One of the most controversial issues encountered by many women is dental treatment during pregnancy, about which a huge amount of myths and rumors circulate. Which of them should heed, and which ones should I ignore?
Medical tips and recommendations will help to understand this problem situation and make the right decision - whether or not to go to the dentist during the period of gestation. After all, the health of the future mother and her unborn child depends on it.
Why do teeth suffer during pregnancy?
Depending on the heredity and health of the woman, during pregnancy, the teeth can be very badly affected, and can remain completely healthy throughout the 9 months.
The latter is possible if the parents planned the birth of the child and the oral cavity of the expectant mother was sanitized (i.e. treated) before conception. Why does a fetus growing inside a woman have such a powerful and in most cases destructive effect on the teeth of a pregnant woman? Doctors have several reasons:
- Changes in hormonal levels are reflected even in the composition and properties of saliva, which during this period contributes to the development of caries.
- Gums during pregnancy are supplied in large quantities with blood, which makes them friable and accessible to disease-causing bacteria. The result is inflammation in the oral cavity. The consequence is gingivitis. Untreated, it develops into periodontitis, the main feature of which is bleeding. All this ends as a result of caries.
- Due to toxicosis, women cannot avoid nausea and vomiting. Emetic masses have a low level of acidity due to the abundance of hydrochloric acid. They lead to erosion, thinning of tooth enamel.
- For the intrauterine formation of the skeleton of the child consumes a lot of calcium. His child receives from the maternal bone system, which includes teeth. If a woman does not have enough calcium during pregnancy, her teeth begin to break down.
Pregnancy - stress for the female body, which in its own way and in different ways affects all its systems and organs. The oral cavity is no exception. If there is no rehabilitation, appropriate treatment, proper care for her during this period, her teeth will begin to crumble, crumble and fall out, and her gums will bleed.
And here the question arises: do you need treatment or not? To answer it, it is useful to begin with to find out how dental diseases affect the fetus.
Helpful advice. To avoid the lack of calcium during pregnancy, which leads to tooth decay, you need to drink Calcium D-3 Nycomed (with the permission of the doctor) and include as many legumes, nuts, seeds, fruits, cereals, vegetables, greens, berries, eggs, fish and dairy products.
Impact of dental health on pregnancy
In fact, a lot of women doubt: is it necessary to treat the teeth during pregnancy - is it possible to wait for the birth of the baby and visit the dentist after that? If you understand how closely diseases of the teeth are connected with the prenatal development of the baby and his health, this question will not arise. Here are just a few facts about this, laboratory-proven.
- According to recent studies, bacteria that provoke caries often lead to premature birth or low birth weight. It stimulates the production of cytokines in the female body - substances that cause uterine contraction.
- Pulpitis and periodontitis (caries complications) cause the absorption of pathogenic bacteria and toxins into the blood, which can get to the fetus and infect it.
- Toothache is a psycho-traumatic factor for a pregnant woman, which leads to the release of hormones into the body. All this adversely affects the prenatal development of the child.
- Infection from a rotten tooth can get into the gastrointestinal tract and cause preeclampsia - late toxicosis.
These factors are quite enough to understand why you need to treat your teeth during pregnancy during the exacerbation of dental diseases. At stake is the health of the unborn baby, which must be protected by any means.
But where, then, did the myth come about that oral therapy during this period is dangerous? He has supporters and opponents: listen to both sides.
Stubborn statistics. Caries is diagnosed in 91.4% of women with a favorable pregnancy. And in 94%, if it is complicated by toxicosis.
To treat or not to treat: the pros and cons
You ask yourself whether it is possible to treat teeth during pregnancy and is it not dangerous for a child? Weigh the pros and cons before making a final decision.
Doctors themselves (gynecologists and dentists) argue that it is possible and simply necessary to treat teeth during pregnancy if any problems arise with them. Arguments:
- A diseased tooth is the source of many bacteria and infections that, after giving birth to a baby, can attack its small and defenseless organism, since it will be in constant contact with its mother.
