Dental treatment during pregnancy raises a lot of questions, and this is understandable. Every expectant mother takes care of her baby and does not want to harm him. The presence of a source of infection, which is caries, is undoubtedly harmful to the health of mother and child. But the effect of anesthesia during dental treatment on pregnancy worries women no less. After all, doctors themselves say that pregnant women need to use any medications with caution. What to do? Is dental treatment dangerous during pregnancy, and if so, why? At what stage of pregnancy can teeth be treated? Do I need a special pain reliever? We will answer all these questions in this article.

Is it necessary to treat teeth during pregnancy?

In theory, it is clear that it is best to treat bad teeth at the stage of pregnancy planning. But what to do if the pregnancy was a surprise or the issue of dental health was not given enough attention before? Some women are afraid that dental treatment will negatively affect pregnancy and postpone it until the postpartum period. This is a mistake.

Why should teeth be treated during pregnancy?

1. Caries directly affects the pregnant child . An American study has proven that there is a clear connection between the number of cariogenic bacteria Actinomyces naeslundii and premature birth, as well as the birth of a child with reduced body weight. Scientists suggest that these bacteria cause the formation of anti-inflammatory cytokines in a woman’s body - and they, in turn, stimulate contractions of the uterus and dilation of the cervical canal. And this is a direct path to rupture of the membranes and premature birth.
2. An existing infection in the mouth may become generalized – i.e. spread to other organs and systems of the body. The likelihood of such an outcome is especially high in the case of pulpitis and especially periodontitis.
3. Toothache negatively affects the psycho-emotional state of a pregnant woman . Pain causes the release of hormones, primarily adrenaline, which has a direct effect on the fetus.
4. After giving birth, there will most likely be no time to treat your teeth . Caring for an infant takes not only a lot of effort, but also a lot of time. The baby needs the mother's presence around the clock. And dental treatment is not a matter of a few minutes.
5. Breastfeeding, kissing on the lips, nose, licking a pacifier or spoon by a mother with dental caries can transfer bacteria to the baby. Caries and staphylococcus, for example, are very closely related. If a mother’s teeth are not treated in time, there is a risk of serious diseases for the baby.

Thus, dental treatment during pregnancy is a necessity, no matter how frightening pregnant women are by the fact of intervention in their body at such a crucial time.

Timing of dental treatment during pregnancy

When problems with teeth appear during pregnancy, a woman immediately has a question: at what time is it better to see a dentist? After all, everyone knows, for example, that the first trimester is the time of the formation and formation of all the internal organs of the baby. Should you postpone going to the doctor until the second or third trimester?

Gynecologists consider dental treatment during pregnancy in the third trimester to be optimal. However, this rule also has exceptions.

First trimester is indeed the most important period in the development of the fetus, and it is advisable for the mother to minimize any drug interventions. However, in case of pulpitis or periodontitis, you should contact your dentist immediately to avoid the spread of infection throughout the body. Postpone treatment of other diseases until the second trimester. In the second trimester (usually at 20 weeks of pregnancy) a routine examination by a dentist takes place, dental treatment is allowed. In the third trimester treatment should be carried out extremely carefully so that the woman does not experience stress and pain.

Anesthesia for dental treatment during pregnancy

The biggest question women have is dental treatment during pregnancy with anesthesia - is it even possible to use it? The anxiety is understandable, since each medicine has its own side effects, and many drugs have pregnancy as a contraindication.

It is POSSIBLE to relieve pain from dental treatment during pregnancy. And it’s even necessary, since pain and fear are completely contraindicated for expectant mothers. Dental treatment without anesthesia during pregnancy causes a powerful surge of adrenaline, which not only harms the baby, but can also cause a miscarriage or premature birth in a pregnant woman. However, when using anesthesia there are also some nuances.

Firstly, you must tell the doctor not only about the fact of pregnancy, but also tell the exact date. This will allow the dentist to choose the most gentle type of treatment.

Secondly, for pain relief during dental treatment during pregnancy, it is permissible to use only topical drugs that have minimal effect on the condition of blood vessels. Usually used during pregnancy Ubistezin , Ultracaine . These are the safest anesthetics. In some cases they use Primacaine , Septanest , Mepivastezin (Scandonest ). The decision on the choice of drug should be made by the doctor, taking into account the patient’s health condition.

Thirdly, the use of drugs with a high content of adrenaline and its derivatives is prohibited. At the same time, completely adrenaline-free drugs are also not recommended, since in the absence of adrenaline the anesthetic penetrates the woman’s body faster and in greater concentration and, possibly, to the fetus.

An injection of an anesthetic during dental treatment during pregnancy is a necessary measure that will help you calmly endure all the dentist’s procedures. Don't be afraid! It is better to treat teeth with anesthesia than to progress caries to pulpitis and then sepsis.

Arsenic It is contraindicated in dental treatment during pregnancy; it is especially dangerous in the first trimester, because has a teratogenic (disturbing the normal development of the embryo) effect. However, in modern dentistry, the concept of “applying arsenic” usually means the use of drugs that act similarly to arsenic, although in fact they do not contain arsenic or are included in microscopic doses.

