Is it possible to treat teeth during pregnancy: how long is treatment possible, is anesthesia acceptable? Dental treatment during early pregnancy.

Carious damage to the teeth during childbearing often occurs due to a decrease in the overall immune response of the body to various opportunistic pathogens.

Prejudices about the impossibility of dental treatment during pregnancy have long sunk into the past, because innovative equipment and specially designed preparations modern dentistry have a number of advantages:

  • quality materials;
  • safe anesthetics;
  • speed of dental technology;
  • minimal psychological stress.

An untreated carious cavity in a destroyed tooth can bring serious complications to the expectant mother, not to mention the developing fetus.


The inflammatory focus with saliva or food enters the gastrointestinal tract, after which it penetrates into the general bloodstream. The generalized spread of infection in the body contributes to its penetration through the placental barrier, which negatively affects general course pregnancy.

During pregnancy, a woman naturally has a natural decrease in immunity. This is necessary to ensure unhindered implantation of a fertilized egg to the walls of the uterus.

An infection with low immunity can "settle" on the vital organs or systems of a woman and begin a destructive effect. The main complications include:

  • late toxicosis(preeclampsia);
  • miscarriage or premature birth;
  • chronic fetal hypoxia;
  • infection of the fetal organs;
  • deformities, pathologies of development, physical inferiority.

The entire gestational period of a woman is conditionally divided into three main stages: I, II, III trimesters. Each is characterized by special changes in both the woman and the fetus. Dental treatment for each period is fundamentally different in various aspects.

Features of the first trimester

If before the onset of pregnancy a woman has no problems with her teeth or has performed proper treatment, then throughout the entire period of gestation it is enough for her to carry out preventive examinations at the dentist.

The situation is different with pregnancy against the background of untreated teeth. AT practical dentistry distinguish two periods:

  1. From the beginning of ovulation to fertilization (16 - 17 days). The period is distinguished by a special sensitivity of the embryo to mechanical influences, as well as to drug therapy, emotional instability. The risk of involuntary abortion and miscarriage increases.
  2. From fertilization to laying of tissues and organs (18-20 days). Women note a strong emotional excitability, heartburn, increased sweating and salivation, fainting, vomiting due to severe toxicosis.

Dentists do not recommend routine dental treatment in the first trimester of the gestational period. The exception is cases when the disease is accompanied by severe pain, bleeding, purulent inflammatory foci.

Other diseases in the absence of foci of inflammation are treated in more favorable periods pregnancy. You can do rinses with infusions of herbs to relieve pain syndrome or other mild symptoms.

mid pregnancy

This period of pregnancy is characterized by a rapid increase in bone and muscle tissue fetus, development important organs, nervous system. Risk of fetal rejection and exposure negative factors are significantly reduced.

It becomes possible to use some groups of anesthetic drugs to relieve pain and relieve nervous tension in the dental chair.

The placenta protects the fetus from pathogenic microflora and exposure to various infectious agents, but this does not mean that maternal oral infections cannot cause complications during pregnancy.

In the second trimester, a woman needs to scheduled inspection oral cavity, sanitation. If minor caries is not treated during this period, then the risks of a strong inflammatory process in III trimester high enough.

Therapy in the third trimester

The body weight of the fetus in the womb increases, the pressure on the aortic canal and the inferior vena cava increases. The pressure leads to a decrease in cardiac output. If the patient lies or is in a “reclining” position, then the probability of losing consciousness as a result sharp decline blood pressure increases.

Dentists should consider similar features organism. Also, this period is complicated by the risks of preterm birth. The woman's condition becomes burdened (weakness, drowsiness, fatigue, anxiety), which can significantly complicate the course of dental procedures.

Dental treatment in the third trimester is undesirable, except in cases of emergency therapy. The position of the patient in the chair should be on the left side with an abdominal tilt of 15 degrees to reduce pressure on the vena cava and aortic canal.

Oral diseases

Inflammatory diseases of the gums and hard tissues of the teeth can occur in all people, but the risk of developing pathological conditions increases during pregnancy.

This is due to a decrease in the immune response to external influences. Etiological reasons diseases can be different:

  • lack of vitamins;
  • unbalanced diet;
  • intemperance in aggressive food(acute, fatty, sour);
  • excessive consumption of dairy drinks;
  • lack of proper care;
  • pathology of organs and systems of the body;
  • mechanical damage to teeth or gums;
  • diabetes(insulin dependent).