- A woman herself, without taking care of her teeth, may become a victim of these same infections, which will require treatment with antibiotics, which are highly undesirable during pregnancy.
- After the birth of the child, the mother will never run to see doctors, so it would be better to treat her teeth during pregnancy.
- The effect of untreated teeth on fetal fetal development is the most negative: it can be infected, suffer from mom's experiences about toothache, its body weight and age can depend on it.
- In the arsenal of the dentist there are medicines for dental treatment, completely harmless to the fetus, so do not be afraid of their dangerous effects on the child.
But where did the opponents come from, claiming that going to the dentist would harm the unborn baby? This is how they explain why teeth cannot be treated during pregnancy.
- Dental treatment in early pregnancy with the use of anesthesia can lead to disruption of the formation of tissues in the embryo.
- Due to low immunity there is a risk of developing complications after tooth treatment.
- The pain threshold during this period decreases, therefore, treatment of teeth during pregnancy is a much more unpleasant procedure.
A woman must understand and imagine the danger of dental treatment during pregnancy in order to warn the dentist about her situation in time. In this regard, he will choose the safest anesthetic drug and advise whether the tooth requires immediate treatment, or can wait until the postpartum period.
If everything is done in accordance with the recommendations of the doctor, going to the dentist will not threaten the dangers and complications of the baby and mother, either before or after childbirth! On the contrary: save them from infection.
It is necessary to know! Lidocaine is permitted as anesthetic for pregnant women in dentistry, but Mepivacaine is undesirable. As analgesics, Paracetamol and Ibuprofen can be drunk to eliminate toothache, but the latter is strictly forbidden in later periods. Safe antibiotics for treating the onset of inflammation - penicillin, cephalosporin, clindamycin, metronidazole.
For each period of pregnancy, doctors advise different approaches to dental treatment, which is necessary for all women who are expecting a child to be aware of. The health and development of the baby may depend on the period at which even the most innocuous anesthesia was applied.
- During the "mitotic" period of the first trimester (from the moment of conception to the 17th day), the embryo has a high sensitivity to toxins. Despite the fact that the fertilized egg is protected by a dense shell, dental treatment is not recommended for this period.
- The "organoleptic" period in the first trimester is even more dangerous. The formation of organs and tissues in the embryo. Dental treatment with painkillers at this stage can lead to a violation of this important process, which will lead to deviations in the further development of the fetus.
- Dental treatment in early pregnancy is not recommended for caries and chronic pulpitis and periodontitis.
- An exception is urgent intervention: exacerbation of pulpitis and periodontitis, which occur with a pronounced pain syndrome and are fraught with purulent inflammation.
- The risk of negative effects of dental treatment on the child in the 2nd trimester is reduced.
- In each case, the doctor must take into account the toxic effects of drugs used in dentistry: anesthesia, antibacterial and other drugs.
- At this stage, it is advisable to carry out prevention of dental diseases - professional hygiene.
- First of all, those teeth whose condition may deteriorate sharply in the third trimester is treated.
- If there is no risk, then dental treatment is postponed for the postpartum period.
- Any decision about dental treatment at this stage is taken exclusively by the doctor.
- The last weeks of pregnancy are characterized for a woman by increasing anxiety, fatigue, and rapid heartbeat. If we add to this the suffering of a toothache, an unfavorable picture may emerge: you can give birth before the time of birth (you can read about the consequences of early childbirth here). Therefore, treatment is necessary.
- On the other hand, in the 3rd trimester, the uterus becomes especially sensitive to any external influences, which can also provoke preterm delivery. This concerns the treatment or removal of teeth with anesthesia.
Now you know when you can treat your teeth during pregnancy: II trimester is the most suitable time for going to dentistry. Depending on the disease, the doctor will decide which therapy to carry out: prophylactic or surgical, nerve removal or conventional filling, with or without anesthesia.