Lidocaine It is not advisable to use it in dental treatment during pregnancy, since it easily penetrates to the child. Therefore, the annotation for the drug states that its use during pregnancy is prohibited. However, doctors sometimes resort to this remedy after 16 weeks of pregnancy, when the placenta has already formed.

Novocaine It is not recommended to use during dental treatment during pregnancy. It can be used in case of high blood pressure in the patient and some other indications.

X-ray for dental treatment during pregnancy

The use of x-rays during pregnancy is a controversial issue among dentists. On the one hand, an x-ray allows you to correctly establish a diagnosis and monitor the quality of dental treatment. The rays act directionally, on a certain limited area, and do not scatter. In addition, during the examination the patient will be wearing a special apron, which will protect the body from possible radiation. But - on the other hand - X-rays represent very strong radiation exposure, which can be dangerous, especially during pregnancy. Therefore, doctors do not recommend taking x-rays, at least in the first trimester. In the second and third trimesters, it is also advisable to take a minimum number of x-rays, and it is better to use visiography, which is considered safe for pregnant women.

Tooth extraction during pregnancy

Tooth extraction is a simple, but nonetheless surgical operation. However, pregnancy is not a contraindication for tooth extraction. As for the timing, doctors recommend, if possible, having teeth removed in the third trimester of pregnancy. Local anesthesia is used in the same way as during treatment. In cases of persistent pain, injury to the tooth or jaw, inflammation of the nerve or spread of inflammation throughout the oral cavity, the appearance of malignant neoplasms, or dental cysts, removing the tooth is safer than leaving it in the mouth. Therefore, these situations are medical indications for tooth extraction at any stage of pregnancy.

The only exception to removal is wisdom teeth. It is strictly not recommended to remove them during pregnancy. Surgical manipulations on them can cause an increase in temperature and deterioration of the pregnant woman’s condition, which poses a danger to the child.

Dental treatment during early pregnancy (1st trimester)

Dental treatment in the first trimester of pregnancy is the most undesirable. The 1st trimester itself can be divided into two periods:

• The period of time from the moment of conception until the implantation of a fertilized egg in the uterus(approximately 17th day). It is considered the most dangerous for treatment, since the woman’s body during this period is very sensitive to toxic external influences and stress. Exposure to medications may increase the chance of miscarriage. With regard to exposure to harmful factors in the first days of pregnancy, the “all or nothing” principle applies. However, the embryo itself is relatively safe, since the fertilized egg floats autonomously in the uterus before implantation, without being connected to the mother’s body. Thus, dental treatment in the first weeks of pregnancy (at 1-2 embryonic or 3-4 obstetric weeks the woman still does not know that she is pregnant) most likely will not affect the child in any way if the pregnancy is confirmed. Therefore, if you had dental treatment in the first month of pregnancy, even before you knew that conception had occurred, do not panic.
• The next period of the first trimester is the time from implantation of the fertilized egg(approximately 18 days from conception) until all organs and systems of the fetus are fully formed. This period of time covers 10 weeks, and they are considered the most important in intrauterine development. This is the most dangerous period for dental treatment, because... the toxic effects of drugs can lead to disruption of organogenesis (organ formation).

Thus, dental treatment at the beginning of pregnancy, namely in the 1st trimester, is undesirable. The first trimester, and especially 3-12 obstetric weeks, are the most “sensitive” to external influences. And yet, there are cases when you should not postpone visiting the dentist - these are pulpitis, acute periodontitis or exacerbation of chronic periodontitis. They cause pain and quickly cause purulent complications. It is better to postpone treatment of simple caries, chronic pulpitis and chronic periodontitis until the second trimester.

Dental treatment in the 2nd trimester of pregnancy

The second trimester covers the period from 13-14 to 26-27 weeks of pregnancy. At this time, increased growth of the fetus occurs, all organs and tissues of which are already formed. Dental treatment during pregnancy in the second trimester is significantly less dangerous than in the first. Still, one cannot ignore the toxicity of many antibacterial drugs and anesthetics. It is advisable to carry out prevention of dental diseases (professional hygiene) in the second trimester and treat teeth, the condition of which may worsen in the third trimester. The decision must be made by your attending physician. Perhaps it makes sense to postpone the treatment of some teeth until the postpartum period.

Dental treatment during pregnancy: 3rd trimester

Dental treatment in the third trimester of pregnancy, on the one hand, is the least dangerous for the child, since he already has formed organs, is partially protected from external influences by the placenta, and is quite large. But a pregnant woman during this period may experience fatigue, stress, and some anxiety, and medical intervention only aggravates the discomfort. In addition, the supine position, in which treatment is usually carried out, increases fetal pressure on the aorta and inferior vena cava, which is unfavorable for both mother and child. Cardiac output decreases, heart rate increases, blood pressure decreases - the woman may even lose consciousness. The supine position in the second half of pregnancy is one of the reasons for possible fetal hypoxia.

