Is it possible to treat teeth during pregnancy and when is the best time to do it. Features of treatment, removal and prosthetics of teeth during pregnancy

1. IS IT POSSIBLE FOR PREGNANT WOMEN TO TREAT DENTAL TREATMENT?

During the period of bearing a baby, the expectant mother monitors her health more warily. After all, harm to a baby developing in the womb can cause not only the disease, but also the treatment of the disease by one or another method.

Therefore, the question of whether problematic teeth are treated for pregnant women in the early and late stages worries every woman during this period. Is it possible to fill and remove teeth during pregnancy , is anesthesia dangerous, is it worth pulling out a wisdom tooth or is it better to postpone such an operation .... you will find answers to these and other pressing questions in this material.

We hasten to immediately reassure women in position: most problems with teeth are completely solvable. Treatment with modern equipment, the use of painkillers and the latest generation of filling materials virtually eliminate the possibility of harm to the developing fetus at any stage of pregnancy.

Therefore, in no case do not put off a visit to the dentist if you have a toothache or a filling has fallen out. After all, harm to your baby can be caused not only by the focus of infection in the diseased tooth, but not enough chewing food thoroughly due to increasing pain.

IMPORTANT!

it is highly undesirable to refuse an anesthetic injection during tooth treatment. The fact is that from a sharp, unpleasant pain, a large dose of adrenaline is thrown into the blood. This may provoke increased uterine tone (hypertonicity) which negatively affects the physical condition of the baby in the womb. Therefore, anesthesia of a problem tooth is really necessary during pregnancy.

But it is better for a pregnant woman to refuse general anesthesia during dental treatment. Under anesthesia, some functions of the female body slow down and this can affect the vital activity of the developing fetus.

Dental implantation during pregnancy is very dangerous, since this operation requires the use of potent drugs and after the procedure, a long period of engraftment of implants begins, which is accompanied by an additional burden on the female body.

Sometimes you need to take a picture of the root and the inside of the diseased tooth. Modern x-ray machines are safe enough that you can have the procedure by covering your tummy with a lead shield.

Avoid teeth whitening during pregnancy! The composition of the bleach includes substances that thin the already fragile layer of enamel. In addition, they can penetrate the placenta to the baby and provoke developmental disorders.

2. DENTAL TREATMENT DURING PREGNANCY

Already in early pregnancy be sure to visit your dentist and, if necessary, treat problematic teeth. In addition, consult with a specialist about the appropriate way for you to care for the oral cavity during the period of gestation. In a pregnant woman, the composition of saliva changes, the active activity of microbes and a lack of calcium provoke the destruction of tooth enamel. If you take care of your teeth incorrectly, you are more likely to develop caries. BUT cavities will not only worsen the condition of your teeth , but it can also be passed on to the baby.

In addition to proper care of the oral cavity, a pregnant woman should consume a sufficient amount of vitamins and minerals. Unfortunately, foods from the diet do not always contain enough of the substances you and your baby need. Therefore, ask your doctor to choose the most suitable preparations with vitamins and trace elements for you.

For example, in the 2nd trimester of pregnancy, the skeleton begins to actively form in the fetus. which increases the need for calcium. A lack of calcium can lead to bleeding gums and destruction of tooth structure.

Gingivitis is a dangerous disease for fetal development. . If itching appears in the gum area, then be sure to go to the dentist, as this is a typical symptom of gingivitis. If this disease is not treated, then periodontitis will begin to develop. According to experts, periodontitis is very dangerous for the development of the fetus, since the infection begins to actively spread with the blood flow.

Extraction of teeth during pregnancy

The safest period for the development of the baby is the 2nd trimester. It is better to perform the procedure for removing a diseased tooth during this period, but if necessary, you can pull out a tooth in both the 1st and 3rd trimesters. Modern means for anesthesia do not overcome the placental barrier and cannot have a detrimental effect on the development of the fetus.

But it is advisable to postpone the removal of the so-called "wisdom tooth" until the postpartum period, since in some women this procedure causes a noticeable deterioration in well-being and an increase in temperature. . Therefore, the "wisdom tooth" is pulled out only in case of emergency.

3. CARIES AND PREGNANCY

What causes the appearance of caries on the teeth and how dangerous is this disease for a pregnant woman. Below you will find information on how to properly care for the oral cavity and what prevention can significantly reduce the likelihood of a woman developing caries. You will also find out how effective the treatment of this disease is in the 1st, 2nd and 3rd trimesters of pregnancy.

