Tooth extraction in early pregnancy. What to pay attention to. Correct actions after surgery

Dental treatment and regular time causes awe in many: 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 things have a bad effect on the health and development of the fetus. And what is the result?

As a result, a woman has a toothache during pregnancy, and she refuses to treat it, and then complains 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.

Is it possible to treat teeth during pregnancy?

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

Anesthesia

Most of all, dental treatment scares those painful sensations 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 would give a pregnant woman a general anesthetic just to save her the pain of being in the dentist's chair. The consequences of such a step are too incomparable with any dental operation.

How are pregnant teeth treated? Under local anesthesia latest generation. Such drugs act pointwise, only on the place that really needs to be anesthetized. In addition, even penetrating into the blood, they still do not pass through the placental barrier between the mother and fetus.

x-ray

The second thing that scares pregnant women in the process of dental treatment is x-rays. About harm x-ray radiation now known to everyone, however, the seriousness of the situation is greatly exaggerated. It's about 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 in pregnant women

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 interesting position you need 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.

Because now great attention devoted to the dissemination of information about dental health, all more women begin to carefully monitor the state of the oral cavity 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 materials for seals 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 discomfort hardly even an anesthetic injection will be able to.

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.

By the way, is it possible for pregnant women insert teeth? 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 ones until better times, namely until you give birth and stop breastfeeding.

Separate article - wisdom tooth extraction during pregnancy. Removal, in itself, is a complicated 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. In the first trimester, the organs and systems of the child are only being laid, and any intervention at this stage is risky. The same goes for the third trimester.

Thus, whenever possible, dental treatment is best done in the second trimester. However, this is not always the case, so it is important to find out if there are any contraindications against dental treatment during your term.

How to keep your teeth during pregnancy?

Of course, the answer to the question "Is it possible for pregnant women to treat their teeth?" very important. But it is much more important to understand how to keep your teeth during pregnancy. In order not to face pain in the teeth, it is necessary to strictly observe the rules of hygiene: brush your teeth 2 times a day, rinse your mouth after eating and use a toothpick or dental floss to remove stuck food.

Can pregnant women have their teeth pulled?

Hormonal changes in a pregnant woman's body can lead to swollen and bleeding gums. If there is plaque around the neck of the tooth, then there is a risk of developing periodontal disease. In any case, no matter what leads to the fact that the tooth is sick, destroyed and must be removed, expectant mothers are interested in: is it possible for pregnant women to pull out teeth, and will there be any consequences for the child?

Tooth extraction during pregnancy: yes or no

Pregnancy is not a disease, but a condition of a woman that requires a special approach, including in dentistry. If the tooth is destroyed and covered in caries, then it should be removed so that there is no source of infection in the mouth. Infection, after all, can also harm the child.

Many dentists try to avoid the extraction of a tooth in a pregnant woman and postpone this matter until after childbirth. However, if the pain is severe and prevents a woman from leading a normal life, then, of course, the tooth should be pulled out - any doctor will confirm this. If the tooth does not interfere and does not bother yet, then it is better to leave its removal until the baby is born.

Tooth extraction is safe in the second trimester of pregnancy. In the first and last trimester, removal is highly discouraged.

Let's take a closer look:

First trimester. During this period, the formation of all the main organs of the child. Kidneys, liver, heart and other vital important organs are being formed right now. The fetus is very susceptible to any changes and influences on the mother's body from the outside. Anesthesia, stress, antibiotics, painkillers - all this can be deposited on the health of the child. If you need to remove a tooth as soon as possible, then it is better to do this at least in the last weeks of the first trimester.
Second trimester. During this period, the fetus just grows. All organs and systems have already been laid down and simply continue to develop. This is the safest time for dental procedures, including tooth extraction.
Third trimester. Dentists urge pregnant women to refrain from pulling out a tooth during this period of pregnancy. Firstly, due to the enlarged belly, it will be very difficult for a pregnant woman to sit for a long time In the armchair. Second, stress and awkward position can cause uterine contractions, which stimulate the production of the hormone oxytocin, which causes preterm labor. If a woman experiences severe pain, then the tooth can be removed in the first month of the last trimester.

Wisdom tooth extraction during pregnancy

Most obstetricians and dentists agree that Wisdom teeth can be pulled out during pregnancy, but again, only in the second trimester, since this is the most safe period. After removal, the doctor may prescribe antibiotics and pain medication for the woman to avoid infection of the socket. The dentist must be notified of your condition, as this affects the choice of medications.

Medications and anesthesia

A doctor may prescribe acetaminophen to relieve the patient's pain. It is considered safe during pregnancy. Ibuprofen is allowed to be taken up to 32 weeks of pregnancy. Of the antibiotics, penicillin is allowed (in the absence of an allergy to it), it belongs to the category B safe for pregnant women. But tetracycline should not be taken, as it can lead to pigmentation of the child's teeth.

When extracting a tooth, a local anesthetic, such as lidocaine, is usually used (safety category B). It does not penetrate the placenta, so it is safe for the fetus. The doctor tries to inject as little anesthetic as possible, but at the same time so much that the patient does not feel pain. With local anesthesia, adrenaline is usually not used. If necessary, a preliminary consultation with an obstetrician is necessary.

During pregnancy, intravenous anesthesia should be avoided, as well as inhalation of laughing gas.

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The growth of the third molars begins at the age of 18-26. It is at this time that the female reproductive system is ready for conception. Pregnant women often face the question of whether it is dangerous to remove a wisdom tooth during pregnancy.
The procedure for removing a wisdom tooth for pregnant women is carried out if the molars squeeze adjacent teeth, causing pain and discomfort. If the wisdom tooth does not deliver special problems, removal is not required. Third molars occupy in the dentition last place. Since the molars have already taken their position, it is quite difficult for the wise teeth to erupt and find a free place in the jaw. As a result, the wise tooth does not grow evenly, bending and squeezing the neighboring ones. If the patient complains of pain, the object of discomfort is removed.

