Dental treatment at the beginning of pregnancy. Features of dental treatment during pregnancy. Features of the treatment of teeth of pregnant women

Pregnancy is perhaps the most crucial period in the life of every woman who decides to become a mother. Throughout the entire period of development of the embryo, the mother's body is constantly exposed to unforeseen trials. Whether it is worth deciding on dental treatment during pregnancy in the 1st trimester is an ambiguous question. Even with the availability of modern equipment in dental offices, not all pregnant women decide on the necessary assistance in the first trimester.

The impact of pregnancy on dental health

In the first trimester of pregnancy, the placenta is not fully formed. For this reason, it cannot yet serve as a reliable protective barrier for the embryo. The negative impact of substances penetrating into the mother's body before the final formation of the placenta poses a high threat to the fetus.

Pregnancy in each woman proceeds differently, in any case, for the full development of the fetus, large resources of the mother's body are required. When laying the internal organs of a future baby, a woman may lose a larger supply of her vitality and resources. And there is nothing surprising in the fact that suddenly a pregnant woman has problems with her teeth. Dentin tends to soften over the years and under constant chewing load, which invariably leads to the development of caries. This disease progresses and after a short time passes into pulpitis.

Even if a pregnant woman did not have problems with her teeth before conception, there is a high risk of their appearance already in the first trimester. To prevent possible dental pathologies, you should consult a dentist in a timely manner. Immediately after conception, there is a change in the calcium balance in the body of the expectant mother. In the first trimester, the placenta strengthens, and the bone tissue of the fetus grows rapidly. Calcium deficiency in the mother's body during this period is a common occurrence. Replenishing calcium reserves by introducing a large amount of calcium-containing foods into the diet will not give the expected result. Consequently, the body "goes in search of" a useful trace element. The teeth are hit first.

The second important factor in the destruction of teeth is the work of the salivary glands, which, after conception, somewhat change their usual “behavior”. Saliva in a pregnant woman is produced in large volumes and significantly changes its chemical composition. The protective properties of saliva during pregnancy are significantly reduced, which makes tooth enamel the most vulnerable to the spread of caries.

According to statistics, 30% of pregnant women with hidden infectious foci in the body give birth to children with weak immunity and various pathologies. In the first place, these foci include maternal dental diseases.

Dental diseases

In ordinary life, the threatening factors for the development of dental diseases include the following:

exposure to food consumed, in particular, its residues in the oral cavity;
genetic inheritance;
pathology of the digestive system;
the presence of pathogenic bacteria in the oral mucosa;
diseases of ENT organs;
unfavorable ecological situation;
frequent stressful situations.

In dentistry, in percentage terms, the treatment of pregnant women exceeds 20%.

Most often, women treat with pulpitis. This is a neglected state of the transition of caries to a more acute form, when the destroyed dentin tissues pass the infection to the pulp, a bundle of blood vessels and nerve endings located in the coronal part or in the root canals themselves. Pulpitis is aggravated at night when a person takes a horizontal position in bed. The most striking symptoms cannot be confused with anything:

increasing pain with throbbing;
irradiation of pain in the neck and head;
the cavity destroyed by caries has a great depth and width;
sometimes an unpleasant smell of rot and hydrogen sulfide comes from the mouth;
swelling of the facial part around the diseased tooth.

Pulpitis is acute and chronic. In an acute course, there are paroxysmal throbbing pains. In the chronic course, the symptoms are mild, more reminiscent of the untreated stage of caries. Caries is a common clinical sign of all dental diseases.

If a pregnant woman has noticed the first signs of caries, which has an initial stage, treatment is simply necessary. At this stage, it is still possible to avoid the use of anesthetic drugs. Caries is asymptomatic, sometimes it is very difficult to trace. The gradual destruction of hard tissues of the teeth without obvious symptoms in dentistry is called carious inflammation. There are three types of caries:

Surface;
Average;
Deep.

The onset of roughness on the surface of tooth enamel is already a serious signal of the development of the disease. Gradually, the tooth begins to painfully react to hot, cold, sweet, sour. Food fragments that enter the newly formed hole are retained in it, creating a focus of infection. Pathogenic microbes rapidly destroy the dentin, deepening the hole and getting close to the pulp. The diseased tooth darkens, and this indicates a deep tissue damage.

The next step in the destruction of the tooth in case of ignoring caries is pulpitis. Penetrating infection from the root canal through the opening of the carious lesion can infect the periosteum. Thus, the disease develops into periodontitis. The pains reach such intensity that the patient cannot eat or sleep. The slightest physical exertion during the closing of the jaws causes severe throbbing, which is marked by residual pains throughout the head and neck. Often the body temperature rises.

One of the varieties of periodontitis is granuloma. It occurs asymptomatically and gives itself out by a slight formation at the root of the tooth. It can only be detected after an X-ray. Granuloma can be "frozen" and progressive. Depending on the form of the course of the granuloma, the dentist decides on the further impact on this focus: medical or surgical.

Frequent and cystic neoplasms in the tooth root. The cyst tends to grow rapidly. Increasing in size, the cyst puts pressure on the bone tissue, thereby reducing it. It is difficult to describe the most characteristic signs of cystic inflammation of the teeth. Sudden swelling with a change in facial forms can give out pathology. The cyst carries a high risk of infection of the blood vessels and the spread of infection throughout the body.

