Often, pregnant women are afraid to go to the dentist for fear that dental treatment may harm the unborn child. This fairly common misconception can lead to loss of teeth in a woman. The baby is threatened with the spread of infection in oral cavity... In the future, this will lead to premature deterioration of milk teeth. Infection from carious teeth is transmitted to the baby from the mother during breastfeeding. In this article, we will talk about whether it is possible to treat teeth for pregnant women, how to properly treat teeth during pregnancy.
Why does tooth decay occur in pregnant women?
During pregnancy, the composition of saliva changes, the amount of substances that protect the teeth against the development of caries decreases. The composition of the microflora is also violated in the oral cavity, the number of bacteria that prevent the formation of caries decreases. In addition, calcium metabolism in the body also changes, all calcium reserves are used to build the body of the unborn child.
What time is it possible to fill teeth for pregnant women?
If you are just planning a pregnancy, you should contact a specialist and make sure that all your teeth are checked by a doctor and filled in advance. If you have symptoms such as darkening of the enamel, bleeding gums, reaction to cold or hot, it is not recommended to postpone a visit to the dentist.
Still, it is better to start dental treatment when the 14th week of pregnancy has passed. During this period, the placental barrier has already formed, the threat to the child is minimal. If there are no major problems with teeth and gums, you should not have your teeth treated one month before giving birth. During this period, a pregnant woman should be protected from stress, and a visit to the dentist is already a cause for concern.
If the damage to the tooth occurred in the first three months after the onset of pregnancy, also do not delay the visit to the specialist. In a short time period, the tooth will not have time to decay strongly; a visit to the dentist can end with a simple filling of the tooth without the use of anesthetics. By postponing a visit to a doctor, you aggravate the problem, then you will require more serious help from a specialist with the removal of the nerve and filling the canals.
Local anesthetics during pregnancy
Undoubtedly, local anesthetics the previous generation, such as lidocaine, are not recommended for use during pregnancy. But pharmacology does not remain the same!
Afraid of using anesthetic drugs local action pregnant women should not. Rather, it does more harm toothache, this is already a strong stress factor, but worry expectant mother to nothing. Modern drugs used in dentistry, for example, Ultracaine, Ubistezin, are not able to pass through the placental barrier and, therefore, will not pose any harm to the baby.
Dental X-rays and pregnancy
X-rays of teeth in pregnant women are usually very serious reason for excitement. Tell your doctor right away if you are pregnant. A competent specialist will resort to dental x-rays only in case of extreme need.
An alternative to the traditional X-ray machine is the radiovisiograph. The radiation emitted by this device is tens of times less than that of the usual X-ray device. A narrowly directed beam of X-rays goes only to the area of the diseased tooth. A lead apron worn by a woman during the procedure serves as an additional protection.
Tooth extraction during pregnancy. What to do if it becomes necessary to remove a tooth?
If the condition of the tooth allows, this operation should be postponed until the second trimester of pregnancy. As already noted, there is no threat from the use of modern anesthetics for a pregnant woman and a fetus.
More complex surgical interventions, for example, the extraction of the "wisdom" tooth, should be postponed to the postpartum period.
What kind dental materials are used for filling teeth?
First, the doctor places a temporary filling using a harmless compound. Materials for permanent fillings in pregnant women are metal, phosphate, composite materials. Reflective composite materials are considered to be the most durable.
As you can see, you should not be afraid of seeing a dentist during pregnancy. Much worse for the child will be the appearance of reduced immunity and stomatitis, and the source of infection will be the mother's carious teeth.
For a woman, pregnancy is associated with many restrictions. At the same time, the responsible future mother tries to minimize harm to himself and the child being born, checking the features of the influence of each event, be it medical procedures or visiting a bath. That being said, one of the most frequently asked questions concerns security.
Can teeth be treated during pregnancy?
Conducting appropriate activities is not only not prohibited, but also highly recommended. one of the strongest. Its occurrence is fraught with great stress and, as a consequence, depletion of the body.