When is tooth extraction inevitable for pregnant women?

The decision to remove is made by the dentist. Pregnant women remove not only wisdom teeth, but also any other. The fact is that in the presence of a focus chronic infection in the form of carious teeth, purulent process in the oral cavity, there is a risk of infection of the patient. Bad teeth - a direct path to penetration pathogenic bacteria and viruses, which is very dangerous during the period of gestation. Pathogenic microorganisms are delivered to the child with the blood stream, which often leads to the development congenital anomalies. That is why, women are advised to visit a dentist for an examination of the oral cavity. In the presence of diseased and carious teeth, a pregnant woman must undergo a procedure for sanitation of the oral cavity.

In the most difficult situations the dentist decides that the diseased tooth cannot be treated and the problem can only be solved by removal. The doctor's verdict about the forthcoming tooth extraction should not be disputed by the patient. A tooth is removed during pregnancy if the patient has:

sharp pain;
Inflammatory process in the oral cavity.

Why you need to remove a wisdom tooth if it hurts or is inflamed

Often, cutting wise tooth accompanied by unbearable pain and discomfort when eating. The patient cannot open her mouth, but about to eat solid food and completely forgotten. Pregnant women react very sharply to pain, and doctors forbid taking analgesics. Painkillers eliminate pain syndrome for a maximum of 8 hours, therefore, in order not to be in constant tension and stressful situation you need to drink at least 3 tablets of an analgesic per day. You can’t endure the pain, therefore, in order to once and for all resolve the issue of stopping the pain syndrome, the doctor decides to remove the wisdom tooth during pregnancy. To do this, sparing anesthesia in small doses is used.

It just doesn't hurt like that. Accompanying the growth of the eight with pain syndrome indicates the development pathological processes in mucosal tissues. Injury to the gums leads to the growth and reproduction of bacteria. They contribute to the development of inflammation in the molar region. To suppress microbes in the oral cavity, a course of antibiotics is prescribed. Pregnant antibacterial drugs contraindicated. What to do? A prolonged inflammatory process can lead to infection, the formation of cysts and fistulas.

The immune system of a pregnant woman directs all her efforts to protect the fetus, and the body does everything so that the baby receives the most necessary from the mother. An infection that enters the bloodstream through the oral mucosa will definitely get into placental blood flow and directly into the placenta. Infection of the amniotic fluid leads to:

premature birth;
development congenital pathologies fetus;
High water or low water;
Fetal death;
fetal hypoxia;
Premature aging of the placenta.

The purulent and inflammatory process is also dangerous for the pregnant woman herself. Complications can lead to irreparable consequences, up to lethal outcome. If you notice that an abscess or swelling has formed near the wise tooth, seek help from a dentist. When asked whether it is possible to remove a wisdom tooth during pregnancy, doctors give an unequivocal answer - it is possible, especially if there are signs of inflammation.

Removing a wisdom tooth during pregnancy is different:

Diagnostic methods;
Anesthesia;
postoperative period.

If in an ordinary situation, non-pregnant patients are x-rayed, an anesthetic is administered in the required dose and a course of antibiotic therapy is prescribed after pulling out, then the situation is different for women in position.

Diagnostic measures

Before removing a tooth, the doctor should get an idea about its location and the characteristics of the course of the inflammatory process. As a rule, an x-ray is prescribed. But in the case of pregnant women, x-rays are strictly prohibited. A doctor cannot remove a tooth blindly, since the roots can occupy an unpredictable position in the dentition. They can intertwine with neighboring ones, be located at different angles and bend. But how then, without a picture, to pull out a wisdom tooth during pregnancy?

An X-ray taken using innovative equipment does not affect the fetus of a pregnant woman. This fact is scientifically proven and confirmed by many years of experience of specialists. The radiation acts locally, more precisely, only on that part of the body where the device is directed. To diagnose the state of the eights, a snapshot of the top or mandible, therefore, the radiation will not fall on the pelvic organs and, especially, on the fetus.

Doctors, fearing for the condition of the pregnant woman, do not take responsibility for using x-rays on women in position; they use a radiovisiograph for diagnosis. This machine is the safest equipment. It works by transmitting an image received by electronic sensors to the screen. Modern Method diagnostics is characterized by minimal radiation, which does not harm the body. If necessary, the resulting image can be enlarged and the diseased tooth can be examined in detail.

Types of anesthesia applicable to pregnant women

The question of how anesthetics act on the body of a pregnant woman has not been fully studied. But if such a situation arises that it is necessary to remove the wisdom tooth during pregnancy, the ladies react quite sharply to the dentist's proposal for the upcoming introduction of anesthesia. Anesthesia is necessary, especially when it comes to a woman in position. Pain can cause an increase in the tone of the uterus, and provoke a miscarriage. Weighing all the pros and cons, we can conclude that the use of anesthesia during gestation is inevitable. Moreover, the removal procedure is carried out only in extreme situations, when acute pain or an infectious process occurs.

With regard to pregnant women, it will be more relevant to talk about which alternative anesthesia option will be less dangerous for the expectant mother and her baby. Local anesthesia does not have a significant effect on the development and formation of the fetus, and the administered drugs enter the systemic circulation in minimum doses Oh. They do not have time to penetrate the placenta, so this manipulation will not affect the child in any way.

An injection with an anesthetic drug is injected directly into the area of \u200b\u200bthe wise tooth. Local anesthesia differs from general anesthesia in that it acts locally and does not affect the state of the central nervous system.