In cases where medical treatment does not give the expected results, dentists resort to surgical resolution of the pathology. In some cases, a complete tooth extraction is inevitable. After such events, a course of antibiotics is mandatory, and this, as you know, is an extremely controversial moment for a pregnant woman.

A woman who is often exposed to stressful situations during pregnancy feels a negative impact on all organs of the digestive system, and teeth are not excluded from this complex chain. Severe attacks of toothache can cause changes in the body of a woman and her embryo at the physiological level. Enduring severe pain, a woman provokes an additional release of hormones into the blood, which qualitatively change the functioning of internal organs and affect the formation of the fetus.

A high danger in all diseases of the teeth is the suppuration of soft tissues and the formation of flux. A tooth infection has the ability to rapidly spread through the bloodstream in the body of a pregnant woman, getting to the embryo. In the first trimester, the fetus may be infected due to the still increased permeability of the placenta. Therefore, it is extremely dangerous to postpone dental treatment in the 1st trimester of pregnancy with acute pain until later.

Is it possible to treat teeth in the first trimester of pregnancy

Treatment of a diseased tooth involves a whole range of forced and necessary measures, depending on the stage of tooth decay. It:

radiography;
anesthesia;
removal of destroyed dentin tissue with boron;
channel cleaning (in case of pulpitis);
canal filling;
filling of the crown part of the tooth;
filling grinding.

Having decided on a visit to the dentist in the first trimester of pregnancy, a woman must be informed of the exact date and possible intolerance to drugs. Treatment begins with an examination of the patient. The doctor will only treat units that are in critical condition. One tooth is usually treated at one time. When it is necessary to treat several teeth at the same time, the doctor determines the most affected and proceeds to treatment. Carrying out such treatment at once in one step can be an unbearable burden for a pregnant woman.

A woman sits down in a dental chair. The doctor is doing an examination. It is necessary to be located in the pregnant dental chair with a slight turn to the left side to reduce the risk of possible fainting and to exclude a decrease in blood pressure during a long stay in this position. Whenever possible, they try to carry out the treatment without the use of local anesthesia. Modern drills are equipped with additional functions that reduce the sensitivity of dental tissues during the operation of the bur: adjusting the rotation speed, supplying water to the treated surface of the crown part of the tooth.

X-rays are not recommended during the first trimester. However, in cases where there is an urgent need for a picture, in order to see the clearest picture of the focus of inflammation, an x-ray is still carried out. The patient is seated in a special chair and the body is covered with a lead apron with maximum coverage of the surface of the abdominal cavity and pelvis. Modern film and X-ray sensors are highly sensitive and do not require increased X-ray radiation.

Most clinics practice taking x-rays with a radiovisiograph, a device that uses a minimal dose of radiation to take a picture. Moreover, radiovisiographs act pointwise on the specified area for research. Therefore, it makes no sense for a woman to worry about the condition of the fetus during this procedure. Medical studies state that with an x-ray of one unit in the oral cavity, the amount of radiation received corresponds to two hours spent in front of a computer monitor.

Having decided on the area of work, the dentist decides on the use or refusal of painkillers. Anesthetics used in the first trimester of pregnancy can have a negative effect on the fetus. First of all, the anesthetic causes rapid vasoconstriction. It is desirable to perform anesthesia for pregnant women with drugs with a low degree of effect on the vessels. The best option today are "Ultrakain" and "Ubistezin".

Things are much more difficult when you have to restore several teeth.

Is it possible to remove teeth in the first trimester of pregnancy

To remove teeth in the first trimester of pregnancy should be taken with particular seriousness. The optimal period for the extraction of teeth in pregnant women is the second trimester. The risk of impaired embryonic development in the second trimester is reduced. Anesthetics are practically unable to get through the formed layer of the placenta to the fetus.

Almost all people resort to the extraction of diseased teeth only in the most critical situations, when the pain is no longer tolerable, and most of the crown and root parts of the tooth cannot be restored. Such a tooth is a dangerous focus of infection, which puts the mother and fetus at high risk. In these cases, it is dangerous to delay the removal.

After the removal of a diseased tooth, the patient also has to go through a very ambiguous postoperative period. After the anesthetic wears off, there will be pain and bleeding at the operation site for a long time. Taking painkillers in this case is undesirable, however, to endure prolonged severe pain, which is no exception after removal, is also not worth it.

Often after removal, it becomes necessary to prescribe antibiotics. This is how you can overcome an infection that cannot leave the sore spot too quickly. Reception of any drugs should be coordinated with the doctor.

Can you brush your teeth in the first trimester of pregnancy?

Every modern person brushes his teeth daily. Dentists recommend brushing your teeth twice a day after the morning and evening meals. For this, toothpastes or tooth powders are used. Today, the choice of toothpastes and powders is so diverse that each person has the opportunity to choose a dentifrice based on their own budget and body needs.

Toothpastes of therapeutic and preventive action help maintain healthy teeth. Brushing your teeth at home can remove plaque on tooth enamel, which is formed as a result of the absorption of various foods that have the ability to stick and destroy dental tissues. Poor hygiene will contribute to the accumulation of plaque at the base of the teeth. Gradually, on the visible basal surface of the teeth, food fragments, “overgrown” with pathogenic microflora, begin to turn into solid areas. This is how tartar develops.