Useful information. Term I covers the period from conception to week 12 inclusive, II - from 13 to 28 weeks, III - from 29 to 41.
Treatment of diseases
There are not so many dental diseases, but they determine the therapeutic course during pregnancy - exactly how the dental treatment is carried out depending on the damage.
- Treatment of dental caries is carried out without anesthesia.
- There are no restrictions for fillings: the choice is made by the pregnant woman herself.
- Treatment of pulpitis is carried out only with a painkiller injection.
- Such modern anesthetics as Ubutezin and Ultracain, which do not penetrate the placental barrier and are completely safe for the fetus, are used.
- In them the concentration of vasoconstrictor agents is minimal, in some they are completely absent.
- You may need an x-ray of a tooth that should not be feared. From one shot the fruit will not suffer. Moreover, in modern devices the radiation dose is very low.
- Does not always require pain relief.
- But in most cases X-rays will need to be done.
- Surgical dental treatment during pregnancy with anesthesia is a must.
- It requires accurate implementation of all recommendations of the doctor in the postoperative period: do not rinse the mouth, do not heat it.
- Exception - "wisdom teeth". Their removal requires additional manipulations and postoperative use of antibiotics for treatment. So this procedure is better to postpone for the postpartum period.
- There are no contraindications to prosthetics during pregnancy. The procedures of the orthopedic dentist are safe and painless.
- Another thing is implantation, which will require large expenditures from an already weakened organism. The engraftment of implants also occurs under the influence of medical preparations that do not affect the fetus in the most favorable way.
- The most common dental disease during pregnancy, which requires mandatory treatment.
- Treatment of a mild form of gingivitis is reduced to antiseptic treatment of the gums, rinsing, professional teeth cleaning, anti-inflammatory applications.
- After childbirth, the symptoms of light gingivitis with appropriate and timely treatment disappear without a trace.
- In severe cases, surgery is performed.
If during pregnancy there are problems with teeth, it is not recommended to delay treatment with it. Even if it is I or III trimesters, it is necessary to visit the dentist for professional advice and follow all his recommendations. And especially - for the use of folk remedies to eliminate toothache.
Medical educational program. Gingivitis - inflammation of the gums without damaging the teeth. If untreated, it develops in periodontitis - inflammation of the tissues surrounding the tooth.
Indeed, not everyone can tolerate toothache. And if we also take into account the reduction of the pain threshold during pregnancy, it is almost impossible to endure these torments. And then what to do if you need to wait before visiting the dentist? Innocent rinses and medicinal herb lotions can always come to the rescue. Since they do not get inside (in the blood and in the gastrointestinal tract), their impact on the development of the fetus is minimal, and dental treatment with traditional medicine can be a real salvation for a pregnant woman.
1 tablespoon dry or fresh sage brew boiling water (200 ml), leave for about an hour. The treatment consists in rinsing.
- Salt and soda
In equal quantities (1 tea lodge.) Dissolve the table or sea salt with baking soda in a glass of warm water. To rinse.
A warm clove powder applied to the gums helps well against their bleeding.
- Garlic, onion, salt
Grind the mashed garlic and onion. Mix 1 teaspoon. sprinkle with a pinch of salt. Invest in the hollow of the sick tooth for 15 minutes, cover with a cotton swab.
- Aloe Kalanchoe
Squeeze the juice from the fleshy leaves of aloe or kalanchoe. For treatment, moisten the affected tooth or gums with it several times a day.
For the successful application of all these folk remedies for toothache, two factors must be considered. First, there should be no allergy to their components. Secondly, the consultation of a gynecologist or a dentist about their use in such an interesting position as an additional dental treatment will not be superfluous. Well, never to face the problem of toothache, you need to be able to properly care for the oral cavity.