As for general anesthesia, it is used only during surgery. caesarean section or in emergency situations, if spinal anesthesia it is impossible to carry out due to back injuries or other diseases of the musculoskeletal system. How does general anesthesia affect the body of a pregnant woman and a child, doctors cannot answer exactly, there is only an assumption that this species anesthesia adversely affects the state of the central nervous system of the baby.

Everyone is afraid of dentists, and pregnant women panic when they hear that they need to sanitize the oral cavity. To eliminate anxiety and relieve stress, doctors are doing everything to remove the wisdom tooth during pregnancy as comfortably as possible for the patient and the bladder. After all, if the mother is excited, then the child experiences discomfort.

To alleviate the condition, the dentist suggests applying the sedation procedure. This manipulation is very often used by relatively young children who are terribly afraid of treating their teeth. So that the first visit to the dentist does not become the last in the life of a child, doctors use a special anti-stress procedure.

The essence of sedation is that nitric oxide is supplied to the respiratory organs through a mask. Laughing gas is not harmful to health, since it is found in large quantities in the atmospheric air, and we inhale it every minute. This procedure helps to relax and calm the nervous system.

What is prescribed after surgery

Now you know that you can remove a wisdom tooth during pregnancy, but removal is not the final stage of therapy, you need to undergo a rehabilitation course, or rather survive postoperative period. Recovery time after surgical intervention depend on the complexity of the operation. Non-pregnant women are prescribed a course of physiotherapy, antibacterial drugs and analgesics. Such actions are not applicable to pregnant women, but the body must fight and suppress the development infectious process. What to do then?

For a successful and speedy recovery of the body after the operation, the dentist prescribes local anesthetic gels and ointments. To accelerate the regeneration of the mucosa and the healing of the hole, it is recommended to rinse the oral cavity with decoctions. medicinal herbs. Very quickly relieve inflammation, and inhibit the growth of pathogenic bacteria:

Sage;
Oak bark;
Chamomile;
Calendula.

If it is necessary to use medications, the dentist consults with the therapist and gynecologist about the peculiarities of the course of the patient's pregnancy. Together they make a decision about which drugs can be prescribed so as not to harm the mother and child.
For pregnant women, tooth extraction is carried out quickly. it important condition, compliance with which implies the use of minimal doses of anesthesia and reducing the risk of bleeding from the hole. Surgical intervention is carried out by several specialists at once. The work of doctors must be carefully planned and coordinated. If everything goes according to plan, the process of extracting a tooth will not take more than 15 minutes. During such a period of time, no anesthesia, even general anesthesia, will affect the condition and health of the mother and baby.

When asked whether it is possible to pull out a wisdom tooth during early pregnancy, doctors unanimously answer that it is impossible. In the first trimester, the organs and systems of the unborn child are formed, so the dentist will offer to postpone the process of pulling out, at least until the period of 20 weeks.

It is not recommended to treat, and even more so, to remove teeth for later dates pregnancy. This is the period when a woman's body prepares for the upcoming birth. If possible, treatment or surgical intervention put off until late postpartum period or when the mother stops breastfeeding the baby.

Now you know if wisdom teeth are removed during pregnancy. Summarizing the above, we can conclude that any operation is, first of all, an intervention in the human body, which in one way or another can lead to complications. If a emergency situations does not arise, it is not necessary to once again be given into the hands of surgeons. Find more for this right time, and pregnancy is a period of joy and expectation, which should not be overshadowed by such complex procedures as removal.

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Wisdom tooth eruption symptoms

Eights, as in dental practice commonly called wisdom teeth, they rarely erupt imperceptibly. Most often, their appearance is associated with pain and a host of other troubles. To the most common symptoms applies to:

constant aching pain in the gum area
painful chewing of food at the site of the eruption of the figure eight
a noticeable increase in body temperature, the area of \u200b\u200bthe cheek in the place of inflammation of the gums can also be hot to the touch
enlargement of the lymph node from the side of the erupting tooth

It is believed that the even structure of the dentition is a guarantee that the eights will erupt painlessly. But actually it is not. No one is immune from the inflammatory process, and here everything will most likely depend on immune system than from the health of other teeth. But with her, during pregnancy, there is a problem - the immunity of future mothers is greatly weakened. Hence the inflammation, and possible swelling, and fever, and unbearable pain. If a wisdom tooth is inflamed during pregnancy, you do not need to wait until it erupts, and at the same time all the discomfort will go away. This is not a matter of a few hours, and the appearance of the eight can stretch for several months. And no one can endure so much pain.

How to relieve inflammation and anesthetize the site of wisdom tooth eruption

The best way to anesthetize a figure eight is to relieve inflammation. Traditional treatment the wisdom tooth during pregnancy is inaccessible due to the interesting position of the future mother. Modern anti-inflammatory and painkillers are contraindicated for use during pregnancy and lactation, and the removal of the figure eight, if possible, is only in the second trimester.
To stop the inflammatory process and prevent the penetration of pathogenic microflora from the oral cavity into the gum tissue, rinsing will help. There are several recipes that are safe for pregnant women.

cook soda solution. For this in a glass warm water dissolve half a teaspoon of baking soda and salt on the tip of a knife. Add 2-3 drops of iodine and the rinse solution is ready. Rinse with this solution up to 6 times a day.
Furatsilina solution. Furacilin tablets also work well as an antiseptic. They are not meant to be taken orally, only for external use. Dissolve 1 tablet per 100 ml hot water(not boiling water). Ready solution rinse the site of inflammation every three hours.
Help and herbal infusions if the wisdom tooth is swollen during pregnancy. Chamomile, calendula or sage are perfect for these purposes. These herbs have not only antiseptic, but also anti-inflammatory properties. To prepare the infusion, use 1 tsp. selected raw material in a glass of water. Be sure to strain the infusion before use.