There are many causes of dental caries and other oral diseases, but there are those that most often occur during pregnancy.

Stomatitis


Stomatitis can be infectious or traumatic in nature. Infectious damage is possible in the presence of inflammatory foci in the stomach cavity or viral infections. The main symptom is the appearance of whitish sores on the gums and oral mucosa.

Traumatic stomatitis occurs as a result of a violation of the integrity of the mucous membranes and various injuries. Symptoms include slight swelling of the gums, transient hyperemia.

Treatment is carried out after an accurate diagnosis and consists in applying local disinfectants.

During pregnancy, baking soda, herbal rinses, and the use of antifungal ointments help.

Gingivitis

Severe disease of the soft tissues of the oral cavity, mainly the gums. For the course of the disease slight bleeding is characteristic, which manifests itself after eating or hygienic brushing of the teeth.

A light transparent plaque is visualized on the gums. There is hyperemia, swelling, bad smell, soreness. The main cause of the disease is often inadequate oral care.

Treatment is carried out only in a dental office.

Periodontitis


Untreated gingivitis contributes to the development of periodontitis, which is characterized by the extensive spread of the inflammatory focus (the surface of the teeth and gums). Periodontium begins to slowly collapse due to plaque and calculus, forming periodontal cavities in which purulent deposits accumulate.

The main difference between periodontitis and gingivitis is precisely the periodontal cavities (pockets).

Treatment is carried out by a dentist using antiseptics.

periodontal disease

The disease is characterized by a pronounced omission of the height of the gums. During visual examination, the gums are not pathologically changed, inflammatory foci are not noted.

Periodontal disease can occur in pregnant women due to a lack of vitamins, in the elderly - due to thinning vascular wall and lack a complete diet. Periodontitis - rare disease, but during pregnancy, the likelihood of its occurrence increases.

Candidiasis


Candidiasis, or oral thrush, is a fairly common disease in dental practice. The reason for the appearance is a violation of the bacterial microflora in the mouth. The main symptom is a milky coating.

Pregnant women, elderly patients and young children are at particular risk.

Requires admission for treatment antifungal agents and appointment special diet low in carbohydrates.

The main symptoms of gum disease include:

  • increased bleeding;
  • the appearance of an unpleasant odor;
  • yellowing of the enamel;
  • increased sensitivity of teeth and gums;
  • tooth mobility;
  • cystic formations, granulomas.

Tooth and gum disease during pregnancy can cause pathological development pregnancy and fetal developmental defects. The ideal time for treatment can be called the period before conception and the second trimester.

If you monitor the condition of your teeth in a timely manner, you can avoid serious consequences in the future.

For preventive care at any time of gestation, rinsing can help antiseptic solutions, decoctions of various herbs.

Permitted pain relief

For right choice the necessary drug for pain relief, you need to focus on the principle of its action. Almost all anesthetic drugs contain adrenaline, which relieves pain and stops bleeding.

Adrenaline can negatively affect the course of pregnancy:

  • increase the tone of the uterus;
  • increase blood pressure;
  • cross the placental barrier(at high concentrations).

Treatment with an anesthetic during pregnancy is performed in case of emergency clinical situations when negative impact from anesthesia exceeds the impact infection soft tissues of the oral cavity and teeth.

The main anesthetics used include four drugs.

Ultracain

It is considered a modern anesthetic from France, which is based on articaine. Available in three versions. Each composition has a different concentration active substance and the presence (or absence) of epinephrine in the composition (Ultracain DS forte, Ultracain DS, Ultracain D).

Suitable for dental treatment during pregnancy due to low level toxicity.

Ubistezin

German anesthetic drug in capsules, produced in two pharmacological forms(Ubistezin, Ubistezin Forte). Identical in composition with ultracaine.

Use during pregnancy is allowed, since the main components are not absorbed into the general bloodstream.

Septanest

It has been known in dental practice since ancient times. Available in two forms, differing in the concentration of adrenaline (1:100000, 1:200000). The preparation contains auxiliary allergenic components and preservatives (EDTA, sodium metabisulphite).

During pregnancy, it can be used in the presence of allergic reactions to other types of anesthesia.