One of the reasons for the formation of tartar is a violation of the salt balance in the body. Pregnant women are at risk for dental calculus. Soft plaque can be removed with special dental appliances. If the dentist performs this procedure in a timely manner, then there is a chance to avoid the development of other diseases of the oral mucosa and internal organs. Hardened tartar poses a high threat to a woman's health. Progressing on the tooth enamel, the stone “gets up” to the base of the tooth root, thins the walls and ultimately leads to the loss of this unit.

During pregnancy, the diet and diet change qualitatively, therefore, a woman is recommended to reconsider the methods of care and preventive measures of the oral cavity. It is about the following:

brushing your teeth should be done twice a day;
after eating, use dental floss and special rinses;
use a medium hard toothbrush to brush your teeth;
exclude toothpastes with a whitening effect;
opt for therapeutic and prophylactic toothpastes;
change toothpaste at least once a quarter by buying products from other manufacturers;
include in the diet dairy products that provide the daily intake of calcium;
take additional vitamin complexes and trace elements.

If a soda solution is used in the process of brushing your teeth, a pregnant woman should be careful. Accidental ingestion of soda solution inside is undesirable throughout the entire period of pregnancy. However, the soda solution perfectly relieves external inflammatory processes in the oral cavity, and also copes with toothache.

Particular attention to pregnant women should be given to the gums. Gingivitis can be a consequence of hormonal changes after conception. The products of bacterial decay rapidly penetrate into the bloodstream, causing inflammation of the gums and extremely negatively affecting the embryo. Do not exclude cases of extensive infection of the fetus, leading to termination of pregnancy. Such diseases of the oral cavity should be cured without delay.

As preventive measures, massages can be carried out. A little toothpaste is applied to the surface of the gums, and then massage movements are carried out towards the gum with the thumb and forefinger. When massaging, you can not press hard on the gums, and it is recommended to massage daily for 5-7 minutes.

Modern pharmacology offers a large selection of therapeutic drugs to strengthen the gums and mucous membranes of the oral cavity. Most of the preparations for dental needs consist of a vegetable base of medicinal herbs. For example, the preparations "Rotokan" and "Chlorophyllipt". You can at home prepare decoctions for oral care from sage, calendula flowers, chamomile, yarrow. In any case, all activities must be coordinated with the doctor observing the pregnancy.

Conclusion

The ideal time to visit the dentist is the second trimester. And, despite the fact that modern pharmacological agents are neutral and hypoallergenic, force majeure cannot be ruled out. A pregnant woman is at risk in any case, because dental diseases also cause an increase in the level of leukocytes in the blood.

Diseases of the teeth, accompanied by severe inflammation, fever, acute pain and swelling, require immediate treatment. In the first trimester, treatment is justified only in cases where it is more beneficial than possible harm.

Progressive caries will lead to pulpitis, and in the absence of proper treatment, to periodontitis. By starting inflammation, you can lose a tooth. Extraction of teeth in the first trimester of pregnancy is highly discouraged. If possible, problems with dental diseases can be eliminated from the beginning of the second trimester, however, this rule does not apply to cases with acute conditions. It should be remembered that a sick tooth is a focus of infection in the body of any person.

Women who regularly undergo dental examinations are not threatened with unpleasant surprises, both before the moment of conception and throughout the entire period of pregnancy.

Pregnancy is an important event and a wonderful period in the life of any woman. However, during this period, the risk of developing various dental diseases increases significantly. This is due to the general restructuring of the body, including hormonal levels and metabolism, and a decrease in the protective sludge of the body. How to keep your teeth healthy during pregnancy? And what to do if dental diseases appear in a woman in position?

Why treat teeth during pregnancy?
Upon learning of her pregnancy, the first doctor a woman should visit is a dentist, even if there has never been a problem with her teeth. Pregnancy is accompanied by a restructuring of the hormonal background of the woman's body, as a result of which the immune system is weakened, and as a result, favorable conditions are created for the development of many microorganisms, including the oral cavity. Therefore, even caries during pregnancy develops much faster than in the normal state. The process of forming and carrying a pregnancy takes a lot of strength from a woman. For the bone structure of a child, a woman's body needs a significant amount of calcium, fluorine, phosphorus and other minerals, the lack of which is replenished from the mother's bones and teeth. This kind of process adversely affects the bone tissue and teeth of the future young mother, as a result of which caries develops very quickly.

If caries is not treated, it can lead to the development of more complex dental diseases - pulpitis (inflammation of the nerve of the tooth) and periodontitis, which should also not be ignored during pregnancy, since in the future a young mother will acquire many problems not only with her health, but also with baby's health. For example, infections penetrate through the inflamed teeth and gums of the mother into the body of the unborn child, weakening his body, as a result of which he may develop a tendency to allergies, and most importantly, caries will appear on the first teeth that appear.

If earlier it was contraindicated to treat teeth during pregnancy, since the technologies used were dangerous for the health of the unborn baby, today, according to most experts, it is simply necessary to treat bad teeth during pregnancy. In addition, modern dental clinics have in their arsenal special medicines for pregnant women, safe digital X-ray equipment (the minimum radiation dose, the action is local and narrowly focused), highly qualified specialists correctly select anesthesia for pregnant women, which would both effectively anesthetize and not harm future child. In addition, special dental clinics for pregnant women have already appeared in our country, which have been effectively operating in the West for a long time.