A single rinse is unlikely to give its result. But with a regular procedure, you will definitely be able to stop the inflammation without medicines and surgical intervention.

In addition to helping relieve inflammation, home rinses can also help reduce gum discomfort. If a aching pain quite intense, the following tips will help to cope with them:

soak clove oil cotton swab and place at the site of teething for 15 minutes.
Cool down sore spot. Regular ice will help you with this. Just before applying to the sore cheek, be sure to wrap the pieces of ice with a plastic bag and some kind of cloth so as not to get frostbite on the skin.
Squeeze out the garlic juice and soak a cotton swab with it. Apply it to the inflamed gum for 5-7 minutes.

These folk remedies absolutely harmless for pregnant women, but they help to cope with pain quite well. If the above method does not help, the erupting wisdom tooth during pregnancy will be advised by your attending gynecologist to anesthetize. Usually it is nurofen or no-shpa. These drugs are not characterized negative influence the child growing and developing within you.

When you can not hesitate: indications for the removal of a wisdom tooth during pregnancy

Most often, doctors try to refuse to remove a wisdom tooth during pregnancy. After all, this surgery carries too much risk for the mother and fetus. But if you can not hesitate, it is recommended to carry out dental procedures for a period of 18 to 32 weeks. Anesthesia at an earlier date can harm the baby, whose organs have just begun to develop. And in the later stages, such a serious surgical intervention can cause premature birth. Yes, and to heal the hole in place extracted tooth almost always recommend a course of antibiotics that are prohibited for women in position.

But there are situations when it is impossible to delay. Then the solution to the question of whether a wisdom tooth is removed during pregnancy comes by itself. So, surgical intervention for inflammation of the wisdom tooth is shown:

with acute pain, indicating that the inflammatory process affects the deep tissues of the gums and jaw
inflammation of the trigeminal nerve
with inflammation of the tooth, provoked by the injury
upon detection cystic formation(tumor)

The final decision is made by the dentist after assessing the patient's condition. And if possible, the operation is postponed to the postpartum period, when the mother's body is strong enough.

Wound care after surgery

If you have a wisdom tooth cut during pregnancy, and in your case it is impossible to avoid removal, it is necessary to take the procedure and subsequent rehabilitation as responsibly as possible.
Any diseased tooth will be removed under anesthesia, and eights are no exception. However, the position of a woman imposes some restrictions, both on the operation itself and on the postoperative period. During pregnancy, removal is carried out exclusively under local anesthesia. General anesthesia detrimental to the child. In addition, the drugs used should be safe for the baby, and, if possible, not cross the placenta to him. Fortunately, modern pharmacology has long produced many suitable means.
After the extraction of a tooth, a woman is forbidden to eat sweet or sour foods, drink hot or too cold drinks. Rinse your mouth for the first two days is also prohibited.
If the erupting wisdom tooth causes a lot of anxiety future mother You don't have to endure pain and discomfort. And you should not rely on the advice of close friends or just acquaintances. Self-activity in such a situation is not best helper unless you want to harm yourself and your baby. So when the first painful symptoms contact a specialist for help.

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Treatment and extraction of teeth during pregnancy: yes or no?

Pregnancy brings many surprises. And dental disease is one of the first places. The reasons for this state of the oral cavity are hormonal fluctuations that are not high enough protective functions body, deficiency of calcium and phosphorus. All this creates conditions for inflammation of the gums, increased microbial contamination in the mouth and destruction of enamel. As a result, the tooth becomes sick and has to be removed.

Of course, if the tooth does not bother the expectant mother, then it is not recommended to remove it and leave it until childbirth. But in the presence of severe pain, bleeding, inflammation - it must be immediately disposed of, regardless of the gestational age.

I immediately want to reassure and reassure women in the position: pregnancy has long ceased to be an obstacle in dental treatment and most of the dangerous dental pathologies are completely solvable. Therefore, tooth extraction during pregnancy is an absolutely safe procedure. This became possible only after the advent of modern analgesics, filling materials and X-ray equipment with scanty radiation.

Treatment with the latest generation of dental instruments and preparations eliminates the possibility harmful effects on the formation of the fetus at any gestational age. Now there is no need to be afraid that the removal or treatment of a tooth can harm the baby and postpone the visit until the birth, risking completely ruining all the teeth.

How does the timing of tooth extraction affect pregnancy

If the situation tolerates, dentists advise getting rid of a bad tooth in the second trimester, when the baby is strong and mature, and the expectant mother feels great, because toxicosis is already over, and the discomfort and fatigue from the grown tummy has not yet come. If the condition of the tooth is critical and the woman is threatened with purulent infection, the tooth is removed immediately.

Let's look at the features of tooth extraction in different trimesters:

I trimester. The first ten weeks after conception is the most important, since the transformation of the egg into an embryo takes place, the development of all organs and major systems. Psychological fear before a visit to the dentist, analgesics and, of course, x-rays can create a risk of complications in the fetus. But on the other side, toothache, the spread of infection and a complication in the form of a purulent flux can be much more dangerous for a woman's life than tooth extraction during pregnancy in the first trimester. Besides, strong pain can cause intense contractions of the uterus and provoke hypertonicity. But on the other hand, dentists say that every effort should be made to delay tooth extraction until the last month of this trimester.
II trimester. In this period, a tiny embryo becomes a full-fledged fetus with a well-developed heart, kidneys and other organs. Mom's stress and dental procedures are no longer so scary for the baby, so this is considered the most favorable moment to go to dental clinic. In this period, you can not only remove teeth, but also put fillings, strengthen the enamel. But bleaching and prosthetics are still banned.
III trimester. Dentists are reluctant to treat women at a high gestational age. Firstly, big belly, pressure of the fetus on the organs and discomfort in the back do not allow a woman to sit quietly in a chair right time. And, secondly, the inconvenience of tooth extraction during pregnancy, pain, fear in combination can affect uterine contraction and bring delivery closer. Therefore, doctors advise to treat and, if necessary, pull out teeth before the end of the first month of this trimester.