Scandonest


French drug in capsules, which is based on mepivacaine 3%. Medicine does not contain preservatives, artificial additives, vasoconstrictor ingredients.

It is used only for dental treatment in patients at risk for whom anesthetics with adrenaline or epinephrine are contraindicated. Pregnant women or patients with chronic asthma can expect the anesthetic drug Scandonest to be safe.

It is worth remembering that anesthesia can negatively affect the unborn child only if the required concentration and frequent use are not observed, as well as during unfavorable periods of pregnancy.

It can hardly be said that the presence of an infectious, as well as bacterial lesion oral cavity more beneficial to the health of the patient than a single exposure to an anesthetic for the health of her unborn child.

No anesthetics

Treatment of uncomplicated caries can be easily performed without the introduction of an anesthetic drug. The decision to treat without an injection is based on the following factors:

  • low pain threshold in the patient;
  • normal pregnancy;
  • minor carious damage to the tooth;
  • no visual complications during the period of manipulation;
  • mental and emotional health female patients.

The use of conduction anesthesia in dentistry greatly facilitates the work of a specialist, calms the patient's emotional excitability, and has minimal side effects. When dental treatment without an injection is possible, then an anesthetic should be dispensed with.

Conclusion

Dental treatment is best done without anesthesia, but when prescribing an anesthetic drug, its amount is so small that it is unlikely to have a destructive effect on the fetus.

The fetus is reliably protected by the placenta, amniotic fluid, therefore, when normal flow pregnancy, doctors do not prohibit visiting dentists with oral pathology at any gestational age.

You will learn more about the use of anesthesia during pregnancy from the video.

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It is recommended to treat your teeth at the dentist at the stage of preparation for pregnancy. However, it happens that the help of a doctor is required while carrying a baby. A lost filling, a chipped tooth, gum disease and other problems require urgent intervention, as they threaten complications and more expensive treatment in the future. You don't have to put off your visit to the doctor. postpartum period, because then the young mother will have much less time for herself.

Is it necessary to treat teeth during pregnancy?

When carrying a baby, the condition of the teeth may worsen already in the first trimester due to hormonal adjustment. Enhanced level progesterone leads to increased blood supply to body tissues, including the gums. They become loose, which provokes gingivitis, stomatitis, exacerbation of caries. With poor oral hygiene and poor heredity, teeth quickly deteriorate and fall out. Their enamel becomes sensitive to hot, cold, sour foods.

Hormones also affect the amount and pH of saliva. It becomes more, the balance shifts towards acidity. In the absence of preventive and curative measures hard plaque and tartar quickly form, due to which you can lose teeth. In the 2nd and 3rd trimester, there is a lack of calcium, which also leads to tooth decay.

Expectant mothers are wondering if treatment and prosthetics are necessary during gestation, or whether these procedures can be postponed. Doctors recommend coming for check-ups at least once every three meters, or with specific complaints. The decision on dental intervention is made individually, based on the problem and condition of the pregnant woman. Often manipulations are carried out immediately, using local anesthesia. Sometimes treatment is delayed until the postpartum months.

When is the best time to go to the doctor?

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A dental examination is mandatory when registering during pregnancy (for a period of 6-12 weeks). If nothing bothers the expectant mother until this time, you can not go to the doctor. During the examination, the doctor may identify:


Also, the expectant mother should consult a doctor with acute and aching pain. In this case, pulpitis or periodontitis is diagnosed (complications of caries that gradually affect neighboring tissues). AT difficult situations periostitis and osteomyelitis are possible - severe purulent processes that are observed in the absence of treatment for caries complications.


When identifying dental problems the doctor conducts sanitation, about which he makes an entry in the card of the pregnant woman. In difficult cases, treatment is carried out immediately. If possible, the procedure is postponed to the second trimester. At this time, the placenta is formed, which protects the baby from the effects of anesthesia. Early toxicoses pass, and future mom feels good, can sit in a chair for the allotted time.

1 trimester

In the 1st trimester, the organs and tissues of the fetus are laid. It is highly undesirable to treat teeth until the fertilized egg is fixed. The excitement and stress of the expectant mother, as well as the anesthetics used, also affect the health of the fetus, and can provoke an early miscarriage. Dental intervention is also undesirable within 8-12 weeks.