During pregnancy, you can remove teeth, treat caries, periodontal disease, gingivitis, bleeding gums, inflammation of the teeth, and it is also possible to install braces. But with implantation and removal of tartar, it is worth waiting, these procedures are not recommended for carrying out during pregnancy.

If you do not have any problems with your teeth during pregnancy, it is still recommended to visit the dentist's office every three months (only three during pregnancy), where the doctor will talk about all the nuances of oral care during pregnancy and recommend a brush and toothpaste .

Another reason for the obligatory visit to the dentist during pregnancy and after it is periodontal disease and its initial stage - gingivitis (inflammation of the gums), the signs of which increase towards the end of pregnancy. Particularly careful observance of hygienic rules in the care of the oral cavity can greatly alleviate the condition and prevent possible complications. However, it is impossible to completely get rid of this disease on its own. And untreated gingivitis leads to tooth loss even more often than untreated caries. If a woman develops gingivitis during pregnancy, the chance that the condition of the oral cavity returns to normal after the birth of a child is much higher than if the woman suffered from this disease before pregnancy. Therefore, it is recommended to visit the dentist at least once a year even before pregnancy. In the treatment of gingivitis, as a rule, professional teeth cleaning and anti-inflammatory therapy are carried out.

In addition to dental treatment, it is also necessary to remove plaque and stones.

When is the best time to treat your teeth during pregnancy?
In the first trimester of pregnancy, the formation of all organs and systems of the unborn child takes place, in the second trimester - the development of these organs and systems, in the third trimester - the preparation or already independent functioning of these systems and organs. Each trimester has its own characteristics of the course: the first and third trimesters have the largest number of "critical" periods, so any medical interventions are not desirable in these months. An exception in this case are those medical procedures and manipulations that are necessary to save the life and health of the unborn child and his mother. The second trimester remains, which is considered relatively safe. Therefore, the period from the fourth to the sixth month of pregnancy (this is 14-20 weeks) is recommended to be used for dental procedures. When visiting a dentist, it is imperative to warn the doctor about your position, gestational age, and indicate the medications you are taking. Depending on these factors, treatment tactics will be developed.

Treatment of caries during pregnancy.
Since anesthesia in the treatment of teeth in pregnant women is categorically contraindicated, then, as a rule, the treatment of caries in a pregnant woman is carried out without anesthesia. With the help of a dental drill, the dentist removes damaged tooth tissues and places a filling, the choice of which can be made to your taste (chemical or light curing). Neither one nor the other seal carries any danger, either for the mother or for the child. If, nevertheless, anesthesia is needed, you should not worry about this, since today there are special anesthetics (Ubistezin, Ultracain) that have only a local effect, without penetrating the placental barrier. This means that they are absolutely safe for the unborn child. In addition, these preparations contain a rather low concentration of vasoconstrictors, and some do not contain them at all (drugs based on mepivacaine).

Inflammation of the nerve or pulpitis is treated with anesthesia, which was discussed earlier. Treatment of periodontitis (inflammation of the root tissues of the tooth), most often, is carried out without the use of anesthetics. However, in both cases, x-rays are required, which allow high-quality root canal filling. In general, x-rays are contraindicated before the 20th week of pregnancy. After this period, X-rays are allowed, only the doctor must know about your situation. If the office is not equipped with a special X-ray unit (the radiation dose is reduced tenfold), which protects the doctor and patient from radiation, the doctor will provide you with a so-called lead apron that protects your stomach.

Extraction of teeth during pregnancy.
If it is not possible to save the tooth, it is removed under local anesthesia. In order to avoid any complications, it is necessary to strictly follow all medical recommendations (do not rinse, do not heat the surgical area, etc.). If it is necessary to remove the "wisdom tooth", then it is better to postpone such removal for later, since such removal is usually accompanied by the appointment of antibiotics.

Prosthetics, fluoridation and whitening of teeth during pregnancy.
There are no contraindications for prosthetics. Procedures performed by an orthopedic dentist are usually painless and safe. But implantation of teeth is not recommended, since the process of engraftment of implants is accompanied by high costs for the body. And a young mother should direct all her strength and energy to the development of a healthy child. In addition, implants are most often engrafted under the influence of drugs, the action of which reduces the reactivity of the body, which is an absolute contraindication during pregnancy.

To preserve and strengthen tooth enamel during pregnancy, local fluoridation with fluorine-containing solutions and varnishes is recommended. In domestic practice, the application method of fluoridation is used, in which the so-called “individual spoon” (wax casts of teeth) is made, into the recesses of which a fluorine-containing composition is poured, after which the casts are superimposed on the patient’s teeth (10-15 procedures), and the second method is carrying fluorine-containing varnish with a brush on the surface of the teeth (3-4 visits).

Teeth whitening procedure during pregnancy is absolutely safe and harmless for the expectant mother and fetus. It is carried out in two stages: the removal and removal of plaque and tartar using ultrasound and the treatment of teeth with special whitening pastes. Teeth whitening is carried out within an hour.

How to keep your teeth during pregnancy?
The birth of a child must be taken very seriously, therefore, long before pregnancy itself, both parents must cure all damaged teeth, since affected teeth are a source of infection that negatively affects the health of mother and baby.