Important! If a dental disease caused serious complications that require surgical intervention (bone suppuration, cyst), it is important to abandon general anesthesia. For pregnant women, only epidural anesthesia (spinal) with constant monitoring of the baby's heartbeat is considered acceptable.

Wisdom Tooth Removal During Pregnancy: Risks and Complications

A wisdom tooth or "eight" is rarely treatable, and therefore, if it cannot be restored, it breaks out. Outside of pregnancy, this procedure does not create problems, although it is a more complex surgical procedure than removal ordinary tooth. But after conception, it is very difficult.

The danger is that after the removal of this tooth, the temperature can rise sharply, the gums hurt badly, worsen general state women, bleeding occurs. In addition, it is almost always required antibiotic therapy with antibiotics to avoid complications. Therefore, the removal of this tooth, if possible, is postponed for the postpartum period, or at least this procedure is delayed until the 2nd trimester.

The decision on whether to remove a wisdom tooth or not is made based on the specific situation. The dentist can first treat, and then watch the dynamics of the process. If the pain syndrome persists and there is a risk of purulent-inflammatory complications, then the tooth is still removed.

On a note! A diseased tooth that cannot be restored is the source of pathogenic flora, which can cause health problems for both the woman and the fetus.

Removal of the nerve of the tooth during pregnancy

Tooth extraction in the gestational period is a measure used in case of hopelessness. The process is hampered by the fact that the expectant mother is not recommended to administer analgesics, and the sensations associated with pulling out a tooth can have a bad effect on pregnancy. Therefore, tooth extraction is considered stressful, dangerous for female body at the time of pregnancy.

Dentists make every effort to "save" the tooth by removing the nerve, relieving inflammation, sanitizing the root system of the tooth. This treatment option is very effective for initial stages caries. But if a woman ignores mild and periodic pain in the tooth for a long time, then the disease progresses and spreads deep into the tooth. As a result, caries provokes inflammation nerve endings called "pulpitis".

But even in this situation, you can try to stop the dying of the nerve, which is responsible for the duration of the "tooth" life. Thanks to him, the tooth remains sensitive to external stimuli and resistant to damage.

If a woman experiences severe pain, this indicates an acute phase of pulpitis. Sometimes held drug treatment nerve, but in most cases the nerve is still removed.

During pregnancy, the removal of the nerve is also an undesirable procedure, but in any case it is more acceptable than the removal of the entire tooth. The nerve is removed with 90% pulp involvement. In other cases, they first try to cure pulpitis by sanitizing the dental canals. In this way, it is possible to bring the tooth into healthy state and prevent it from being removed. But after treatment, a pregnant woman should be observed by a dentist, since pulpitis can recur.

More recently, the procedure for removing a nerve was extremely painful, lengthy and unpleasant. Dentists did not have an effective painkiller in their arsenal and modern devices. The procedure consisted of applying arsenic to the tooth, on top of which a temporary filling was placed. This made it possible to "kill" the nerve, preventing microorganisms from entering the sterile canal. After a couple of days, the arsenic was removed, the nerve was pulled out and placed permanent filling. Due to the terrible sensations, soreness and harmfulness of arsenic, the nerve in women in position was rarely removed.

Fortunately, now it is quite comfortable and safe procedure. Instead of arsenic put effective medicine, as a temporary filling, a material based on essential oils(cloves, anise). Moreover, there is a large selection of analgesics without adrenaline, which completely freeze all nerve endings in 30 seconds.

Tooth extraction during pregnancy: anesthesia and medications

There are enough topical analgesics that are allowed during this wonderful period. Active substances are absorbed only into the gums and are not included in the bloodstream, therefore they do not reach the fetus. But if it becomes necessary to pull out a tooth, you need to discuss this with a gynecologist or contact a dental clinic that specializes in the treatment of pregnant women. Such precautions are necessary in order for the woman to correctly select anesthesia.

For pregnant women, all analgesics without a vasoconstrictor are acceptable. If they are not suitable, a vasoconstrictor with an adrenaline concentration of no more than 1:200,000 is considered acceptable. Such a dose will not cause vasospasm, uterine hypertonicity or fetal hypoxia. These drugs include Ubistesin and Ultracaine.

X-rays are often required before surgery. Women in position should not undergo such a procedure. But if there is no choice, it is better to do an x-ray in the office with a new portable radiovisiograph that emits negligible doses of radiation.

What to do after a tooth extraction during pregnancy

After tooth extraction, various complications may appear, for example, inflammation of the hole, swelling, bleeding, hematoma, pain or suppuration. To prevent such consequences, you need to follow these recommendations:

After 15-20 minutes, remove the swab from the tooth socket. It is not worth keeping it longer, since it is a source of infection.
To prevent swelling, apply ice wrapped in a towel to the face on the side of the extracted tooth. Hold the ice for 3-4 minutes, then take a 5-minute break and apply fresh ice again. It is possible to carry out from 4 to 6 procedures.
If the gum began to bleed heavily, make a turunda out of a sterile bandage and attach it to the hole for 10 minutes. Measure arterial pressure, since its increase often provokes bleeding. If needed, take blood pressure medication.

After tooth extraction within 3 hours is strictly prohibited:

Eat food (you can drink cold water).
Take a bath or hot shower.
Engage in vigorous physical activity.
Poking around in the tooth socket with the tongue or third-party objects.
Open your mouth wide and scream (if there are stitches).
Rinse your mouth.