If possible, fillings are postponed to the second trimester. An exception is made when acute pain, pulpitis, periodontitis, which cannot be ignored. As a freeze in the first trimester, "Ultracain" often acts - the most safe drug for the fetus. Lidocaine, popular in dentistry, is not used because it leads to increased blood pressure and heart palpitations.

2 trimester

Prevention in the second trimester dental diseases and treat teeth, the condition of which threatens to exacerbate at 30-38 weeks. If there is no risk, manipulations are postponed by the dentist for the postpartum months. Small pockets of caries can be cured without an injection. The doctor carefully removes the lesion with a drill and places a filling without touching the nerve endings. Thanks to modern equipment, filling is painless and comfortable.

3rd trimester

The period of intensive growth of the fetus, in which the expectant mother experiences increasing fatigue. In the prone or half-sitting position, the pressure of the fetus on the inferior vena cava, the aorta, increases, which leads to a strong heartbeat, migraine, and sometimes even loss of consciousness. The sensitivity of the uterus to external influences increases, which sometimes leads to premature birth.

Treatment in the third trimester is indicated in extreme cases (it is desirable to carry out manipulations up to 36 weeks):

  • irreversible processes in which it is important to remove dead tissue;
  • purulent inflammation;
  • unbearable pain.

What procedures do not affect the fetus?

Dental treatment while expecting a child is not dangerous. At the appointment, the expectant mother should tell the doctor at what stage of pregnancy she is, inform about her state of health and the medications she takes. The information will allow the doctor to choose the optimal treatment tactics.

Pregnant women are allowed to remove soft plaque, fill teeth, treat gum disease, gumboil, pulpitis and periodontitis, and remove teeth. The issue of prosthetics is solved individually.

It is important not to refuse anesthesia and not to endure pain, especially in the treatment of teeth for long periods (35-36 weeks). The pain leads to the release of adrenaline into the blood, which increases the tone of the uterus. This negatively affects the condition of the fetus.

Permitted types of anesthesia

When prescribing painkillers, the dentist will take into account allergic reaction expectant mother for medicines. At high blood pressure"Novocain" is allowed (we recommend reading:). If the pain bothers at home, you can take "No-shpu", "Spasmalgon", "Paracetamol", "Nurofen" in the doses recommended by the doctor. It is forbidden to use "Lidocaine", "Septanest", "Imudon", "Sodium Fluoride" during any period of pregnancy. Drugs can lead to pathology, adversely affect the fetus.

Can an X-ray be taken?

Ultrasound of the teeth of pregnant women is not performed. To assess their condition, the doctor uses an x-ray, which shows the location and condition of the roots, dental canals, hidden carious cavities. The procedure is done after 12 weeks using radiovisiographs - modern devices that give the minimum dose of radiation. In this case, the patient is covered with a lead apron, a highly sensitive film is used, and desired pictures simultaneously.

Removal of a tooth

Extraction of teeth - last resort, which is resorted to only in the most serious cases. Thanks to modern anesthetics, the procedure is painless, but very exciting for the expectant mother. In order for the hole to heal quickly and correctly, it is necessary to follow the doctor's recommendations for caring for the oral cavity after surgical intervention. You can remove teeth according to indications at any time. The anesthetic "Lidocaine", popular in dentistry, is not used in this case. It can disrupt the pressure and work of the heart, lead to shortness of breath, vomiting, rash, migraine.

caries treatment

Crown caries and its complications negatively affect the course of pregnancy, become a source of infection, purulent inflammation and pain. By themselves, pain does not affect the fetus, but leads to discomfort for the mother, which is transmitted to the baby. with infection and inflammatory process much more difficult. They can lead to various pathologies.

Caries during pregnancy is treated at any time, but better in the second trimester. When depulping and complicated forms, anesthesia is used. The use of arsenic is unacceptable. There are no restrictions on the choice of fillings. The doctor will select either chemical filling materials or light-curing fillings.

Can crowns be placed?

Dental prosthetics during pregnancy has no contraindications. Dentists-orthopedists carry out manipulations painlessly and safely for health. However, it is important to remember that the gums are swollen during this period, and the casts may be incorrect. This will lead to discomfort during the installation and operation of finished prostheses. Whether it is possible to insert teeth, put veneers and onlays, and from how many months to do this, the orthopedist will determine during an individual consultation.