The best and most effective way to fight bacteria is to thoroughly brush your teeth in the morning and evening. During pregnancy, it is best to use a medium hard toothbrush. The brush for the entire period of pregnancy must be changed three times. If your gums bleed heavily, use a soft-bristled brush. But the use of an electric toothbrush during pregnancy and breastfeeding is not recommended.

To care for the oral cavity, you should additionally use dental floss or floss, which allows you to clean the interdental spaces, you can use dental elixirs, which have a cleansing and protective effect. Also, after each meal during pregnancy (and not only), you should rinse your mouth with boiled water.

Toothpaste used during pregnancy must also be of high quality: it prevents the development of caries and gum disease and strengthens tooth enamel. A suitable toothpaste can be recommended by the dentist during the consultation.

In addition, in order to save teeth during pregnancy, one should limit oneself from the consumption of carbohydrate foods, especially sweet and starchy foods. The diet of a pregnant woman should be balanced and include the necessary macro- and microelements and vitamins (calcium, phosphorus and fluorine, as well as vitamin D). The daily diet should include fish oil, chicken eggs, cod liver, vegetables and fruits, cottage cheese, cheese, nuts and other foods. A woman during pregnancy should take daily vitamin and mineral complexes for pregnant women.

Pregnancy can be compared to a novel, but each has its own plot. Who has toxicosis from beginning to end, or drowsiness, like a bear in winter, and someone loses a tooth one by one or even worse suffers from wild toothache in the midst of expecting a child. Dental problems are a rather serious and unpleasant problem during the period of bearing a child. How to understand whether it is possible to treat teeth during pregnancy, whether it is necessary to treat teeth during pregnancy, everything is in order with the help of specialists.

Treat or not treat…

Bearing a child involves a number of serious changes in a woman's body, including hormonal and metabolic ones, which change everything and everything. Therefore, from some ladies you can hear that every pregnancy a sacrifice was made in the form of a lost tooth. Why go for such feats, if you can foresee everything, about which our conversation will go on.

According to the statistics of American scientists, it has been proven that dental problems increase the risk of having children born prematurely or with intrauterine growth retardation.

It is ideal when a woman's pregnancy is planned, and she can prepare herself for bearing in advance by going through all the specialists in advance: an ENT doctor, surgeon, therapist, etc. A trip to the dentist is also included in the planned preparation, he will find the source of the infection and carry out sanitation, thereby preventing a possible danger.

How scary sick tooth

A bad tooth can cause not only terrible pain, but also become a breeding ground for bacteria. This fact may cause:

angina;
tonsillitis;
pharyngitis;
pathologies of the skeletal system (osteomyelitis);
diseases of gastrointestinal diseases (gastritis, ulcers, etc.);
heart diseases (myocarditis, pericarditis, etc.);
pathologies of the genitourinary system (pyelonephritis, cystitis, etc.).

Say that it is not possible for one tooth to create so many serious problems. Maybe dear ladies, if a woman also has chronic diseases that periodically make themselves felt. In this case, dental problems are a trigger for their exacerbation. Therefore, the best option, of course, is a planned pregnancy.

Is it possible to remove, seal, whiten, insert, prosthetic teeth during pregnancy? Convenient table for pregnant women

But happiness sometimes “comes” unexpectedly and all plans can be radically changed. What to do and is it possible to treat teeth for pregnant women if you did not have time to visit your dentist before pregnancy? What procedures can be done, and which ones should be abandoned? Read and memorize.

What can be done	What not to do
caries therapy - installation of fillings	teeth cleaning and whitening
periodontitis therapy	installation of implants
extraction of teeth other than eights	x-ray (permitted according to indications in the second half of pregnancy)
use of anesthesia (ultracaine, lidocaine, etc.)	use of general anesthesia
braces installation	removal of eights
sanitation and preventive examination	prosthetics
stomatitis treatment	bite correction
	ignore the old filling

So, based on all the above pros and cons, it is worth paying attention to each aspect.

When to treat

When a toothache overtakes you by surprise, you should immediately contact your dentist. There is no need to sacrifice yourself, arguing: I will endure everything for the sake of my child. This is certainly commendable, but today such feats are at least not rational and not justified.

Problem #1

Caries is a dangerous disease that can lead to various diseases and create difficulties during the gestation period, and in some cases even lead to termination of pregnancy. At first glance, it seems that what will happen from a small hole in the tooth, but this is an erroneous opinion. This defect is an excellent place for the reproduction of bacteria streptococci and staphylococci, which spread through the bloodstream throughout the woman's body. What can caries lead to?

Pulpitis (damage to the root canals) Gingivitis bleeding and friability of the gums Parandatosis complete or partial loss of a tooth.

Such a transition from one form to another during pregnancy is faster, since the composition of saliva changes due to physiological and biochemical changes. Therefore, leaving caries unattended is dangerous. Many mothers ask when is the best time to treat their teeth so as not to harm the unborn baby? I will answer: If you notice that a hole has appeared in your tooth, or the tooth reacts to cold or hot, or other pathological changes have appeared, you should immediately contact your dentist!

Which fillings are harmless for pregnant women s

Photopolymer material today is safe, but there are a number of nuances when it is not possible to put a permanent filling. For example, the interaction of the material with the tissues of the teeth does not allow it to hold on for a long time. In this case, the doctor decides to put a temporary one, and after the birth of the baby, put a permanent filling. There are cases when, at the time of gestation, a woman has an individual intolerance.

First trimester of pregnancy what to do?

