Researchers looked at baby teeth from children ages 6-8 to see if their mothers taking folic acid or multivitamins during pregnancy made a difference. They examined 54 teeth using special microscopes and found that children whose mothers took these supplements had stronger, more resistant tooth enamel (the hard outer layer). The teeth from supplemented pregnancies showed better mineral content and less wear damage compared to teeth from mothers who didn’t take supplements. This early research suggests that prenatal vitamins might be an important way to help protect children’s baby teeth from decay and damage.

The Quick Take

  • What they studied: Whether mothers taking folic acid or multivitamins during pregnancy affects the strength and quality of their babies’ baby teeth
  • Who participated: 54 baby teeth collected from children between ages 6-8 years old. The teeth were grouped based on whether mothers took no supplements, folic acid only, or multivitamins containing folic acid during pregnancy (18 teeth per group)
  • Key finding: Baby teeth from mothers who took folic acid or multivitamins showed significantly stronger enamel with better mineral content (more calcium and phosphorus) and less damage from normal wear compared to teeth from mothers who didn’t take supplements
  • What it means for you: Taking prenatal vitamins containing folic acid may help protect your baby’s teeth from the very beginning. However, this is early research with a small sample size, so more studies are needed before making it a standard recommendation. Talk to your doctor about prenatal vitamin use during pregnancy

The Research Details

This study examined actual baby teeth that had naturally fallen out from children ages 6-8. Researchers collected 54 teeth total and divided them into three equal groups based on what the mothers took during pregnancy: no supplements, folic acid alone, or multivitamins containing folic acid. They used two advanced microscope techniques to examine the teeth. First, they used a scanning electron microscope (like a super-powerful magnifying glass) to look at the surface structure of the tooth enamel. Second, they used a special X-ray analysis tool to measure the exact minerals present in the enamel, looking specifically at calcium, phosphorus, and carbon levels.

This research approach is important because it looks directly at real tooth structure rather than just studying cells in a lab. By examining actual teeth from children and connecting them to what their mothers took during pregnancy, researchers can see real-world effects. The combination of looking at both the physical structure and the chemical makeup of the teeth gives a complete picture of enamel quality

This is a preliminary study with a relatively small sample size (54 teeth total, 18 per group), so the results are promising but not definitive. The study was well-designed in how it examined the teeth using advanced technology, but larger studies with more teeth and longer follow-up would strengthen these findings. The fact that results were consistent across both microscope techniques adds confidence to the findings

What the Results Show

When researchers looked at the tooth enamel surface under the microscope, they found clear differences between groups. Teeth from mothers who took folic acid or multivitamins showed a smooth, uniform surface that appeared more resistant to normal wear and tear. In contrast, teeth from mothers who didn’t take supplements showed more surface damage and wear patterns. The chemical analysis confirmed this visual finding: teeth from supplemented pregnancies had significantly higher amounts of calcium and phosphorus, which are the main minerals that make enamel hard and protective. These minerals are essential for keeping teeth strong and resistant to decay.

An interesting secondary finding was that teeth from mothers who didn’t take supplements had higher carbon content in their enamel. This suggests that the enamel structure in these teeth may be more vulnerable to breaking down and losing minerals over time. The researchers interpreted this as a sign that the enamel crystals (the tiny building blocks of enamel) in unsupplemented pregnancies were more likely to dissolve and weaken

This research adds to growing evidence that maternal nutrition during pregnancy affects baby tooth development. Previous studies have shown that various nutrients are important for tooth formation in the womb. This study specifically focuses on folic acid and multivitamins, which are commonly recommended during pregnancy anyway. The findings align with what we know about how minerals strengthen tooth structure, but this is one of the first studies to directly examine how prenatal supplements affect the actual structure of baby teeth

This is a small preliminary study, so results should be interpreted cautiously. The sample size of 54 teeth is relatively small for making broad recommendations. The study only looked at upper front baby teeth, so we don’t know if results apply to other teeth. Additionally, the study couldn’t control for other factors that might affect tooth development, such as the mother’s overall diet, other health conditions, or the child’s diet after birth. The study also only looked at teeth that had already fallen out, so we don’t have information about how these teeth performed over time in the mouth

The Bottom Line

Based on this preliminary research, prenatal folic acid and multivitamin supplementation appears to support stronger baby tooth development (moderate confidence level due to small study size). However, this should not be the only reason to take prenatal vitamins—they’re recommended during pregnancy for many other important reasons. If you’re pregnant or planning to become pregnant, discuss prenatal vitamin use with your healthcare provider, as they can recommend what’s best for your individual situation

Pregnant women and women planning pregnancy should be aware of these findings as one more reason to consider prenatal vitamins. Parents of young children might find this information reassuring about their children’s tooth health. Dentists and pediatricians may find this research useful for counseling patients about prenatal care. This research is less relevant for people who are not pregnant or planning pregnancy, though it highlights the importance of good nutrition during pregnancy for overall child health

The effects of prenatal supplementation on tooth structure happen during pregnancy and early childhood tooth development. You won’t see immediate changes, but rather long-term benefits in how well baby teeth resist decay and wear throughout childhood. The protective effects would be most noticeable as children’s baby teeth are used for eating and naturally wear over several years

Want to Apply This Research?

  • If pregnant, track prenatal vitamin intake daily (folic acid and multivitamin doses) and note any changes in prenatal health markers. After birth, track child’s tooth health milestones including eruption dates, any visible wear or damage, and dental visit findings
  • Set daily reminders to take prenatal vitamins if pregnant. Log vitamin intake in the app to maintain consistency. After baby arrives, schedule regular dental check-ups and photograph baby teeth periodically to monitor enamel appearance and wear patterns
  • For pregnant users: maintain consistent prenatal vitamin supplementation and log adherence. For parents: monitor baby teeth appearance during regular dental visits, track any signs of enamel wear or damage, and maintain records of dental health assessments over time as baby teeth develop and eventually shed

This research is preliminary and based on a small sample size. It should not replace medical advice from your healthcare provider or dentist. Prenatal vitamin recommendations should be discussed with your doctor, as they can assess your individual health needs and recommend appropriate supplementation. This study examines one aspect of tooth development and should not be considered the sole basis for health decisions. Always consult with qualified healthcare professionals regarding pregnancy, supplementation, and child dental health.