Other restrictions to be aware of

A number of dental procedures are prohibited for pregnant women. Among them:

  • orthodontic treatment (undesirable installation of braces, bite correction, normalization of the functions of the dentoalveolar system);
  • teeth whitening;
  • implantation and other manipulations where general anesthesia is required;
  • removal of tartar with highly abrasive and chemical devices.

It is highly undesirable during the embroidery period to remove the “eights” (wisdom teeth). It is often accompanied by swelling, bleeding and other complications, after which you need to drink antibiotics. The removal time is agreed with the gynecologist.

This may be the 2nd or 3rd trimester, when the freezing is not reflected in the intrauterine development of the fetus. They tear a crookedly growing tooth, which interferes with the neighboring one and causes inflammation of the gums, as well as “eights” with deep caries of the crown.

Prevention of dental diseases

Healthy teeth during pregnancy are the result of competent care and timely preventive treatment. To save them and forget what caries, gingivitis, dental cyst are, you should follow the recommendations:

  • brushing your teeth 2 times a day using a brush and paste selected by your doctor;
  • use of dental floss;
  • thorough rinsing of the mouth after vomiting caused by toxicosis;
  • a diet rich in calcium and phosphorus;
  • to strengthen the gums will allow a decoction of chamomile, St. John's wort, oregano for rinsing;
  • taking vitamins of groups A, C, D, E and mineral complexes for pregnant women;
  • self-massage of gums and teeth.

The future dad should also go through the sanitation of the oral cavity. Dentists explain why this is necessary. rotten teeth and unhealthy gums - a focus of infection that can be transmitted to the newborn. Close contact with the baby (hugging, rocking, kissing) is acceptable only with healthy teeth.


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Approximate reading time: 8 minutes

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 after another 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. AT planned training they also refer to a trip to the dentist, 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 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 which periodically make themselves felt. In this case, dental problems are a trigger for their exacerbation. That's why 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 figure 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 dangerous disease, which 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 you need to contact your dentist immediately!

Which fillings are harmless for pregnant women s

Photopolymer material is safe today, but there are a number of nuances when to put permanent filling no possibility. 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? During the first 18 weeks, all organs and systems are formed in the unborn fetus, if the situation is not so serious and the dentist recommends that you postpone treatment until a later date, then postpone therapy. Experts claim that best period this 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, the pregnant woman is not left without medical assistance. 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 not emergency conditions, such periods are excluded when premature generic activity 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 at urgent need. Those. if you are at week 25 and your tooth does not hurt, but it needs to be removed, 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 medications, 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 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-ray examination, however, 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 sanitary epidemiological authorities and the Ministry of Health x-ray examination during pregnancy are carried out only on clinical indications. 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 image is taken with additional means protection (wear a lead apron). 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 the trip to the 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

Hello dear readers! Today we will discuss dental treatment during pregnancy. This topic is full of myths and rumors, so it makes sense to confirm or refute them. Every woman is afraid of dental problems, which most often appear when carrying a child. Let's talk about when you can treat your teeth during pregnancy and whether you can take pictures of your teeth.

There is a myth that during pregnancy a woman can lose her teeth, or at least one of them. This myth is not justified by dentists. Doctors agree with the fact that during pregnancy the condition of the teeth becomes worse, but this does not guarantee that all women who have given birth will lose their teeth. Although in ancient times, in the absence of dentistry, this happened.

The deterioration of dental health during childbearing occurs for the following reasons:

  • Turn hormonal background organism;
  • Changes in the composition of saliva;
  • Increased soft plaque on the teeth, which leads to caries;
  • Toxicosis and frequent vomiting (acid, which at the same time enters the oral cavity, destroys tooth enamel);
  • Decreased calcium in the body.

Ideally, if a woman is planning a pregnancy, her teeth should be treated before her onset. If the teeth are healthy, then during the period of bearing a child, it will only be necessary to maintain their hygiene and drink the necessary vitamin complexes(which also contain calcium). If the teeth are not initially in perfect condition Pregnancy will only exacerbate the problems with them. Here, in addition to systematic hygiene procedures, treatment will also be needed, as the teeth can ache in earnest.