4. ANESTHESIA OF THE TOOTH BY MODERN MEANS

Local anesthesia is used before filling or removing a diseased tooth. As we noted above, the anesthesia procedure relieves a pregnant woman of stress and physical reactions that are dangerous for the fetus. Dental treatment during pregnancy should not be accompanied by pain, and such modern anesthetics as Ubistezin or Ultracain perfectly relieve a woman of discomfort. At the same time, such drugs (the main analgesic component is articaine) cannot affect the bearing or development of the baby.

Tips for a pregnant woman on caring for her teeth:

How to properly care for teeth, gums and the entire oral cavity so that treatment of problem teeth during pregnancy is not required. Watch video tips from dentists.

You are pregnant! There is a sea of ​​\u200b\u200bjoy ahead, but no less worries ... A lot of things need to be done in the next six months, and even a bunch of tests and examinations, and here in the antenatal clinic they gave a referral to the dentist for " sanitation of the oral cavity". What for? Can't it be postponed? After all, it is harmful: x-rays, anesthesia! ..

It is worth looking into these issues. All women know that it negatively affects the condition of their teeth, skin, hair, but often perceives this as inevitable ... Everyone knows what should be treated before pregnancy ...

Why do teeth suffer first?

But because the baby is growing and he needs. This is one of the reasons. Strengthening of tooth enamel occurs with the help of calcium and phosphates, which are contained in saliva, but during pregnancy their number decreases, because, for the construction of the bones of the fetus, a lot of calcium is needed, and it is partially removed from the mother's bone tissue. As a result, the density of the teeth is weakened, and they become more fragile, and sometimes crumble right before our eyes.

Secondly, during pregnancy it changes a lot. hormonal background, this leads to disruption of metabolic processes in the tissues that surround the tooth. Almost every pregnant woman experiences inflammation gums varying degrees of severity. If such a disease is not cured in time, but brought to a seriously neglected form, then urgent and serious medication treatment may be required, which, it is possible, will harm your baby!

Thirdly, your baby is dating a lot of microbes , your carious ones also enter there. Even a kiss from a dad or mom with bad teeth or gums is dangerous for a baby!

Such consequences can be avoided by coming to the dentist for examination and hygienic cleaning, warning in advance that you are in a position. You will be removed hard plaque , contributing to the development and gingivitis, prescribe preventive procedures, treat caries, using anesthesia that is harmless to you and your baby. It is a myth that anesthetics are harmful, such drugs have long existed without, they are approved for use not only during pregnancy, but also during breastfeeding.

It is even possible to do small surgical procedures that do not require further admission. If a tooth aches and you had to urgently remove the nerve, do not refuse a picture on a visiograph (computer x-ray), because this is the only way a doctor can make sure of the quality of his work. The beam of the visiograph is aimed at 1-2 teeth, it practically does not scatter, and the radiation dose is minimal here. And also, you will certainly be protected with a lead apron, and the baby will not get radiation.

In order to prevent problems, try to come to the dentist early to carry out prevention, treatment is usually prescribed for second trimester of pregnancy, as it is considered the most stable.

Often, expectant mothers categorically refuse to visit the dentist during pregnancy, believing that the painkillers used can harm the baby, and treatment without anesthesia is not possible for them. But you should not postpone a visit to the dentist until the postpartum period because of fear of anesthesia, if only because an infection that develops in a diseased tooth can adversely affect the health of both mother and child. And, not daring to treat immediately after the problem occurs, a woman runs the risk of being left without a tooth or getting a severe periodontal disease.

Is anesthesia really necessary?

For example, in the treatment of ordinary caries, it is quite possible to do without anesthesia, it all depends on the pain threshold of the expectant mother and her well-being. Of course, when removing a tooth, prosthetics and deep caries, anesthesia is indispensable.

In any case, if possible, a visit to the doctor should be postponed until the second trimester, at this time, firstly, the uterus is much less excitable, and secondly, the placenta has already been formed after 14 weeks and is a protective barrier for the baby, protecting him from harmful substances.

Which anesthetic to choose?