If possible, it is better not to carry out dental treatment in late pregnancy (35-38 weeks), since the uterus becomes more sensitive to external influences. Dental treatment at 36 or 37 weeks of pregnancy can trigger premature birth.

Thus, it is better to treat teeth at the beginning of the third trimester (from 30 to 32-33 weeks of pregnancy).

If dental treatment in the 3rd trimester cannot be avoided, it is really necessary (the patient is in pain, purulent complications of caries have arisen), the position of the pregnant woman in the chair should not be reclining on her back, but with a slight turn to the left side. This will reduce fetal pressure on the aorta and inferior vena cava.

We hope that our article helped you understand the issues related to dental treatment during pregnancy. Take care of your teeth and be healthy!

Instructions

Until recently, it was widely believed that teeth were undesirable during pregnancy. In fact, a carious, decayed tooth or gum inflammation is a source of infection, which enters the stomach and bloodstream with food, which can cause undesirable consequences. Therefore, if treatment or tooth extraction is necessary, try to visit the dentist at the most appropriate time.

Each trimester of pregnancy is marked by its own characteristics. However, the first and third have the largest number of critical periods, during which medical interventions are extremely undesirable. The safest is the second trimester, i.e. period between 14 and 20 weeks.

Treatment of caries in pregnant women currently does not present any particular difficulties. Often it is performed even without the use of anesthesia. The dentist will remove the destroyed tooth tissue and install a chemical or light filling. All these actions will not harm either the expectant mother or her baby.

Removing teeth is also not a big problem. Modern anesthetics act exclusively on the required area, without penetrating the placenta. In addition, in their composition the concentration of vasoconstrictor substances is either reduced or absent altogether. These are, for example, products such as “Ubistezin”, “Ultracaine”, as well as drugs based on articaine and melivacaine.

If caries is complicated by pulpitis, then anesthesia is indispensable, but the treatment of periodontitis is most often done without pain relief. But in both cases, high-quality root canal filling is required, which is impossible without X-rays. In fact, nothing will happen from one photo taken with all precautions. Moreover, in modern radiovisiographic devices the radiation dose is reduced by several tens of times.

If the specialist is sure that it is impossible to save the damaged tooth, it is necessary to remove it. The operation is performed under local anesthesia and is not very complicated. The main thing is to strictly follow all the doctor’s recommendations to avoid complications. But this does not apply to the removal of “wisdom teeth”, because... such a procedure often cannot be done without additional surgical interventions and antibiotics. Therefore, it is advisable to postpone it to a more appropriate time.

Dental prosthetics during pregnancy have no contraindications. Often, such procedures are painless and safe. But you will have to forget about implantation, because... the period of implant engraftment will require large expenses from the body, and the expectant mother does not need this at all. Moreover, such operations involve taking medications that reduce the body’s reactivity, which is absolutely contraindicated.

The most common complaint among women starting from the 3rd month of pregnancy is gingivitis. This is due to hormonal changes in the body of the expectant mother. Treatment of mild forms of gingivitis involves treating the gums with an antiseptic and professional teeth cleaning, as well as prescribing applications and rinses with anti-inflammatory agents. When gum tissue grows, it is removed surgically without the risk of harming the health of the woman and child.

Dental treatment during pregnancy sometimes becomes a real problem for a woman. The reason lies in all sorts of fears and warnings that this is dangerous for the health and development of the unborn baby.

It’s good if the expectant mother solved all her dental problems before planning her pregnancy, and during this long-awaited period she will only deal with prevention. But what to do if difficulties arise while carrying a child? Treat your teeth during pregnancy and do not delay. In modern dentistry, special drugs and new techniques have long been used that do not have any effect on the unborn baby.

Is it possible to treat teeth during pregnancy?

Many women have heard about the dangers of dental procedures and anesthesia, and therefore postpone treatment until the postpartum period. This is the wrong approach. If dental problems appear during pregnancy, they should be eliminated as early as possible, without waiting for childbirth.

Any disease of the oral cavity or teeth is a source of infection that can penetrate the tissue, spread through the blood and affect the fetus. During pregnancy, the body's need for calcium doubles, since it is a building material for the formation of the bones of the unborn child. If calcium supplies from food are insufficient, the fetus will begin to take it from the mother’s body, primarily from the teeth. Therefore, during pregnancy, enamel destruction very often occurs. Moreover, teeth become very sensitive and react to cold, hot and sweet foods. If this problem is not corrected in time, serious treatment may be required towards the end of pregnancy.

Due to changes in hormonal levels in the oral cavity, the microflora changes: saliva loses its protective properties and is not able to fight bacteria. Diseases such as stomatitis, gingivitis and other inflammatory processes that occur against the background of weakened immunity begin to appear.

Toothache during pregnancy is an extremely unpleasant occurrence that can cause severe stress in a woman. It occurs when food or other material gets inside the tooth through damage to the enamel. Under no circumstances should you endure pain, but using painkillers on your own is also not recommended. In this case, it is better to consult a doctor for help as soon as possible. Clinics have special medications that help relieve toothache during pregnancy without harming the baby.