In addition, strong psychological stress can cause temporary changes. hormonal background, which is harmful to a bearing child. However, not all dental procedures can be performed during pregnancy.
The implementation of some of them can negatively affect the body of the expectant mother and the fetus inside her. It should also be borne in mind that for some periods it is not at all recommended to carry out any medical procedures.
Although in the case of dentistry, the likelihood of harm to the fetus as a result of some kind of intervention is relatively low.
It is best, of course, to take care of your dental treatment in advance. This minimizes the likelihood of stress-related problems caused by dental pathologies.
Dental procedures and pregnancy
For treatment dental pathologies in pregnant women, the following drugs are most often used:
- Artifrin;
- Ubistezine;
- Alfacaine.
The advantage of these drugs is that their use does not lead to strong increase adrenaline level.
This is due to the high psycho-emotional stress. It appears even if local anesthesia has been administered.
There are exceptions for which tooth extraction is allowed during pregnancy:
- , the elimination of which is impossible with therapeutic methods... In such situations, psycho-emotional stress is much higher than that which is typical for a surgical operation;
- ... In this case, not only pain syndrome but also inflammation, challenging education a large number pus. The latter can lead, among other things, to blood poisoning. And the infection that has got into it will certainly penetrate the practically helpless organism of the fetus, which will certainly lead to a number of violations in it. Therefore, this kind of pathology should be disposed of as soon as possible;
- ... But not always this factor is the reason for surgical intervention... Dentists recommend getting rid of a tooth when the size of the cyst exceeds 10 millimeters in diameter;
- broken root or crown... If you do not remove what is left of the tooth, an infection can develop inside it. She, as is the case with deep caries, can negatively affect the health of a bearing child.
There is also an operation that is not performed at all during pregnancy. She is. This is due to the fact that after such an operation there is a high probability. This infection occurs, the reception of which can cause significant harm to an unborn baby.
Now about the question that concerns the opposite procedure: is it possible to insert teeth into a woman who is carrying a child. In the case of, and it is permissible to do so. These measures will not harm either the pregnant woman or the fetus.
during pregnancy it is impossible to establish... No clinic will agree to perform this operation on a pregnant woman. You can verify this if you go to the website of any dentistry and read the list of contraindications for this procedure.
The corresponding limitation is due to the fact that the engraftment of an artificial root requires a large amount of energy. And during pregnancy, a lot of energy is spent on the development of the fetus.
If we neglect this contraindication, one of two problems is possible. First, there is a high probability that the implant simply does not take root. The second is the occurrence of abnormalities in the development of the fetus, but this rarely happens.
How long should pregnant women not have their teeth treated?
The most dangerous period for the fetus is the first trimester. It lasts 12 weeks from the moment of conception. This term is called early.
It is on it in the body that all organs are outlined, and the fetus itself is completely defenseless against any external attacks (whether it be bacteria and viruses or aggressive chemicals).
Therefore, during the first trimester, expectant mothers are prohibited from any surgical operations... The only thing a dentist can do is prescribe soft remedies eliminating inflammation.
Any more serious treatment possible only when strictly necessary. During (13-25 weeks), many restrictions on the conduct dental procedures... By this time, the placenta, which protects the fetus from external influences becomes reliable enough.
From the 25th week until the birth of the child, the third semester lasts. During this period, as well as at the very beginning of pregnancy, carrying out aggressive procedures highly discouraged. In the third semester, the uterus becomes very sensitive, while the woman's body is very emaciated.
During this period, her body reacts sharply to both stress and medication. Therefore, it is better not to treat teeth with or without anesthesia. You should wait for lactation time, and then visit the dentist's office.
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Can teeth be treated during pregnancy? The answer in the video:
As you can see, dental treatment during pregnancy is possible, albeit with a fairly large number of reservations. In addition to those mentioned above, there are others.
Therefore, with some degree of probability, dentistry may refuse services after studying the state of the body of a woman who will soon have to give birth to a child.