Currently, drugs with a minimum dosage of adrenaline are used, which allows them to be used to treat pregnant women. The most popular drug in this group is Ultracaine. "Ultracain" does not penetrate the placental barrier, and therefore is absolutely safe for the fetus. Also, "Ultracain" does not penetrate into breast milk, which means it can be used for dental treatment in nursing women. In each case, the doctor selects the necessary dosage, based on the individual characteristics of the woman and the duration of her pregnancy.

Thus, the future mother is not only possible, but also needs teeth, especially now it is absolutely safe for her health and the health of the child.

Tip 2: What kind of anesthesia can be used during pregnancy

Pregnancy often comes with complications. It happens that in 9 months, expectant mothers are faced with situations where anesthesia is needed. It may be required both for dental treatment and for emergency cases.

Instruction

Usually, in position, doctors try to avoid activities associated with the use of medications, especially anesthetics. Therefore, if the situation allows, the operation is postponed until the baby is born. Exceptions are emergency surgical interventions that threaten the life of the mother, acute dental problems. According to statistics, the frequency of use of painkillers is 1-2%.

Anesthesia can adversely affect the course of any pregnancy. This is due to the possibility of causing violations of the functions of the body of the unborn baby and severe injuries, as well as the risk of asphyxia of the fetus and its subsequent death, a high probability of increasing the tone of the uterus, often leading to miscarriage or premature birth.

The most dangerous period for application is the interval between 2 and 8 weeks. It is during this period that the formation of all the internal organs and systems of the baby takes place. In the third trimester of pregnancy, the load on the body reaches its maximum, which can lead to premature birth. Therefore, in cases where surgical intervention is necessary, doctors try to transfer them to the second, between 14 and 28 weeks. At this time, the systems and organs of the fetus are formed, and the uterus does not respond to external influences.

Medical studies have shown that most pain medications are reasonably safe for mother and baby. According to experts, the main role in the development of abnormalities in the fetus is not the anesthetic itself, but anesthesia - it is important to prevent a decrease in blood pressure in the expectant mother and the level of oxygen in the blood.

The period of pregnancy always prepares future mothers for many unwanted surprises. Month after month, hormonal levels change in women, mineral reserves are depleted, and immunity weakens. And these are just a few of the possible reasons for the occurrence of problems in the oral cavity. But this is not the end of the world, as most pregnant women claim, referring to the prohibition of painkillers. This is just an excuse to devote a few free hours for yourself and your health. Moreover, treating teeth is now a pleasure compared to the level of dentistry 10 years ago. True, pregnant women need an individual approach to dental treatment, but everything is not as scary as it seems. Let's look together for answers to the question: "Are teeth treated during pregnancy?".

For some reason, women in position consider visiting the dentist something superfluous and secondary. All 9 months they run around the clinics and take a lot of tests for the well-being of their child, and they put off taking care of their health until later. And what is the result? Even a small problem, which could take 15 minutes to solve at the dentist, by the end of pregnancy can lead to tooth extraction and chronic periodontal disease.

A woman should clearly understand that there are three good reasons why you need to go to the doctor:

1. Hormonal changes in the body contribute to pathological processes in the oral cavity.
2. Lack of calcium, especially in the 2nd and 3rd trimester, will easily destroy even the healthiest teeth. Modern dental technologies help many women to keep their teeth in excellent condition in such a situation.
3. During pregnancy, the properties of saliva change: it loses its disinfecting ability, and pathogenic microbes begin to multiply in the mouth. Also, saliva changes the pH level, and the enamel is destroyed.

Advice! Do not consider bad teeth during pregnancy a small problem that will be solved by itself. It is better to do a preventive examination, and not get lost in conjectures and worries. Seek only professionals with experience in dental care for pregnant women. They will know when, how and with what treatment can be carried out?

Is it possible to treat teeth during pregnancy?

Many women, getting to the dentist, ask the same question: “Do they treat teeth during pregnancy?” Everyone would like to hear the word "no" and postpone this procedure as far as possible. But dental treatment during pregnancy is the responsibility of every expectant mother who takes care of herself and her baby. You, of course, ask, where does the fruit? The fact is that inflammatory processes in the oral cavity can affect the development of the fetus in a not the best way. Even a simple carious tooth, which does not bother a woman, serves as a source of microorganisms that enter the stomach and provoke late toxicosis. Just imagine how fast the infection will spread throughout the mother's body if the purulent focus is in the root region of the tooth? Or will a strong gingivitis pass to an already born child with a mother's kiss? There are many options, and not all of them are harmless.