When removing a tooth, you cannot do without the use of painkillers and an x-ray, and pregnant women are so scared of x-rays and anesthesia. These fears are unfounded. All modern clinics have a large number of safe anesthetics that do not penetrate the placenta and do not constrict blood vessels. When performing an X-ray, a special protective apron is worn, which completely prevents the rays from reaching the abdominal area. In addition, the dose of X-ray radiation is tens of times lower than what is hazardous to health.

Proper treatment does not pose any danger to the fetus. It is more dangerous not to treat teeth and expose the unborn child to infection. Even if during gestation the inflamed lesions did not lead to complications, then after childbirth this will definitely happen. After all, the woman is constantly next to the baby, hugging him to herself, kissing him. During contact, the mother’s microflora can be transmitted to the child’s still immature body. Due to the presence of caries, toothache may occur during breastfeeding, and then you will have to look for safe methods of pain relief.

When is the best time to treat teeth?

It is ideal if all dental problems are eliminated in advance. But what should you do if you need to see a doctor during pregnancy? When is the best time to start treatment and how safe is it? These questions worry almost all pregnant women.

During pregnancy, two routine dental examinations are traditionally carried out: the first examination in the first trimester, the second at the beginning of the third. At the first examination, a general assessment of the condition of the teeth is carried out and minor problems are eliminated. An examination in the second half of pregnancy is planned due to the fact that during this period most pregnant women begin to experience gum disease and destruction of tooth enamel due to the consumption of calcium for the needs of the fetus.

If you wish, you can visit the dentist as many times as you like, even if nothing bothers you - prevention is never superfluous. But to solve serious dental problems, you need to choose the safest time:

1. I trimester. During this period, all the vital systems and organs of the child are laid down and begin to form. The body of the expectant mother needs special attention and rest. Any intervention in the first months can lead to complications, and sometimes even to the threat of pregnancy.
2. II trimester. The most appropriate time for dental treatment. At this stage, the baby cannot yet distinguish sounds, and the noise of the equipment cannot scare him. The placenta is fully mature and can protect the fetus from the effects of drugs.
3. III trimester. The fetus is already formed, it hears everything and can react. Any stress is contraindicated for both the expectant mother and the baby. In addition, in the last months of pregnancy, not every woman can go to doctors and sit motionless in a chair for a long time.

It is safest to perform dental treatment during pregnancy in the second trimester. But this does not mean that you cannot treat your teeth at other times. This is especially true for toothache. A pregnant woman should never experience pain, so she should contact a dentist immediately. The main condition is to tell your doctor about your situation.

What procedures can be done

When the question arises about the treatment of dental diseases, every expectant mother wants to know exactly how this procedure will affect the health of her baby:

1. Installation of a seal. Treatment of caries during pregnancy should not frighten a woman. With minor damage, you can do without anesthesia. The doctor mechanically removes all damaged tooth tissue, dries and seals it. The composition of the filling has no effect on the child. Ultraviolet rays used to polymerize fillings do not pose a danger to either mother or baby.
2. Anesthesia. Anesthesia today does not pose any danger to the fetus. Modern anesthetics have a local effect and do not cross the placenta with the blood. In addition, the concentration of substances that constrict blood vessels in these drugs is minimal or completely absent. Therefore, if the treatment is accompanied by pain, you do not need to endure it.
3. Inflammation of the nerve (pulpitis). Occurs as a result of complications of caries. Treatment of pulpitis during pregnancy is carried out under anesthesia, since removal of the nerve is a painful process. Drugs used for pain relief are applied topically and do not penetrate into the blood.
4. Stomatitis. Weak immunity and an increased concentration of bacteria in the oral cavity lead to the formation of ulcers on the mucous membrane. Stomatitis may occur periodically throughout the entire period. The main treatment is hygiene and topical antiseptic drugs, which are completely safe for the baby.
5. Tooth extraction. It is advisable to wait a while with such a procedure, since after the operation a wound is formed that requires special care. If you cannot wait, removal is performed using anesthesia. “Wisdom teeth” are not removed during pregnancy, because such a wound is more difficult to heal and an antibiotic may be required.
6. Prosthetics. A safe and painless procedure that does not affect the baby’s health in any way. Implantation is another matter: the healing of an implanted tooth requires significant expenditure of the body and the use of drugs that reduce the reaction of the immune system, which is contraindicated for the expectant mother.
7. Teeth whitening. The procedure is contraindicated during pregnancy, as it is performed with the use of chemical compounds that, if they get on the gums, can penetrate the tissues and blood.