Is it possible to treat teeth in the first trimester? The first 18 weeks is the laying of all organs and systems in the future fetus, if the situation is not so serious and the dentist recommends that you postpone treatment until a later date, then postpone therapy. Experts say that the best period is the second trimester.

Until what week can teeth be treated

Are there any restrictions and until what week of pregnancy can teeth be treated? In the event that an emergency occurs, a pregnant woman is not left without medical dental care. Toothache can provoke the development of complications and abortion, so this fact cannot be ignored. Therefore, the gestation period does not matter in such cases. Of course, with planned therapy, if there are no urgent conditions, such periods are excluded when premature labor is possible or the woman already has such a threat:

Some mothers ask if it is possible for pregnant women to remove teeth with anesthesia? Removal is recommended at the twenty-seventh week in case of urgent need. Those. if you are at week 25 and your tooth does not hurt, but extraction is required, but there is no urgency, for example, a destroyed tooth or a residue in the form of a root that does not cause pain and you can wait, then it is removed at week 27 or after childbirth. Today, the pharmaceutical industry produces drugs, namely those used in anesthesiology, which do not allow to act on the development of the unborn baby. If there is an urgent situation for the extraction of a diseased tooth or a tooth treatment is necessary, the dentist will choose the right anesthesia.

Prescription of antibiotics

Purulent pulpitis has developed, can I take antibiotics? If the process has turned into a purulent process, then taking antibiotics is inevitable, since refusing them can lead to sepsis (blood poisoning). You should not worry, as the doctor will select a drug that will not harm the unborn baby, such as ampicillin, erythromycin, spiramycin, etc.

Prohibited antibacterial drugs during pregnancy include:

tetracycline;
gentamicin;
kanamycin;
norfloxacin, etc.

The use of such antibiotics can lead to fetal abnormalities: malformations of internal organs, aesthetic anomalies (cleft lip, cleft palate, etc.)

Remember, if you are taking antibiotics, you must take antifungal drugs and drugs that restore the intestinal microflora. Preparations are selected only by a doctor! Self-medication can be harmful especially during pregnancy!

x-ray

To diagnose dental problems, they often resort to x-rays, but during pregnancy, this method makes many mothers refuse it, which complicates the treatment process. To do or not to do, that is the question.

Experts say that x-rays of the teeth can be done only when absolutely necessary.

According to the norms of the sanitary epidemiological authorities and the Ministry of Health, X-ray examinations during pregnancy are carried out only on clinical grounds. Preferably in the second half of bearing a child.

What to do if pregnancy is in the first phase of development, and an x-ray is necessary according to indications? Today, X-ray equipment has undergone a number of changes that allow you to perform a study even in the first months of pregnancy. In such cases, a localized x-ray is taken with additional protective equipment (a lead apron is put on). Or they use special devices for diagnosing a pathological source that exclude x-ray radiation.

What to do to avoid dental problems

As the grandfather of medicine Hippocrates said: "It is easier to prevent a disease than to cure it." And this is true, my dear future mothers work. I offer ten recommendations from dentists so that the teeth do not leave the beautiful female mouth one after another during the gestation of the desired child.

You may be interested in: 12 Ways to Say No to Toxicosis

In conclusion, I would like to note that you have been presented with material that can answer many of your questions. However, do not ignore going to a specialist in a timely manner, as the missed time can deprive you not only of a tooth and a beautiful smile, but can cause many problems. This is most important during pregnancy. Take care of yourself and be healthy!

Tag: can teeth be treated during pregnancy

Modern treatment of pregnant women by a dentist with the use of anesthesia raises a large number of questions for women who are carrying a child. In most cases, women in position are afraid of procedures about the safety of which they are not sufficiently aware. The use of anesthesia is associated with many fears, prejudices and misjudgments. In any case related to health issues, it is important not to go from one extreme to another, but to carefully study all aspects of the effect of the drug on the body, all possible risks and contraindications.

Today, dentists and doctors involved in pregnancy agree on the need to visit the dental office in order to preserve the health of the woman and the normal development of the baby, because in many cases it is the teeth that are destroyed during pregnancy. In many ways, this problem arises due to the hormonal changes that occur in the body of a woman. In fact, this process is natural, contributing to the natural development of the child.

During the bearing of a child, it is necessary to take time to treat the oral cavity using safe methods of anesthesia, since hormonal changes can destroy even completely healthy teeth.

An infection occurs in the oral cavity, which only contributes to destructive processes.

Let us consider in more detail the cases of using anesthesia for women in position and the cases of a ban on its use.

When pain relief is required

Before deciding on the possibility of using anesthesia during the period of bearing a child, consider whether you really need it? After all, for example, the treatment of an uncomplicated carious cavity can do without its use. The dentist will be able to clean the channels gently without touching the nerve itself, and there will be no need for dental anesthesia, which is undesirable for pregnant women.

Dental office visit

In the event of complicated caries or the need to remove a whole tooth, the situation changes radically, and the use of local anesthesia becomes necessary. The attending physician must be informed about the situation of the pregnant woman.

Important! Much is decided by the individual sensitivity of the patient - local anesthesia can be avoided if you are able to endure the pain of the procedure.

During the bearing of the child, the mood of the mother is felt by the child, which is why, with extreme sensitivity of the teeth, it is recommended to inject an anesthetic during their treatment.