Normally, a woman's amount of calcium in the body is 2%. Very often, during pregnancy, she receives less of this mineral from nutrition or she has metabolic problems, and calcium is not absorbed. In this case, night cramps in the limbs will join the holes in the teeth, and the risk of postpartum hemorrhage will double. In addition, the newborn baby will be at risk of allergic reactions and rickets. Therefore, a preventive examination by a dentist should be carried out in each trimester.

A few statistics...

45% of pregnant women come into contact with a problem such as gingivitis. Their gums swell and bleed, discomfort and bad breath appear. For most of them, these problems go away on their own after childbirth, if they adhere to the recommendations of specialists.

Suitable strings of pregnancy for dental treatment

We have already seen that it is possible to treat teeth during pregnancy. But when is the best time to do it? If a critical moment comes, then you need to go to the dentist immediately for help. If time endures, then the treatment is carried out in the period from 14 to 20 weeks of pregnancy, that is, in the second trimester. Starting from 14-15 weeks, the fetus is already protected by the placental barrier. At this stage of pregnancy, the use of anesthetics with a minimum content of adrenaline or radiography (in extreme cases) is allowed. In the first trimester, the embryo is only being formed and organs and systems are being laid, so the use of anesthesia and any drugs is contraindicated. After 20-24 weeks, it is physically quite difficult for a woman to go through an event such as dental treatment.

On a note! In the 3rd trimester, the fetus puts a lot of pressure on the aorta. If a woman has to undergo dental treatment, then her position in the chair should be special. To exclude fainting or a drop in blood pressure, a woman needs to sit on her left side.

Diseases that can and should be treated during pregnancy

If it so happens that you need dental treatment during pregnancy, firstly, do not worry, and secondly, tell the doctor what week of pregnancy you are, about its course and about taking medications, if you take them. This will help the doctor choose the optimal and safe treatment tactics.

Advice! Careful hygiene with the help of fluoride-containing pastes without the whitening effect will help protect teeth during early pregnancy.

If you have caries...

Caries is a common hole in the tooth. At the stage of occurrence, caries is simply treated and does not require painkillers. If the process is started, then the destruction of dental tissues will reach the pulp and the removal of the nerve and more severe treatment will be required. The only limitation is arsenic. Its use is not allowed. And there are no restrictions in the choice of fillings. It is possible to fill teeth with both chemical fillings and light curing fillings using ultraviolet lamps.

Important! Toothpastes with flavors and flavors can provoke attacks of toxicosis. Repeated vomiting increases the acidity of saliva and causes the destruction of enamel.

If you have gingivitis or stomatitis...

Pregnancy gingivitis is a hypertrophied increase in the gums under the influence of hormonal disruptions in the process of preparing for childbirth. The gum tissue is easily inflamed and can completely cover the dental crowns. With this condition of the oral cavity, a woman is simply not able to maintain hygiene and she needs professional help. Self-medication with home remedies will only aggravate the disease and it will all end with a complex form of periodontitis. According to the results of recent studies, in women with exacerbation of severe forms of periodontitis during pregnancy, preterm labor and some pathological conditions in newborns were observed.

A timely visit to the doctor will alleviate your painful condition with gingivitis and protect your baby from exposure to toxins. The doctor will prescribe gum treatment with an antiseptic, rinses and applications to relieve inflammation, and perform professional oral hygiene.

Due to weakened immunity, women often experience stomatitis in the oral cavity. Small ulcerative lesions cause severe pain and swelling. This disease does not bring any particular danger, but it will not hurt to go to the doctor. He will advise you on a spray that is appropriate during pregnancy.

If you have periodontitis or pulpitis…

Inflammation of the nerve (pulpitis) and near the root of the dental tissues (periodontitis) is a consequence of untreated caries. The treatment of such diseases already requires the use of an anesthetic, and in order to properly seal the dental canals, you will have to take an x-ray. Modern radiovisiographic devices irradiate 10-15 times less than their ancestors. In addition, the lead apron will protect the baby from radiation.

If you suffer from dental stones ...

During pregnancy, both teeth and tartar create many difficulties. Plaque and calculus can cause bleeding gums and encourage the growth of "bad" microorganisms. This procedure is not anesthetized and is carried out using ultrasound or special instruments.

What anesthesia can be used during pregnancy?