Preventive measures

Thanks to timely prevention, you can not only avoid treatment, but also completely preserve beautiful and healthy teeth. During pregnancy, the body becomes susceptible to various infections, so oral hygiene must be monitored more carefully:

• do not neglect the problem and treat teeth during pregnancy as soon as the need arises;
• visit the dentist regularly, even if there is no visible damage to the enamel - caries at the initial stage is impossible to notice on your own;
• pay special attention to brushing your teeth - additionally use rinses, dental floss, replace your toothbrush with a better one;
• take calcium supplements - the amount of the mineral that enters the body with food is not enough for two;
• Such a phenomenon as toxicosis can lead to the destruction of enamel, so after each attack of vomiting it is necessary to rinse your mouth with water, or better yet, brush your teeth.

Oral and dental hygiene is very important during pregnancy. Changes in hormonal levels lead to the fact that all processes in the oral cavity occur more intensely than before, including tooth decay. If you do not engage in timely prevention, toothache after childbirth can lead to decreased lactation.

Following simple rules will help you survive this wonderful time without pain and discomfort.

During the period of planning for conception, women are recommended to visit the dentist for oral sanitation. This is necessary to maintain the condition of the teeth during gestation. During gestation, the body weakens, existing diseases worsen, and the risk of developing new ones increases. You can prevent them even before pregnancy. But it is not always possible to avoid problems, so it is important to know at what stage of pregnancy you can treat teeth with anesthesia, X-rays, extraction and cleaning.

It is possible that it is during this period that the eruption of wisdom teeth (eights) will begin, provoking unpleasant sensations. You should be prepared and know what to use to relieve pain and what to do when. Removal is a last resort measure of treatment, but if necessary, it will have to be pulled out, because if not cured, the consequences will be even more serious. Before starting therapy, an image is always required, but it cannot be taken in every trimester of pregnancy.

• Is it possible to treat caries in pregnant women?
• Use of anesthesia and anesthesia
• Treatment in the early stages and in the 1st trimester
• Therapy in the 2nd trimester
• Treatment in the 3rd trimester and later stages
• Is it possible to remove teeth for pregnant women?
• Wisdom tooth
• Wisdom teeth erupting: what to do
• Removing an eight
• Are x-rays harmful and is it possible to take a picture?
• Cleaning
• When can you do ultrasonic cleaning?
• Whitening
• Implantation
• Prosthetics
• Recommendations for oral care

During gestation, the risk of developing inflammatory diseases of the mouth and caries increases, and not because microelements are used to build the skeleton of the unborn baby. The reasons are a weakened protective mechanism and hormonal changes that start from the moment of conception. But before treating teeth during pregnancy, you should figure out when and how this can be done, because certain events negatively affect gestation.

Reference! When a tooth hurts or the periodontium becomes inflamed, you should immediately contact a dentist. The doctor will provide safe treatment and tell you what to do to avoid pulpitis and periodontitis in the future. Under no circumstances should these problems be ignored.

Is it possible for pregnant women to have their teeth treated with anesthesia?

Dental treatment during pregnancy with anesthesia is possible. Pain relief is carried out with drugs with a minimum concentration of adrenaline. Local tissue freezing is also acceptable. General anesthesia and pain relief with adrenaline are contraindicated.

The main drug in dentistry for anesthesia during pregnancy is Articaine. Ubistezin, Alfacain and Artifrin are also used. Lidocaine, a popular anesthetic in dental practice, is contraindicated.

Dental treatment during early pregnancy

In the 1st trimester, any therapeutic measures are not recommended. Treating teeth during early pregnancy is dangerous. In the first months, the formation of the organs and systems of the unborn child occurs. In the first trimester, the risk of miscarriage is greatest.

If therapy is necessary in case of acute toothache, emergency measures can be taken. The dentist can perform nerve removal without using arsenic. This also applies to other indications for treatment. In case of caries, a filling must be placed. It is possible to have a filling, but only without the use of anesthetics. Treatment, if possible, is postponed until the second trimester, when there is no serious threat to the woman’s health.

Treatment in the second trimester

Dental treatment during pregnancy in the 2nd trimester will be favorable. The placenta has already been formed, the formation of systems has occurred, and the psychological state of pregnant women at this time is the most stable. Therapy can be performed with an anesthetic, and X-rays are also allowed.

In the second trimester, you need to visit a doctor, even if there are no complaints, to carry out preventive measures. The dentist will perform professional hygiene, fluoridation, and, if necessary, recommend optimal oral care products.

Late dental treatment

Treatment is not recommended in the last trimester. Sanitation, namely filling, depulpation - removal of nerves and blood vessels, tooth extraction during pregnancy is best performed from to. In the 3rd trimester, the uterus is greatly enlarged, which leads to excessive pressure on the vena cava when lying horizontally in the dentist's chair. This lowers blood pressure and disrupts general blood flow.

Reference! If it is necessary to carry out any procedures, it is recommended to lie in a chair, slightly turned on your side.

A woman’s body at this time is extremely sensitive to various irritants. If you pull teeth even with pain relief, it will be very stressful, which will affect the blood supply to the fetus. When problems appear in the third trimester, you need to visit a doctor and he will decide what to do. If possible, treatment will be carried out after birth.

Is it possible to have teeth removed during pregnancy?