The effect of anesthesia on the body of a pregnant woman

Among pregnant women, there is a widespread opinion about the dangers of any type of anesthesia in the process of fetal development. In this regard, most pregnant women prefer to postpone a visit to the dentist's office.

When carrying a child, it is necessary to clarify with the attending physician the possibility of treatment by a dentist using anesthesia.

It is often allowed if

there is no individual intolerance;
well-chosen painkillers;
treatment is carried out in the second or third trimester of pregnancy.

It is important to understand how pain medication affects women who are pregnant. Often, dentists use medicines containing adrenaline, which causes blood vessels to constrict, resulting in an analgesic effect.

These drugs are prohibited during pregnancy, as they increase uterine tone and provoke an increase in blood pressure. It is because of this that future mothers should receive treatment using only modern medicines containing a minimum amount of adrenaline.

When treating teeth during pregnancy, an anesthetic is injected with an injection, which begins to act after a short period of time. A pregnant woman usually does not feel any pain from medical actions, which allows for a variety of procedures up to the removal of a diseased tooth. Neither the mother nor the child will experience any negative emotions.

When carrying a child, it is forbidden to perform anesthesia:

in the first trimester of pregnancy;
in the last month of pregnancy;
with allergies to the constituent components of the anesthetic drug;
if there is a danger to the mother and child from the type of painkiller used.

There are some types of anesthesia prohibited during pregnancy. The consequences of their use may be irreversible.

When and how is dental treatment performed?

Conducting a large number of studies made it possible to identify drugs with the smallest amount of the adrenaline hormone in the composition.

For example, as anesthesia for pregnant women, the following are preferred:

Ultracain;
Primakain;
Ubistezin and others.

The use of these drugs does not pose a danger to the health of pregnant women, since all the harmful substances contained in them cannot penetrate the walls of the placenta, which means that they are not able to penetrate the baby's body. Primacaine and Ultracaine are the most commonly used pain relievers. Some experts are not opposed to their use even in early pregnancy.

Note! The Ultracaine agent is not only unable to penetrate the placental membrane, but also does not penetrate into breast milk, which is why it is used even during the lactation period.

The attending physician individually determines all the necessary doses of the drug according to the duration of pregnancy, the state of health and the age of the woman. Primakain, on the other hand, minimally enters the placenta and, moreover, has a short half-life, which is why conductive anesthesia with the use of this drug is allowed when carrying a child.

Video - Is it possible to treat teeth during pregnancy?

In the first trimester, during the first 3 months, the baby's organs and systems are laid and develop. It is not recommended to carry out dental treatment before the fertilized egg is fixed, since the embryo is characterized by high sensitivity to external irritating factors.

It is common for people to experience pain when visiting a dental office, and the pain experienced by a pregnant woman is quickly transmitted to her child. It makes no sense to interrogate the dentist about the possible harm from anesthesia during pregnancy, since the answer is obvious and any intervention during the formation of organs and systems is not recommended due to the possible impact on the processes.

Important! It is recommended to postpone all necessary procedures until the 4th month of pregnancy in the absence of pulpitis or periodontitis, because these diseases affect the health of the baby and require appropriate treatment.

It would be most optimal to visit the clinic in the second trimester of pregnancy, since this period is characterized by a certain formation of systems and organs and the likelihood of harm is negligible. However, you should consult with your prenatal physician about the possibility of anesthesia in your particular case. Go through a series of preventive procedures and cure teeth in need of emergency treatment.

However, it is worth remembering about procedures that are prohibited even during the second trimester.

These include procedures:

bleaching;
prosthetics;
implantation.

Teeth whitening is a forbidden procedure during pregnancy

Important! If there is any possibility of visiting the dentist after childbirth, it is better to postpone the visit.

The end of the third semester is also unfavorable for dental procedures. This period is often characterized by the general fatigue of the expectant mother, her anxiety about future childbirth. In addition, the uterus becomes sensitive to external influences and any medical manipulations can cause premature birth. It is because of this that a visit to the dentist is recommended only in special cases.

Treatment is not recommended during the first trimester.
In the second trimester, it is forbidden to use anesthetics and general anesthesia, as well as to use drugs whose components can cause allergic reactions in women.

Note! It is worth noting that at different gestation periods there are some differences in the penetration of drugs through the placental membrane.

At an early stage, the placenta is characterized by sufficient thickness, which reduces its permeability.
In the later period, it becomes thinner and drugs penetrate it more easily.

Video - Dental pain relief during pregnancy

Dental treatment even at the usual time causes awe in many people: after all, it is pain, stress, and so on. What can we say about pregnancy. Many women are firmly convinced that it is impossible to treat teeth during pregnancy in any case. It is believed that anesthesia, x-rays and other attributes of a visit to the dentist have a bad effect on the health and development of the fetus. And what is the result?

As a result, a woman who has a toothache during pregnancy refuses to treat it and starts the pathological process. And then she suffers from the fact that during pregnancy the baby “ruined all her teeth and pulled out calcium”‎. But everything is much simpler: if the teeth are left untreated for so long, they will inevitably collapse.

Not only possible, but necessary. After all, the gradual destruction of teeth is far from the worst thing that can happen if the teeth are not treated. Any problems of the oral cavity - whether it be pain, caries, bleeding gums or something else - is, first of all, a focus of inflammation, a source of infection. And how the infection affects the fetus, you probably know very well.