Until now, there is a myth between pregnant women that if a tooth hurts during pregnancy, then it will have to be treated without anesthesia. This makes frightened women go to the dentist on "cotton" legs in anticipation of terrible agony in the dentist's chair. And only when they get to the doctor, they learn that a new generation of painkillers is actively used in practice to treat women in position.

Anesthetics based on articaine and mepivacaine ("Ultracaine") contain a minimum amount of vasoconstrictor components and have a purely local effect, without getting through the placenta to the child. Therefore, the torment of a toothache brings much more damage to your child than anesthesia of the teeth during pregnancy.

On a note! General anesthesia is contraindicated during pregnancy.

X-ray during pregnancy: is it acceptable?

Not every doctor will be able to “blindly” seal a crooked canal, diagnose a cyst or hidden caries. This will require an x-ray. It is allowed only after 12 weeks of pregnancy.

How are x-rays done for pregnant women:

1. She is covered with a lead blanket.
2. Determine the appropriate exposure and use class E film.
3. Take all necessary pictures at the same time.

It's important to know!

It is preferable to contact the clinic, where there are modern devices with microdoses close to the normal radiation background.

Removal and prosthetics of teeth during pregnancy

The need for a tooth extraction during pregnancy is rare, but occurs if you have neglected your tooth and caries has completely affected it. The process is absolutely safe for pregnancy, except for the excitement of the patient. After tooth extraction during pregnancy, hypothermia or overheating of the damaged gum area should be avoided.

Prosthetics are considered acceptable during pregnancy, especially if the woman feels great and initiates herself. If necessary, braces are allowed.

Interesting!

Dental caries is diagnosed in 91.4% of women with a normal pregnancy.

Strong tooth sensitivity (enamel hyperesthesia) is observed in 79% of pregnant women.

What procedures should be postponed

1. Implantation. Engraftment of new implants involves the use of medications, antibiotics and additional forces of the female body. This procedure is not recommended for pregnant women.
2. Wisdom tooth extraction during pregnancy. This is a complex surgical procedure, after which it is possible to increase the temperature and take antibiotics. If the situation is not critical, then you can remove the tooth after pregnancy.
3. Teeth whitening. The chemical constituents in bleaching liquid cross the placental barrier and have a toxic effect on the fetus. In addition, whitening destroys enamel and increases the risk of dental diseases.

What threatens the baby with sick mother's teeth

1. Psychological factor. Toothache negatively affects the female body and at the same time the condition of the child.
2. Infection. Various pathogenic microorganisms can cause all sorts of complications in a child.
3. Intoxication and inflammation. The defeat of the periodontium causes poor health, high temperature, toxicosis, disorders of the digestive system. This threatens with late gestosis for the mother and hypoxia for the fetus.

What drugs are prohibited during pregnancy

Before you are given an injection of anesthetic and offered to make an application, ask what drug will be used.

1. Lidocaine is a local anesthetic chemical. Causes convulsions, dizziness, weakness and decreased pressure.
2. Sodium fluoride is a caries treatment. It is used to strengthen tooth enamel. In high concentrations, it negatively affects the heart rate and fetal development.
3. Imudon is a drug for the treatment of inflammatory diseases of the oral cavity. The negative factor is unknown, since studies have not been conducted.

Carry out doctor's orders

Even if all teeth are healthy and there is no hint of even the most harmless gingivitis, all pregnant women are simply obliged to visit the dentist at registration for valuable recommendations:

1. The ideal option is to treat your teeth at the stage of pregnancy planning.
2. Get regular checkups with your dentist.
3. Maintain good oral hygiene: floss, rinses, soft toothbrushes and high-quality toothpastes.
4. Adjust the menu so that it contains enough calcium.
5. If you suffer from toxicosis, after vomiting, be sure to rinse your mouth with a soda solution.
6. To prevent gingivitis, rinse your mouth with herbal decoction of chamomile, oregano, mint and St. John's wort.

Women should responsibly prepare for such a happy period in their lives as pregnancy. But, if for some reason it was not possible to prepare your teeth and health in general in advance, then come to the dentist for help as early as possible and remember that treatment should be carried out at 4, 5 and 6 months of pregnancy.

Dental problems during pregnancy occur in most expectant mothers. This is due to the fact that the fetus takes away useful minerals and vitamins, including calcium. And as you know, it is the basis for our dental tissues and bones. In addition, the body of a pregnant woman falls under the influence of hormones, which can also affect the dentition and jaw system. But, unfortunately, many of them are mistaken, thinking that nothing can be done with the teeth at any stage of pregnancy. Toothache cannot be tolerated by ordinary people, and even more so by pregnant women. This can once again cause uterine tone.