Tooth extraction during pregnancy is always performed in the 2nd trimester. Pulling it out in the early and late stages is dangerous. But even in a relatively safe period, risks remain. When a tooth hurts for no apparent reason, before removal it is necessary to take a panoramic photo to select the optimal treatment regimen. During pregnancy, x-rays are acceptable, but only with modern equipment that is now used in dentistry.

Reference! Radiovisiographs can reduce the radiation dose tens of times, so they can be used to diagnose oral diseases in pregnant women and young children.

Before removal, the doctor must weigh the risks and decide when to postpone treatment. According to indications (including rotten teeth, cysts), extraction is performed using a local anesthetic.

What to do if a wisdom tooth grows

A wisdom tooth during pregnancy can cause many problems. When it first erupts, the gums hurt a lot. If this process is disrupted for some reason, inflammation of the hood formed by the gum tissue occurs - pericoronitis.

When a tooth is cutting, aches and hurts, you can do the following:

• rinse your mouth with soda solution several times a day;
• hold a decoction of sage or oak bark in your mouth;
• examine the tooth, remove food particles and plaque around it;
• Apply a piece of ice to your cheek.

You can only take painkillers to relieve pain with your doctor's permission. The dentist may prescribe safe NSAIDs (non-steroidal anti-inflammatory drugs) for topical pain relief. When a tooth becomes very painful during eruption, it is effective to use natural-based anti-inflammatory dental gels.

Wisdom tooth removal during pregnancy

It is highly not recommended to have wisdom teeth removed during pregnancy. The figure eight has difficult access and almost always requires the use of additional tools to be removed from the hole.

Reference! Often, complex removal is accompanied by complications when the instruments break or the crown tissue crumbles, and its particles get stuck in the hole, causing alveolitis.

Pulling out wisdom teeth for pregnant women is dangerous for several reasons:

• anesthesia required;
• it is necessary to take an x-ray;
• take medications to prevent complications.

This is a triple whammy to avoid. When possible, the figure eight is treated with conservative methods until childbirth, then it is removed.

X-ray radiation is dangerous for a woman and an unborn child. The harm of X-rays using traditional devices and CT scans during pregnancy makes them unsuitable for diagnosis in this group of patients. In dentistry, radiovisiographs are used - installations with minimal radiation, which reduces risks to a minimum. Panoramic dental x-rays are contraindicated during pregnancy in the early stages and in the last trimester.

The safest period for visiography is the second trimester (up to and including). When a woman had an x-ray done once in the early stages and was treated, not knowing that she was pregnant, this will not affect the baby’s health in any way.

Is it possible to brush your teeth during pregnancy?

Professional teeth cleaning during pregnancy can and should be done. This is an important measure for the prevention of dental diseases. Every woman in the second trimester is recommended to visit the clinic for professional hygiene.

Ultrasonic teeth cleaning during pregnancy

Removing dental plaque using ultrasound has contraindications. These include:

• presence of implants;
• increased sensitivity of enamel;
• pathologies of the cardiovascular system.

Ultrasound cleaning is not contraindicated for pregnant women, but some nuances need to be taken into account.

If you are afraid of dentists, even such a simple procedure will be stressful, which is why it is recommended in the 2nd trimester. To avoid discomfort during cleaning, the doctor may use local anesthesia, but the procedure itself is painless.

Teeth whitening during pregnancy

Bleaching is not an important therapeutic measure, so it is recommended to postpone the procedure. To perform it in dentistry, abrasive substances and acids are used, which act locally, that is, they do not have a systemic effect.

The procedure is not contraindicated during pregnancy, but whether it is possible to whiten teeth during pregnancy should be checked with your dentist on a case-by-case basis. The event requires special preparation and includes complete sanitation of the oral cavity. When there is a diseased tooth, carious cavities or increased sensitivity, whitening cannot be done.

Dental implantation and pregnancy

Dental implantation is contraindicated for pregnant women. The exception would be dental implants. They can be inserted during pregnancy, but this should only be done if absolutely necessary. Implantation involves surgical intervention for the pregnant woman, the use of anesthesia, and medication to prevent complications.

Getting implants is a lot of stress for the body. In addition, after the main procedure, you will need to take anti-inflammatory and painkillers, because without them the pain will be severe. Most medications prescribed after implantation are contraindicated in pregnant women.

Is it possible to get dentures during pregnancy?

Dental restoration and prosthetics during pregnancy are permitted. Installation of prostheses does not include:

• surgical stage;
• pain relief;
• taking medications.

This is a painless procedure that, if a woman wishes, can be performed during pregnancy.

In some cases, prosthetics still have contraindications. This applies to cases when it is necessary to first remove, depulpate and grind the enamel, when a crown is placed on a dead tooth. If the chosen design does not require this, the woman can safely plan prosthetics.

How to care for your teeth during pregnancy

During pregnancy, it is important to pay even more attention to your oral health. To ensure proper care, you should visit your dentist. The doctor will tell the pregnant woman how to protect her teeth and gums from diseases as much as possible, and will also recommend which toothpaste to choose.