To speed up the healing of the gums and prevent inflammation, you can do prophylactic mouth baths (do not rinse!). To do this, you need to take a small amount of liquid into your mouth and hold it in your mouth. You can use a solution of chlorhexidine or potassium permanganate, a decoction of chamomile and sage.

To prevent complications, the dental surgeon must strictly follow the rules:

Tooth extraction in early pregnancy is carried out after the permission of the obstetrician-gynecologist.
Isolation of a woman from stress factors before and during removal (timely admission of the patient, exclusion of pain syndrome, speed of the procedure).
Usage x-ray only in an emergency.
Introduction of minimum therapeutic doses analgesics.
Conducting an anesthesia tolerance test to exclude an anaphylactic reaction.
To sanitize the oral cavity after the removal of a wisdom tooth during pregnancy, prescribe low-toxic antimicrobials(after consultation with a gynecologist).

How to prevent tooth extraction during pregnancy

When registering a woman in without fail undergoing a dental examination. During your visit to the doctor, find out about the condition of your teeth. If there are problems, after the 14th gestational week, be sure to treat your teeth.

Be sure to ask your dentist for advice on oral care during pregnancy. changes after conception chemical composition saliva and its acidity, calcium deficiency occurs, it multiplies strongly pathogenic microflora. If you do not properly care for your teeth, you can "earn" caries, which often ends in tooth loss. In addition, caries causes diseases of the digestive tract and can be transmitted to the baby.

Prevention of dental diseases at a later date is considered balanced diet. important in enough use vitamins and mineral salts.

Gingivitis (inflammation of the gums) often recurs in pregnant women. It is necessary to treat it in a timely manner and maintain sufficient oral hygiene. If the disease is started, periodontitis will begin.

Tooth extraction during pregnancy - reviews

Many women, while in position, undergo a tooth extraction procedure. As a rule, they assure that this is a painless and short-term manipulation. The availability of high-quality equipment, analgesics for pregnant women and qualified dentists in modern clinics provided all the conditions for comfortable treatment teeth during pregnancy. However, some women experienced difficulty post-removal as not all painkillers and antibiotics could be taken. Therefore, it was necessary to select the appropriate treatment.

During pregnancy, you need to visit the dentist on time just for prevention. After all, serious pulpitis and neglected dental caries do not occur spontaneously and are always the result of a neglected disease. Therefore, do not neglect your health and treat your teeth in time at a suitable gestational age.

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Indications for removal

Is it possible to remove a damaged tooth during pregnancy? Surgical operation (extraction) is carried out only in extreme cases, when it is not possible to carry out treatment.

AT carious cavity contains a large number of dangerous microorganisms ( Staphylococcus aureus), which can harm the still unformed fetus. Bacteria very quickly destroy the tissues of the affected unit and lead to pulpitis and periodontitis.

Removal of destroyed teeth during pregnancy is performed at a certain time: from 13 to 32 weeks. By this time, the fetus has already formed, and immune defense body recovered. At a later date, extraction can lead to premature birth.

Removal process

The removal of a diseased tooth during pregnancy is performed at the indicated time, using a special local anesthesia that does not penetrate into the blood and through the placenta. A woman should not experience any pain.

In the postoperative period, you should follow the recommendations of the doctor, take care of the hole and the oral cavity. In case of acute pain, it is allowed to take painkillers (Paracetamol, Tempalgin), but only with the permission of the attending physician.

Is it possible to pull out teeth with inflammation during pregnancy? Need. Inflammatory processes in the oral cavity pose a threat to the health of the expectant mother and baby.

Is it possible for pregnant women to remove damaged teeth from general anesthesia? The use of general anesthesia is prohibited, the child will receive oxygen starvation.

Removing a wisdom tooth is often difficult, so it is highly undesirable during pregnancy. The doctor has to make an incision in the gums, drill out the bone tissue and extract the figure eight with special tools. Such a procedure is very traumatic, accompanied by pain in the postoperative period, an extensive wound heals for a long time, the temperature may rise, and the expectant mother experiences stress. Due to the inconvenient location of the wisdom teeth, the treatment of the hole causes difficulties, inflammation and suppuration can occur, which is very dangerous for the fetus.

Is it possible to remove an erupting wisdom tooth during pregnancy? They try to postpone such an operation if possible, since the extraction of eights is often accompanied by complications and requires treatment with antibiotics. Taking medications in given period contraindicated.

When teething eights, you can lubricate the gums with a baby remedy. This will help relieve pain.

Removal of a growing wisdom tooth during pregnancy is performed in the case of:

grows incorrectly and destroys neighboring units;
the crown of the wisdom tooth is completely destroyed, the pulp (nerve bundles) is inflamed;
periodontitis - inflammation of bone tissue around the figure eight.

Treatment and prevention

Expectant mothers can and should be treated for caries. It is also recommended to do this after the third month and up to the ninth. In the last month, you should refrain from visiting the dentist. All therapeutic procedures must be coordinated with the attending gynecologist.

The doctor uses special anesthetics that do not enter the bloodstream and do not harm the unborn baby. A woman shouldn't be in pain. If you need to take an x-ray, use a special apparatus - a radiovisograph. It minimally irradiates the patient. While wearing a protective apron on the stomach, chest, pelvic area.

To avoid removal, you should take preventive measures:

regular oral hygiene;
proper nutrition;
taking vitamin complexes;
timely treatment of caries;
when used a large number sweets, clean or rinse your mouth after eating;
do not use bleaching pastes, use products containing fluorine, calcium;
if necessary, the dentist can cover the enamel and gums with a protective preparation.