There is an opinion. Some doctors believe that sage, like essential oils, provoke uterine spasms, so they cannot be used to treat teeth during pregnancy. On the other hand, rinsing with these infusions is so insignificant in the amount of active substances entering the blood that it is hardly worth fearing miscarriage or premature birth.
Oral Care Tips
We have already figured out how much pregnancy affects the oral cavity. Therefore, it is important to keep it clean for all 9 months. Proper dental care is the best prevention of dental diseases, excluding painful treatment and dangerous anesthesia.
- It is better to buy a 5th generation brush with a multi-level arrangement of micro-textured, artificial villi. The protrusions allow penetration into the hard-to-reach interdental spaces, where plaque accumulates, contributing to the demineralization of the teeth. The brush should be medium hard or soft.
- The toothbrush changes every 2–3 months, i.e., 3-5 times during pregnancy.
- It must be kept in perfect purity: after each cleaning, rinse under running water and be kept in a glass with the bristles up to dry it completely.
- To remove plaque is recommended to use floss - special threads.
- There are special toothpastes for pregnant women - it is better to use them (for example, "Pregnadent"). Did not find such - look for those whose composition is safe for the body: they should not contain sodium lauryl sulfate, triclosan, fluorine, abrasive substances. Well, if the tube will appear "hypoallergenic".
- You can not brush your teeth immediately after vomiting, which is a frequent companion of pregnant women during the period of toxicosis. Enamel, which at such times is exposed to hydrochloric acid, quickly abraded.
- After each meal, it is advisable to use mouthwash.
- About the health of teeth a woman needs to think about before pregnancy. It will require treatment of all patients teeth, you need to start taking a complex of vitamins with the obligatory calcium content. Try to eat right, add a diet of more cheese, cottage cheese, nuts.
- During childbirth, it is necessary to visit the dentist, even if the teeth are not disturbed, at the beginning and in the middle of pregnancy, and then immediately before birth.
- The future father also needs sanitization of the mouth before the baby is born.
Careful oral hygiene significantly reduces the risk of caries and other dental diseases. And then there will be no question whether to go for treatment or refuse, whether it is harmful or not. But in any case, about the possible complications of dental problems during pregnancy, you need to know.
Innovative design. Почему во время беременности лучше пользоваться зубными щётками пятого поколения? Щетинки на ней удаляют с поверхности зубов в 3,5 раза больше налёта и бактерий, чем обычные щётки. И тогда лечения зубов не понадобится - нужна будет только профилактика.
Осложнения и последствия
Complications are fraught with denial of dental treatment during pregnancy. Undesirable consequences can also occur if the rules of dental therapy have been violated. For example, she was prescribed in the early stages with appropriate contraindications or prescribed drugs that adversely affect the fetus.
- Immunity during pregnancy becomes vulnerable, so infection from the diseased tooth, which was previously limited to the oral cavity, risks becoming generalized and go into sepsis.
- Intrauterine infection of the fetus due to untreated caries.
- If dental treatment was performed during pregnancy with anesthesia in the first trimester, this is fraught with abnormalities in the fetal intrauterine development (see also: intrauterine growth retardation).
- Preeclampsia - late toxicosis.
- Premature birth.
After the birth of a child
- Small body weight of the newborn.
- A child can be born nervous and capricious, because during the pregnancy his mother suffered such a traumatic factor as pain, which in the absence of dental treatment will only intensify.
- If you do not treat your teeth during pregnancy, after the baby is born, you can inadvertently infect it with staphylococcus. Its source is bad teeth. The way to infect is your kiss, a dummy licked for it by you. These bacteria can even pass into breast milk. The result is serious illness of the infant.
Dental treatment during pregnancy is not only necessary, but also necessary action. However, it is carried out competently, with the involvement of specialists. Dangerous diseases, and not the therapy itself, are dangerous and harmful for the child and for the mother. Doctors will never prescribe drugs or procedures that will adversely affect the intrauterine development of the fetus. Trust them - and no infection will be able to overcome you and your baby.