professional cleaning in the second trimester (the safest window for dental treatment) combined with the right at-home toothpaste is the most effective one-two combination.

Ingredients That Actually Help vs. Ingredients That Don’t (Pregnancy Edition)

Here’s where the marketing can get confusing. Let’s cut through it.

Ingredients That Genuinely Help

Stannous fluoride (SnF₂): The gold standard for gestational gingivitis. Kills plaque bacteria, reduces bleeding, and provides cavity protection — all in one ingredient. It’s what makes Parodontax and Sensodyne Sensitivity & Gum stand out above their competitors.

Nano-hydroxyapatite: The best fluoride-free alternative for enamel repair. If you’ve been dealing with morning sickness acid exposure, this is your enamel’s best friend. Boka is the most accessible option on Amazon.ca.

Zinc chloride: Found in ARONAL and some specialty formulas. Inhibits bacterial enzyme activity at the gum margin. Under-researched compared to stannous fluoride in North American literature, but well-established in European dental practice.

Xylitol: A sugar alcohol that starves the bacteria responsible for cavities and gingivitis. Not a standalone treatment, but a valuable supportive ingredient in brands like Hello. Safe during pregnancy.

Ingredients to Be Cautious About

Triclosan: Once found in Colgate Total, now largely phased out. If you have old tubes in the cabinet, swap them. The 2026 Dental Guidelines from DentalRx.ca recommend avoiding this ingredient during pregnancy.

High-alcohol mouthwash: Not a toothpaste ingredient, but worth mentioning: avoid alcohol-containing rinses during pregnancy, especially in the first trimester. The alcohol causes oral dryness that worsens gum sensitivity. Stick with alcohol-free options.

SLS (sodium lauryl sulfate): Not dangerous, but irritating to inflamed pregnancy gums. If you’re experiencing sensitivity or canker sores, swap to an SLS-free brand.

Charcoal/activated carbon: Abrasive. Avoid entirely during pregnancy — your enamel doesn’t need extra erosion risk right now.

Common Mistakes Canadian Pregnant Women Make with Gum Care

Let’s talk about the things nobody warns you about before the bleeding starts.

Mistake 1: Waiting to see a dentist until the third trimester. The second trimester (weeks 14–28) is the safest and most productive window for dental treatment during pregnancy. Waiting until you’re 35 weeks and uncomfortable on the dental chair, while your gingivitis has progressed further, is a common Canadian mistake. Book that cleaning early.

Mistake 2: Switching to “natural” toothpaste without checking the credentials. Not all natural toothpastes are created equal. “Natural” on the label doesn’t mean effective against gingivitis. Check for either stannous fluoride or nano-hydroxyapatite as the active ingredient — everything else is marketing.

Mistake 3: Brushing harder to stop bleeding. We covered this in the usage guide, but it bears repeating: aggressive brushing damages gum tissue and makes bleeding worse. Gentle technique with a soft brush is what your gums need, not pressure.

Mistake 4: Ignoring flossing because “it makes the bleeding worse.” Yes, flossing makes inflamed gums bleed initially. That’s not a sign to stop — that’s a sign that those areas need cleaning. Within one to two weeks of consistent, gentle daily flossing, bleeding in those areas typically reduces significantly as the gum tissue becomes less inflamed.

Mistake 5: Ordering from Amazon.com instead of Amazon.ca. Canadian buyers can unknowingly end up on the US Amazon site and face surprise import duties, longer shipping times to Canadian addresses, and products not approved under Health Canada’s labelling requirements. Always confirm your cart is on Amazon.ca before checkout. Look for prices in CAD and the Amazon.ca logo in the top-left corner.

Pregnancy Gingivitis vs. Periodontitis: Know the Difference

Understanding where you fall on this spectrum matters when choosing how aggressively to manage your oral health.

Pregnancy Gingivitis is inflammation limited to the gum tissue itself. It’s reversible, common (affecting an estimated 60–75% of pregnant people), and responds well to improved home care and professional cleaning. The toothpastes on this list are all highly appropriate for this stage.

Periodontitis is when gingivitis progresses to involve the bone and connective tissue supporting your teeth. This is not reversible with toothpaste alone. According to Canada.ca’s gum disease information, periodontitis requires professional intervention — scaling, root planing, and sometimes antibiotic therapy (under careful guidance during pregnancy). Warning signs that you’ve crossed this line: persistent bad breath that doesn’t resolve with brushing, gums that are pulling away from your teeth, or teeth that feel loose or have shifted position.

If you notice any of those signs, make a dental appointment immediately — don’t wait for your next scheduled checkup. A good toothpaste manages gingivitis; periodontitis needs professional care.

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FAQ: Toothpaste for Bleeding Gums During Pregnancy in Canada

Conclusion: Protect Your Smile and Your Baby This Pregnancy

Managing toothpaste for bleeding gums during pregnancy isn’t about obsessing over a tube of toothpaste — it’s about understanding that your oral health and your baby’s health are more connected than most people realize. The hormonal shifts of pregnancy create a temporary but real vulnerability in your gums, and the right toothpaste is one of the most accessible, affordable tools you have to address it.

Here’s the bottom line for Canadian moms: start with Parodontax Clean Mint if your primary concern is gum bleeding, or Sensodyne Sensitivity & Gum if you’re dealing with both sensitivity and bleeding. Either is available on Amazon.ca, both are dentist-endorsed, and both will begin making a visible difference in three to four weeks of consistent use. If you prefer a natural or fluoride-free route, Boka Nano Hydroxyapatite is the most science-backed option in that category.

No matter which you choose: brush gently twice daily for two minutes, floss once a day, see your dentist during your second trimester, and rinse with water after any morning sickness — not right away with your toothbrush.

Your gums — and your baby — will thank you. 🇨🇦

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🔍 Explore the full range of pregnancy-safe gum care options on Amazon.ca. Click any highlighted product above to check current pricing and Prime availability. These are the products that will help you arrive at your due date with healthy gums and a confident smile!

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