The infection is spread throughout the body with food or blood, if the destruction has already gone far enough, and the focus of infection is located near the root of the tooth, blood vessels and bone tissue.

In addition, the presence of an infection in the oral cavity will come back to haunt a woman and her child after childbirth: the baby is always next to his mother, she kisses him, hugs him, presses him to her. And, therefore, they constantly exchange microflora, including an infection from the teeth that enters the child's body.

Anesthesia for dental treatment during pregnancy

For women who plan to conceive, doctors recommend sanitizing the oral cavity. Carious teeth are the focus of chronic infection, which can worsen during pregnancy. If the moment is missed, you need to visit the dentist already in the 1st trimester.

Most of all, dental treatment scares you with the pain that a dentist can cause. Can pregnant women treat their teeth with anesthesia and an anesthetic injection? Of course it is possible, it is even worth saying - it is necessary. After all, pain and, mainly, its expectation, fear is stress and extra nerves that the expectant mother does not need at all. Stress has a very negative effect on the baby.

Of course, no one will give a pregnant woman a general anesthetic just to save her the agony of being in the dentist's chair. The consequences of such a step are too incomparable with any dental operation.

Dental treatment in pregnant women does not always require anesthesia, but if the caries is deep, infiltration anesthesia is used. The doctor injects medicine through a thin needle into the gum tissue. It acts locally on the nerve endings that go to the roots of the tooth.

The following local anesthetics are used:

Trimecain;
Novocaine;
Lidocaine;
Articain;
Bupivacaine.

They do not penetrate the systemic circulation, so there is no risk of negative effects for the fetus, regardless of the trimester of pregnancy. An exception is the drug Bupivacaine, in some cases it causes bradycardia in the fetus in the later stages, therefore it is not recommended for pregnant women. Other contraindications to anesthesia are an allergy to the drug, severe diabetes mellitus, or pathology of the heart and blood vessels.

To enhance the action of the anesthetic, it can be produced in a mixture with a small concentration of adrenaline. This hormone constricts blood vessels, increases the duration of anesthesia. But for a pregnant woman, even in low concentrations, it is not recommended because of the possibility of spasm of the vessels of the placenta and a decrease in blood flow.

If a pregnant woman has not cured her teeth before conception, it is better to do this during pregnancy as early as possible. The focus of chronic infection can cause complications in the postpartum period, and increased calcium consumption will lead to accelerated destruction of diseased teeth.

x-ray

The second thing that scares pregnant women during dental treatment is this. Everyone is now aware of the dangers of X-rays, however, the seriousness of the situation is greatly exaggerated.

We are talking about a small, directional, almost point-like radiation, while the neck and chest of a woman are protected by a lead apron. This minimizes all risks. Therefore, an x-ray of a tooth during pregnancy cannot harm the fetus.

Dental treatment for the expectant mother

Of course, dental treatment in pregnant women requires much more from the dentist than in the case of an ordinary patient. It is necessary to have some experience in this area, to know exactly which drugs can be used in a particular case, to imagine what to do if something goes wrong.

In addition, a woman in an interesting position needs to be able to simply and clearly tell what exactly needs to be done in her case, how the procedure will be carried out and what will be done to protect the child. A specialist should be able to calm a woman if she suddenly gets scared. By and large, a dentist who treats pregnant women should also be a psychologist in many ways.

With so much attention now being given to the dissemination of information about dental health, more and more women are beginning to closely monitor their oral health during pregnancy and seek treatment from the dentist. Demand, as they say, creates supply. Therefore, in many cities today there are already departments and special doctors for receiving pregnant patients.

Can pregnant women remove and insert teeth?

Well, if the problem was localized at the very beginning. Then it will be enough to drill the affected area of the tooth, close the hole with a filling and that's it. Modern filling materials generally do not affect the health of the mother and child.

And if the tooth is already running and caries has reached the roots of the tooth? Then you have to remove the nerves, take a few pictures, and only after that fill up. Unfortunately, the removal of nerves is a really painful procedure, and even an anesthetic injection is unlikely to relieve discomfort.

If the situation is very difficult, the tooth will have to be removed. Is it possible to remove or pull out a tooth during pregnancy? Yes, you certainly may. There are no contraindications to this. However, doctors, as a rule, try to avoid this procedure to the last. Inserting an existing, albeit badly damaged, tooth is always easier than inserting a new one. However, sometimes it is impossible to avoid tooth extraction during pregnancy.

Can pregnant women have teeth inserted? Again, there are no direct contraindications. However, doctors are likely to try to dissuade you. The fact is that the absence of a tooth, provided that the gum is healthy, does not threaten the health of the mother and child. And despite the fact that all dental procedures are as harmless as possible, it is still advisable to postpone the optional until better times, namely until you give birth and stop.

A separate article is the removal of a wisdom tooth during pregnancy. Removal itself is a complex procedure. What can we say about when you have to remove a tooth that is basically healthy and firmly holding on to its place, and even when it is partially covered by the gum. Such an operation can cause complications, including in the form of a rise in temperature. And during pregnancy it is extremely undesirable. Therefore, if the situation is not critical, then the operation is postponed until the postpartum period.

When is the best time to get dental treatment during pregnancy?

When can pregnant women get dental treatment? Strictly speaking, this can be done at any time. However, as you probably remember, pregnancy is conditionally divided into three periods - trimesters. AT