What happens if you do not treat your teeth during pregnancy

To begin with, the presence of any pathogenic bacteria is a source of infection. Starting from gingivitis, ending with dental diseases and their complications, their presence can adversely affect the body of the expectant mother and the fetus. There are a lot of bacteria in one carious cavity. If not treated in time, then the infection will go further. Moreover, it enters the body with food consumed by the mother. In the first trimester, the placenta is still weak and cannot protect the fetus, so pregnant women are prescribed special vitamin complexes. They are needed to support the body until the placenta is fully formed. Therefore, their intake is mandatory, despite the fact that in the past they gave birth to healthy children and without any vitamins. If there is any doubt about whether to treat teeth during pregnancy or not, it is better to consult a specialist who can definitely answer this question. Only a trained person can know what kind of help is needed in a given situation. After all, everyone's body is individual, and pregnant women are mostly unpredictable.

Is it possible to carry out therapeutic measures during pregnancy

In some cases, it is even necessary. But when it is better to treat teeth and gums during pregnancy depends on the complexity of the situation. Gynecologists are more afraid of the first and last trimester. Because these periods are the most dangerous for the fetus. Therefore, if there is no urgent need, then it is advisable to avoid any interventions during these periods. As for the second trimester, from the 14th to the 20th week of pregnancy, manipulations can be carried out. If nothing bothers you from the dental and jaw system, you still need to visit the dentist's office three times during the entire period of pregnancy for a preventive examination. If necessary, carry out professional hygiene. In other cases, if it is not possible to endure, for example, acute toothache, then treatment is carried out after a thorough collection of the patient's history. Under no circumstances should a patient be released in acute pain.

It is necessary in all cases where there is at least some lesion in the oral cavity. This applies more to those conditions when a pregnant woman is tormented by pain. But this does not mean that if there is a carious cavity, it should not be treated, even though there is no pain. The main thing is to try to do it during the second trimester. Dental care during pregnancy is a very crucial moment. Because when causing any slightest pain, the patient immediately begins to involuntarily strain. And this can lead to tension. This can also apply to unpleasant sounds. Therefore, it is necessary to warn the patient about all the manipulations that will be carried out. As mentioned above, any activities are best done in the second trimester. In the third, the development of all organs takes place, therefore it is desirable that there be no outside interference.

Dental treatment

Dental treatment during pregnancy should include a complete sanitation, if the patient's condition allows it. Modern dentistry uses a lot of materials for this, which are absolutely harmless to expectant mothers and their babies. And this also applies to anesthetics. Based on this, you should not be afraid to treat your teeth during pregnancy.

The choice of a specialist plays an important role - he must be able to carry out all the necessary actions, be competent, know all the nuances of treating pregnant women. If the doctor is well versed in how to work with expectant mothers, then he will prescribe the right treatment.

caries treatment

Most often, caries is noticeable at a preventive examination. Therefore, it occurs in pregnant women either superficial or medium. But this is in cases where the patient treats her teeth responsibly and regularly sanitizes the oral cavity. It may be that, without being able to cure before pregnancy, the carious process has gone into deeper layers due to pregnancy. Superficial and medium caries is possible to treat without anesthesia. The main thing is to pause more often, use a water jet during preparation. The cavity should be treated with ether-free solutions. Sealed with any material at the discretion of the patient. You can put chemical or light. Neither material has any harmful effect. The light of the lamp that illuminates the light-cured material is also harmless.

If, nevertheless, it hurts a pregnant woman, in order not to torment her, anesthesia should be performed. To date, there is a large selection of anesthetics, among which there are those where the concentration of the vasoconstrictor component, that is, adrenaline, is less, and in some it is not included at all. In any case, a local anesthetic is harmless if there is no intolerance to it. The main thing is to inject it with a slow stream without excessive pressure so that there is no rupture of soft tissues. It is better to give pain relief than to endure pain and torment the doctor who will be afraid to once again cause you pain discomfort.