During gestation, a woman should pay attention to her teeth, namely:

  1. Be sure to thoroughly brush your teeth 2 times a day;
  2. Constant use dental floss;
  3. Do hygienic cleaning teeth at the dentist to remove plaque that cannot be removed on its own;
  4. Rinse your teeth with rinses recommended by your doctor;
  5. Pay attention to foods rich in calcium (do not drink tea or coffee with them so that calcium is better absorbed);
  6. If there is acute pain in the tooth, consult a dentist, because the lack of treatment will lead to complications.

Many people wonder if it is dangerous to have dental treatment during pregnancy? Fortunately, modern medicine has reached a level where it is no longer necessary to be so afraid of this, as it was 20 years ago.

The main thing is to follow the advice of doctors and avoid drug treatment at the dentist at the beginning of pregnancy.

2. Dental treatment in early pregnancy

How to treat teeth so that the impact on the child is minimal? On the early dates pregnancy, any manipulations with the use of medications are prohibited, because in the first trimester the placental barrier is still absent, and any medications will penetrate the fetus through the blood. If pregnancy was a surprise for you, and you did not have time to cure your teeth before conception, it is better to be patient with treatment at least until the second trimester.

Modern anesthetics are not dangerous for pregnant women, but still it is better to exclude the slightest risk in the most crucial period of the formation of all organs and systems of the fetus. With an injection of anesthetic, albeit in a meager dose, it will hit unwanted drug. Until what week of pregnancy does this last dangerous time? After 12 weeks, the risk of impaired fetal development is no longer so great.

An exceptional case in which a pregnant woman in the early stages can go to the dentist "by ambulance" is severe tooth pain and exacerbations chronic pulpitis or gingivitis.

3. Dental treatment in late pregnancy

The main question is at what period of pregnancy the harm from dental treatment is minimal? Doctors answer that the second trimester is the most suitable period for this. At this time, the placenta is already protecting the fetus from many harmful substances entering the blood, and the fetus is already formed. The need to treat a diseased tooth is transferred to this time.

The dentist must be aware that the patient is pregnant in order not to apply dangerous drugs. Better give preference private clinic With modern possibilities, and not to state clinics, where the equipment is outdated and the medicines are not safe. The pain reliever should be based on articaine, which does not affect the development of the fetus or the course of pregnancy for more later dates.

In the third trimester of pregnancy, it is problematic to treat teeth precisely because of the large belly.

It is undesirable for a pregnant woman to lie on her back at this time (namely, the patient is at the dentist in this position), since the fetus compresses the artery, which causes an increased heartbeat of the mother and reduces the supply of oxygen to the child. If there is already a need for dental treatment at this time, you need to lie in a chair with an offset to the left side to reduce fetal pressure.

4. X-ray of teeth during pregnancy

If anesthesia is already clear, then what about x-rays? X-ray, of course, is very dangerous for a pregnant woman, since radioactive radiation can lead to cell mutation and involuntary abortion on early stages. But harmfulness is measured in the amount of radiation and its location. Is it possible to take an x-ray of a pregnant woman's tooth?

If dental treatment is urgent and an x-ray is required, you need to:

  • Use a modern device - a visiograph, which takes a digital picture and the radiation dose is very small. In addition, the unit takes a picture directly desired tooth without even touching his surroundings.
  • Take pictures after the first trimester;
  • If it is possible to take an X-ray of the tooth exclusively on old equipment that takes a picture on film, close the entire body of the pregnant woman with a reliable reflector.

Dear women, if you have serious problems with teeth during pregnancy, no need to endure pain, being afraid of visiting the dentist and harmful effects for a child. It makes sense to suffer only in the first trimester.

5. Why sick teeth during pregnancy should not be left without treatment

Visiting a dentist while pregnant is still not safe, but having a bad tooth at this time is dangerous. If the focus of infection and pain in the mouth is not treated, then this threatens with such consequences during pregnancy:

  • A sick tooth forms a focus of infection, which spreads with blood to the baby and harms him;
  • The pain that a pregnant woman suffers provokes a surge of adrenaline and changes in the general hormonal background, and this can provoke increased tone uterus.

The constant presence of microbes can lead to periodontitis, which is dangerous for both the pregnant woman and the fetus, and is not treated further.

You can watch a video about dental treatment during pregnancy here:

Dear pregnant women, take care of your teeth before and during pregnancy and your teeth will be in in perfect order. Don't forget to subscribe to our updates. See you later!