Contraindications

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Features of dental treatment during childbearing

Pregnancy and dental procedures are compatible phenomena. However ideal option is a visit to the dentist for the purpose of dental treatment at the stage of its planning. Gynecologists always emphasize that it is necessary to enter such an important period of life absolutely healthy and prepared. And part of that preparation is dental treatment.

But unfortunately, in most cases, pregnancies are unplanned, and therefore women are forced to seek help from dentists during the period of bearing children. Dental treatment during this period is not prohibited. However, we must remember that in the first trimester of the term, the laying of the child's organs occurs. It is highly undesirable to carry out dental procedures on last month pregnancy, because at this time the frequency of complications increases.

If a dental problems cannot be resolved before the conception of a child, then it is necessary to take into account the following nuances of treatment:

Pregnant women are not recommended to take x-rays. If it is absolutely necessary to take a picture of the tooth, the procedure is carried out using a radiovisiograph. The device emits minimal radiation.
Removal and treatment of chewing organs should be painless. This is ensured by local anesthesia with the use of approved drugs and psychotherapeutic support. The effect of such anesthetics on the fetus is negligible.
Prescribing all drugs to pregnant women should be justified and clearly dosed. It is better when medications are prescribed after a joint consultation with a dentist and a gynecologist.

About tooth extraction during pregnancy

Surely any adult knows that this dental procedure is stress. Let it be small. Therefore, the removal of the chewing organs during the period of bearing a child is rarely performed, exclusively medical indications. Teeth are removed in case of severe pain. In other situations, this surgery is better to be postponed. If there is a need for removal, then it is better to do this from the 13th to the 32nd week of pregnancy. At this time, the laying of the organs and systems of the fetus usually ends. The placenta is already formed. The indicators of the immunological status of a pregnant woman are stable.

A contraindication is the extraction of teeth in the first, second and ninth months of bearing a child.

Surgery to remove teeth can cause complications in a pregnant patient. This is due to the psycho-emotional load.

As for the wisdom tooth, it is not removed at all in an “interesting position”. The chewing organ, which is also called the "eight", is the most difficult in terms of removal. After all, it begins to grow when the jaw is already fully formed. Often the roots are intertwined in it. They can interfere with adjacent teeth. It is these reasons that often lead to complications after tooth extraction. This is an increase in body temperature, deterioration general well-being pregnant, pain, bleeding from the hole. Since the health of the unborn child directly depends on the condition of the mother, such complications and risks should be avoided. The procedure for removing the G8 should be postponed to more late period. Future mom must remember that main task for her is taking care of the right intrauterine development fetus.

Dental treatment in the 3rd trimester of pregnancy Can pregnant women treat their teeth with anesthesia

Pregnancy for a woman is not only a joyful expectation of a child, but also a lot of restrictions. Among them, the undesirability of surgical interventions, including tooth extraction.

Any stress for the body, as well as the use of drugs during gestation, can cause irreparable damage to the health of the mother and baby. But what to do if a pregnant woman has a bad toothache, a cyst appears in the oral cavity, or a nerve becomes inflamed? In this case, it is still better to consult a doctor to avoid unpleasant consequences.

What to do if a pregnant woman has a severe toothache?

But care must be taken, because no one better than the expectant mother herself will take care of her and her baby.

Indications for tooth extraction during pregnancy

There are times when the lack of medical intervention for diseased teeth can turn into more backfire than removal or treatment. These include indications such as:

Acute pain lasting more than a week . In this case, the woman experiences severe torment, which negatively affects not only her, but also the development of the fetus;
The formation of a gum or tooth cyst;
Detection of malignant tumors;
oral infection;
Nerve inflammation.

Acute toothache for more than a week negatively affects the development of the fetus.

In any of the above cases, tooth extraction will best solution for woman. Otherwise, the body may develop dangerous infections that can lead to impaired development of the fetus and even to a missed pregnancy.

The safest time to delete

Do not remove teeth in the first weeks of pregnancy.

At this time, any interference can interfere with his normal development. And it is also undesirable to visit the dentist in the last two months of bearing a child. At this time, the stress caused by surgery can trigger preterm labor.

The optimal time for safe manipulations with tooth extraction is the second trimester of pregnancy.

Already after the fourth month, the placenta around the child is fully formed, which ensures it maximum protection. In this case, it is likely that a visit to the dentist by a pregnant woman will cause minimal damage to the fetus.

After the fourth month of pregnancy, you can visit the dentist.

Precautionary measures

In order not to harm her health and the fetus, and at the same time not experience constant toothache, a pregnant woman must take precautions when visiting a dentist. For this you need:

warn the dentist about his interesting position;

ask what drugs the doctor will use during the operation . At the same time, it is desirable not only to learn the names of medicines, but also to study them. pharmacological properties, side effects, the presence or absence of contraindications during pregnancy, the recommended dosage;

avoid x-ray . Radiation can have a very negative effect on the development of the fetus. If you want to take a picture of the tooth, then you can use a radiovisiograph. Its radiation is weaker than that of an x-ray, and therefore the risk to the health of the baby is minimal;

removal only under local anesthesia . General anesthesia is contraindicated at any stage of pregnancy;

avoid hypothermia before tooth extraction and after surgery . Otherwise, an inflammatory process may develop in the oral cavity, to eliminate which the doctor will have to prescribe antibiotics. And these drugs should not be used categorically in the process of bearing a child.

When visiting a dentist, you need to warn him about your pregnancy.

Complications after removal

But even with all the above precautions, after a tooth extraction, a woman may experience complications in the form of fever or weakness.

After a tooth is removed, a woman's body temperature may rise.

For any symptoms of malaise, you should consult with your dentist and visit a gynecologist. And, of course, follow all the recommendations of doctors.

conclusions

If it is impossible to avoid tooth extraction during childbearing, then the above tips will help a woman minimize harm to the health of the fetus and increase the chances of a successful pregnancy.