How to properly care for your mouth during pregnancy:

1. Clean your mouth in the morning and before bed, and, if possible, at lunchtime.
2. Floss between teeth daily.
3. Rinse your mouth after every meal.
4. Buy a brush with medium-hard bristles.
5. Limit sweets that damage your teeth.
6. Use a paste with a low level of abrasiveness.
7. If there is a tendency to form stones, use an abrasive paste.
8. When teeth become loose, use a soft brush.
9. If your gums are bleeding, alternate the hygienic paste with the medicinal one.

Also, during pregnancy, you should carefully consider the choice of pasta. It should not contain sodium lauryl sulfate, and fluoride should be in a minimum concentration. It is better to avoid whitening pastes. You definitely need to use a rinse aid. Pregnant women are better off starting with herbal or homemade products. But they can cause side reactions in the form of allergic manifestations:

• gums itch;
• swelling;
• go numb;
• blush;
• swell.

You should avoid bleaching at home. This will damage the enamel, increasing the risk of tooth decay and loss. They will begin to crumble, sensitivity will increase, and problems with the gums will appear. When this could not be avoided and the gum recedes, there is no need to pull it, touch it with your hands or try to treat it yourself. If a tooth has chipped but not completely fallen out, it is possible to restore it with filling materials without the need to remove the root.

By following the general rules of hygiene and prevention of dental diseases, as well as regularly visiting the doctor, you can avoid the need for treatment and maintain oral health. If a tooth begins to bother you, you should under no circumstances ignore it. Timely treatment will be safer than treatment for complications.

Current video

Is it possible to treat teeth during pregnancy?

Dental treatment during pregnancy often frightens pregnant women. There is a myth that you should wait until your baby is born before visiting the dentist. Of course, during dental treatment there are unfavorable factors affecting the developing child.

However, we must remember that the lack of timely treatment can lead to serious complications and inflammatory diseases, which can also affect the fetus.

So, is it possible to treat teeth during pregnancy? When is dental surgery least dangerous? Let's try to figure it out.

Consequences of late treatment

Dental treatment during pregnancy is often a necessary measure, since without treatment there are serious consequences of inflammatory diseases.

The most common disease that forces people to seek dental care is dental caries.

Destruction of the bone structure of the tooth and the mineral component of the enamel leads to the appearance of infectious agents in the pathological focus.

Microorganisms, which under normal conditions would be destroyed by nonspecific factors of the body’s defense, intensively damage the tissues of the oral cavity during the development of dental caries. The infectious process can lead to complications such as:

1. Pulpitis is an inflammatory reaction in the area of ​​the internal structures of the tooth.
2. Periodontitis is an inflammation of the ligaments that strengthen the tooth in the alveolus.
3. An abscess is a limited cavity filled with pus.
4. Cellulitis is a diffuse purulent inflammation that spreads to facial tissues.

The listed processes can lead to serious consequences for the mother and child. The entry of microorganisms and inflammatory mediators into the blood has a serious impact on the condition of the fetus and can result in the threat of miscarriage, placental abruption, and hypoxia.

The inflammatory process in the gum tissue, bleeding, and other diseases can also cause serious complications, so you should not delay contacting a specialist. Together with your dentist, you can discuss possible risk factors for the fetus and weigh the need for treatment.

Adverse treatment factors

Why does dental treatment during pregnancy cause so much concern among women? The thing is that dental therapy methods are associated with certain risks. The following factors cause concern:

• Pain relief - anesthesia drugs penetrate the bloodstream and have an effect on the child.
• X-ray – many people are concerned about how X-ray examination of the upper and lower jaw can affect the child.
• Pain and the accompanying stress cause anxiety for a pregnant woman.

It is necessary to understand how each of these factors affects the body of a woman and child.

Anesthesia

Perhaps the biggest concern is pain management during dental procedures. This is partly justified. Any medicinal effect on the body of a pregnant woman can lead to an effect on the developing fetus.

Pain relief methods in dental practice are divided into several groups:

1. Superficial, application anesthesia. The safest method of pain relief. The drugs Lidocaine and Benzocaine are used in the form of a gel and spray. In this case, the absorption of substances into the blood is minimal, and there is practically no effect on the fetus. If a woman informs the doctor about pregnancy, the dentist tries to use just such procedures. The disadvantage is the impossibility of adequate pain relief in serious inflammatory diseases.


2. Infiltration anesthesia. The method involves the distribution of an anesthetic substance in the tissues surrounding the painful area. Using a syringe, the gums around the affected tooth are chipped. This technique combines minimal impact on the body and sufficient pain relief, therefore it is most often used in dentistry. During one-stage dental treatment procedures, infiltration anesthesia also does not have a serious effect.
3. Conductor method. The drug is brought closest to the site of action - the injection is carried out into the tissue surrounding the nerve. Thus, with a minimum amount of the drug, sensitivity is completely switched off. Unfortunately, the technique is difficult to perform, and therefore is used only for complex surgical operations.
4. Trunk anesthesia. A complex technique rarely performed in dentistry. With this method, all branches of the trigeminal nerve supplying the upper and lower jaws are turned off. An anesthetic substance is injected into the base of the skull. It has very limited indications for use.