No one can endure pulpitis pains - they are the strongest in nature. Some can be saved by analgesics, but what about pregnant women? If the nerve is inflamed, then you can’t pull it with it - you need to remove it. If these are acute forms of pulpitis, then it is better to first devitalize the pulp, and then remove it. The canals must be well sealed and obturated after their processing. To check this, you need to take an x-ray. Can pregnant women have x-rays? This question immediately arises for everyone. In fact, nothing will happen from one shot, especially since the stomach will be protected by a special lead cape. In addition, modern clinics use a radiovisiograph, which has much less exposure. It's better to have an X-ray control and make sure that the channels are well treated than to hope for it, but this is not the case. If they are not treated qualitatively, then the infection will go beyond the tooth into the bone. At best, periodontitis will occur.

As for the periodontitis itself, well-sealed root canals serve as the end result of the treatment. But in this case, if there is a purulent discharge, it is necessary to allow it to completely clear itself. Therefore, for some time the tooth should remain open. Much depends on the patient herself. She will often need to do rinses to speed up the outflow of pus, close the tooth with a cotton ball during meals so that the remnants do not get there and clog the channels. If this happens, then the pus has nowhere to go and a flux may form. Therefore, it is necessary to explain to the patient that the doctor gives these recommendations not for show and that they must be strictly observed.

Tooth filling step by step

After the cavity is prepared and ready to be filled with filling material, it is treated with antiseptics. Then the tooth is isolated from the salivary fluid and dried completely. Here, at the next stage, the opinions of doctors are divided. Enamel should be etched before or after applying the insulating liner. The etching gel mainly acts on the enamel. But, if this is done immediately after the antiseptic treatment, then there is an opinion that the phosphoric acid used to etch the enamel can clean the prepared cavity from bacteria and dirt. Rinse after this thoroughly and very carefully. The patient must not be allowed to swallow even a drop. Then a lining material is applied and the tooth is sealed.

Need for tooth extraction

In this situation, it depends on the gestational age and the clinical case. Normal removal presents no difficulty. Again, everything is done under local anesthesia with modern anesthetics.

As for wisdom teeth, their removal is considered a complex surgical intervention. Therefore, if there is no urgent need, it is better to transfer to the postpartum period. Because after removal, antibiotics, antimicrobial and anti-inflammatory drugs can be prescribed. In other words, it's better not to climb.

The main thing, after tooth extraction, is to strictly follow the recommendations given by the surgeon - do not rinse, do not take hot and hard food, etc.

Inflamed gums

Pregnancy gingivitis is very common. Again, primarily due to hormonal changes. It is characterized by inflammation of the gingival mucosa, swelling, bleeding with light touching. In more advanced cases, it can grow, covering a significant area of ​​the crown part of the tooth. Before you try to relieve inflammation, you need to professionally brush your teeth, freeing them from plaque and stones. Then carry out antiseptic treatment. With a mild form, this is usually enough. As for growths, they are removed under local anesthesia in the surgical room. This operation is also a harmless manipulation for the expectant mother and baby.

Prosthetics during pregnancy

What about prosthetics? Yes, you certainly may. These are the most harmless manipulations. It is even better to get prosthetics and make yourself a beautiful and healthy smile during pregnancy than after it. Because then there may not be enough time for this and the teeth will be destroyed even more. So there are no obstacles for prosthetics. As for implantation, it is better to wait a little. Because the implant itself is already a foreign element. And if you take into account hormonal changes, then the risk of complications increases.

Prevention, first of all, should be general. The expectant mother should think about her diet. This is important not only because of the teeth, but also for the unborn baby. It is necessary to include in your diet more foods containing proteins, calcium, fluorine. The second necessary measure is personal hygiene. The dentist should explain how to properly brush your teeth, which brush and paste to use, whether it is possible to use mouth rinses. If you see a spot on a tooth, you should not wait until it hurts. It's best to seek help right away. After all, as already known, the treatment of caries does not present any difficulties and harm. It is also necessary to sanitize the oral cavity of the future father, because he has the same source of infection that he can transmit to the expectant mother through close contact.

Regarding other dental procedures

There is one more question that torments many pregnant women - is it possible to whiten teeth? Let's start with the fact that whitening is a direct effect on the enamel. If you add to it the leaching of calcium from the teeth due to the fetus, then the teeth will decay faster. So the answer to this question is no. In no case is it possible. If you endured until the onset of pregnancy, then it is better to endure these 9 months. Because no whitening is completely safe. There are more gentle methods, but for expectant mothers, this may be too harmful.