But in any case, it is very important for the expectant mother to observe oral hygiene, brush her teeth twice a day. suitable paste and floss throughout the day.

It is important to maintain oral hygiene and brush your teeth twice a day.

This will reduce the likelihood of caries and infectious inflammation, which means it will help to avoid a reason to visit the dentist.

Video about tooth extraction during pregnancy

Carrying a child is a difficult test for the female body. Hormonal changes and high calcium consumption during the formation of the baby's skeleton lead to risks for the entire skeletal system women, including those at risk of dental diseases. Pregnant women often have to ask questions about how to treat their teeth during this period and for how long to carry out treatment? Expectant mothers care if it hurts to pull problem tooth how to anesthetize and is it possible to pull out a wisdom tooth? Especially a lot of questions for women who are carrying their first child.

Indications for tooth extraction

Dentists successfully treat and remove teeth, including wisdom teeth in pregnant women, but all procedures have their own characteristics. Often the removal of "eights" during pregnancy provokes an inflammatory process that negatively affects the unborn child. Because of this, dentists try not to tear the third molars of pregnant women, except under extraordinary circumstances.

A dentist may decide to extract a tooth from a pregnant woman under the following circumstances:

In case of acute prolonged pain that cannot be relieved. In this situation, the stress that the patient experiences has a more negative effect on the child than the process of pulling out a tooth.
If the tooth is severely affected by caries, and this provoked inflammation of the gum tissue.
With pulpitis, that is, inflammation of the dental nerve, which could not be eliminated by therapeutic methods.
In the presence of injuries, cracks, chips on the tooth, causing pain when in contact with food.
If a malignant neoplasm is detected.
For violations in bone tissue caused by gum disease.

Separately, you should consider the removal of wisdom teeth. Eights are usually cut into childbearing age women and rarely grow properly. Often there is a displacement, curvature of the roots, damage to the gums, cheeks or adjacent tooth, other anomalies. As a rule, doctors prefer not to pull out such a tooth, but to wait for childbirth. You can pull it out only under such circumstances:

severe pain syndrome that cannot be eliminated;
eruption with a complication in the form of acute inflammation;
an abnormal location that led to trauma to the adjacent tooth.

Procedure steps

This article talks about typical ways to solve your questions, but each case is unique! If you want to know from me how to solve exactly your problem - ask your question. It's fast and free!

Consider who and how removes a tooth for pregnant women. This is the task of a dental surgeon and in order to pull out a diseased tooth, he performs the following procedures:

When is the best time to extract a tooth?

During pregnancy, you need to be very careful about the condition of the oral cavity and when the slightest sign inflammatory process, contact the dentist.

To treat teeth during this period is not only possible, but also necessary, because any inflammation in the mother's body can negatively affect the baby.

However, depending on the gestational age, there are differences in treatment methods, namely:

First trimester. At this time (from 1 to 13 weeks), the likelihood of complications is highest and most dangerous. This is due to the fact that at 5-6 weeks of pregnancy there is an intensive formation internal organs child. The process is accompanied hormonal changes mother's body. At this stage, doctors refrain from surgical measures, since any operation carries the risk of terminating the pregnancy. Only in last resort, for example, with pulpitis, the surgeon can pull out the tooth.
Second trimester. During this period (14-27 weeks), the vital organs of the baby are already formed, the placenta is developed, the risks for the mother and child are minimal. This is the most suitable time for dental procedures. Anesthesia is allowed.
The third trimester is from 28 to 40 weeks of pregnancy. If possible, it is necessary to refrain from removing teeth, because the emotional and physical state of the mother is not stable, and the risk of premature birth is high.

What are the features of the procedure during pregnancy?

If the doctor has come to the conclusion that removal is inevitable, then the surgeon performs such an operation under local anesthesia. The operation itself is usually not difficult for a specialist, with the exception of wisdom teeth.

It is extremely important to avoid complications. The expectant mother must strictly follow all the doctor's instructions, control her condition.

X-ray as a preliminary stage

Most often, the surgeon prescribes x-rays before the operation. For pregnant women, a visiograph is used - modern device for x-rays. This device is directional, it minimizes the impact x-rays and transfers the result in digitized form to a computer. The doctor can see the image in great detail.

Anesthesia - the choice of drugs

For pregnant women, painkillers are allowed only local action. Modern pharmacology offers anesthetics that are specially designed for such patients and have the following properties:

Anesthesia in pregnant women is carried out with drugs:

Ultracain;
Ubistezin;
Novocain only in the form of a spray before injection with obligatory spitting of saliva.

Possible Complications

Like any surgical operation, extractions can cause complications. They are divided into early and late. Early ones that occur during, immediately after the end of the procedure or a few hours after removal, are as follows:

At a later stage after surgery, complications are possible:

alveolitis - inflammation of the hole;
neuritis - inflammation of peripheral nerve cells;
contracture of the jaw muscles.

At timely handling to the doctor, these complications are eliminated without consequences. The later you see a doctor, the higher the risk of serious illness.

What can pregnant women use to heal the hole?

After tooth extraction is prohibited:

eat before 3 hours after extraction;
warm the sore spot;
rinse your mouth.

For effective healing wound doctor prescribes the following drugs:

Pregnant women should be given Special attention condition of the oral cavity in order to avoid inflammatory processes in it, namely:

2 times a day - in the morning and in the evening - thoroughly clean the oral cavity;
every time after eating, remove the remnants of dental floss and rinse your mouth;
refuse bleaching pastes;
eat foods rich in calcium and vitamins;
to prevent inflammation of the gums, massage them with an antiseptic toothpaste;
use herbal remedies to strengthen teeth and gums.