From the above we can conclude that the most commonly used techniques (infiltration and superficial) anesthesia are absorbed into the blood in minimal quantities. And thanks to the presence of natural barriers - the vascular wall, the placenta, the mother's liver - practically no anesthetic substance enters the fetus.

X-ray

In modern dentistry, X-ray diagnostic methods are widely used to make a diagnosis and prepare the doctor for surgical intervention.

X-rays of the upper and lower jaws are performed using a special apparatus. Lead aprons and protective screens cover the internal organs, including the projection of the uterine cavity. As a result, the child is protected from X-rays.

Those who treated teeth during pregnancy using X-ray diagnostics did not note any effect on the gestation period and the condition of the newborn. In addition, there are no statistics indicating the effect of x-rays on the fetus.

The radiation produced by an X-ray machine certainly has a teratogenic effect, but thanks to modern targeted diagnostic techniques, the impact on the pregnant woman’s body is minimized.

Pain and stress

Another important factor in the adverse effect on a pregnant woman’s body is the effect on her mental state. Everyone knows that stress seriously affects the course of pregnancy and the condition of the child.

A visit to the dentist is always associated with a certain degree of anxiety. If a woman knows that she is undergoing a serious procedure, including tooth extraction or the use of surgical techniques, the influence of the stress factor increases.

Internal feelings about the need for this or that intervention pathologically affect the course of pregnancy. Therefore, it is necessary to consult with a specialist as early as possible in order to provide adequate treatment on time.

Remember that the consequences of untimely treatment, including diffuse purulent processes, will have a much more negative impact on the fetus than pain and stress during dental procedures.

Modern dental techniques involve minimal pain on the mother’s body. You should not endure toothache when pain relief methods can be used. The effect of modern anesthesia drugs is much less than the impact of stress during and after treatment without anesthesia.

Impact of dental procedures

Many women are interested in the question of which procedures are permissible during pregnancy, and which interventions are best postponed until the postpartum period.

Of course, there are conditions in which medical intervention cannot be tolerated. These include abscesses and phlegmons, bleeding, and various general inflammatory diseases. With this pathology, there is a question not only of the condition of the fetus, but also of a threat to the life of the mother.

However, there are dental procedures that do not require urgent intervention. Most often, such effects include cosmetic surgery.

Treatment of caries

Many women think that minor caries on one or more teeth does not require urgent treatment. This is not entirely true.

The mother's immune system undergoes a serious restructuring during pregnancy and especially the postpartum period. Under these conditions, even small caries on single teeth can be complicated by an infectious process. This leads to tooth loss and the spread of inflammation to the vessels and nerves surrounding the gum tissue.

These consequences are not comparable to the impact of a minor dental procedure and superficial pain relief methods. Therefore, caries treatment must be carried out in a timely manner.

If you know about the presence of carious formations in the oral cavity before pregnancy, it is necessary to include in your preparation for pregnancy a visit to the dentist and the removal of foci of chronic infection.

Tooth extraction

If there is a question about tooth extraction during pregnancy, you need to differentiate the indications for the procedure.

Wisdom tooth extraction during pregnancy is not recommended because the procedure is not always necessary or urgent. You should consult a specialist before undertaking such an intervention.

If removal is necessary for urgent reasons due to pulpitis, extensive caries, or other inflammatory pathology, surgery must be performed. In this case, there should be no question of postponing the trip to the dentist. It is necessary to remove the diseased tooth to prevent serious complications.

You can always discuss the possible consequences with your own attending physician, obstetrician, gynecologist, and then undergo dental treatment.

Beauty treatments

There are various dental procedures that are cosmetic in nature. This includes whitening, teeth insertion, and other procedures that do not require urgent intervention.

Of course, it is better to postpone such procedures until the postpartum period. During pregnancy, cosmetic procedures that are associated with risk to the fetus are not recommended.

Favorable time

One of the important issues when deciding whether to perform an intervention is the choice of the preferred trimester. When is the best time to have dental procedures:

1. The first trimester of pregnancy poses the greatest risk to the fetus. During this period, anesthesia and painful effects have a pronounced effect on the child’s body. In the first weeks of pregnancy, dental procedures can lead to miscarriage and disruption of implantation of the fertilized egg. Therefore, in the early stages, treatment is postponed if possible.


2. During the second trimester, the risk to the fetus decreases progressively depending on the week of gestation. The child grows and actively develops, gaining resistance to external influences. Therefore, dental surgeries are preferred in the second trimester.
3. In the third trimester, the body intensively prepares for childbirth. Exposure to stress or medication can lead to contractions of the uterine muscles and the threat of premature birth. Before what week is it best to have dental procedures? It is preferable to complete treatment before 28–30 weeks of pregnancy.

The decision on choosing a trimester of pregnancy for dental treatment may arise for non-urgent procedures. According to vital indications, teeth during pregnancy are treated in any trimester.