Is it possible for pregnant women to fill their teeth or is it better to postpone the visit to the dentist for postpartum period? Indeed, according to women, there is a risk for the baby from the anesthesia used during treatment. How do anesthetics work on the fetus and when is the question of filling a tooth during pregnancy especially acute?
When a visit to the dentist is urgent
In the first trimester, women pass full examination from specialists of a narrow profile. The dentist is no exception. The dentist examines the oral cavity of the pregnant woman and gives an opinion on the need to sanitize certain teeth that are damaged by caries or periodontal disease. If the patient is not bothered by the teeth during pregnancy, she is recommended to undergo treatment after 20 weeks. The situation is quite different if treatment is to be started immediately.
In what cases during pregnancy it is impossible to hesitate:
- When there is acute pain;
- If the sensitivity of the tooth enamel has increased (reacts to cold or hot temperatures);
- With the development of a purulent process in the oral cavity;
- If there is a cyst or pulpitis.
In these situations, treatment is started immediately. The filling procedure implies the mandatory use of anesthesia, which women are most afraid of. Indeed, according to many, anesthetics enter the systemic circulation and are delivered to the fetus. What type of pain relief is allowed for pregnant women and how does it affect the child?
For filling teeth, use local anesthesia. This view anesthesia is safe for pregnant women and should not be feared. Why?
Local anesthesia is an injection into the gum surrounding the diseased tooth. For anesthesia, use a minimum amount medicinal product... It is important that the patient loses sensitivity during the treatment and removal of the nerve. For this manipulation, 20 minutes is enough. During this time, the anesthetic cannot enter the placenta with the blood flow. This is the main advantage of local anesthesia. Under this type of anesthesia, not only treatment is carried out, but also tooth extraction.
If you choose an alternative between constant aching pain and the action of the anesthetic, the latter will be the safest for the baby.
Why does a pregnant woman's teeth deteriorate?
Pregnancy is a time when all the forces of the body are aimed at preserving and bearing a baby. Everything nutrients, first of all, go to the nutrition and development of the fetus, and the mother's body begins to suffer from a deficiency of vitamins and minerals. Vitamin complex recommended for pregnant women to strengthen their defenses and protect women from susceptibility to infections and viruses.
Calcium is necessary for dental health, it is also building material skeletal system fetus. When there is not enough of it, the body begins to consume own reserves... The teeth are subject to decay and the development of caries.
Consequences of not being treated
- Penetration of infection into the placenta. Tooth decay is the process of decaying teeth. Everyone knows that through any microtrauma or violation of integrity, the infection enters the bloodstream and causes inflammatory diseases in organism. Bacteria, with the blood flow, overcome the placental barrier and enter the amniotic fluid. The result of water infection:
- High water;
- Low water;
- Development of fetal abnormalities;
- Danger of premature birth.
- Complete decay and loss of teeth. The longer a woman lives with caries, the faster tooth collapses. It will be difficult for a dentist to restore and save a tooth that is affected by a disease. There is no point in treating it, so the question of removing it arises.
- The likelihood of transmission of infection to a child with breast milk... The infection from the mother's oral cavity enters the systemic circulation, and then enters the milk. Mom, not suspecting anything, breastfeeds the baby, and in the meantime he develops inflammatory processes in organs and tissues.
- Breastfeeding takes a lot of mom's energy. Milk contains components valuable for the child's body. If a nursing woman eats poorly, the body's resources are used. The body consumes calcium and phosphorus from the bones and teeth of the mother. Therefore, after breastfeeding, there is a high risk of intense softening and destruction of the enamel. All teeth should be treated before childbirth in order to avoid problems in the future. Therefore, thinking about whether it is possible to fill her teeth during pregnancy, a woman should think about possible complications.
At what stage of pregnancy is it safe to treat teeth?
It is not possible to fill teeth for pregnant women at any time. The most dangerous time is the first and third trimester. Accordingly, safe - from 14 to 28 weeks. Why exactly these terms are dangerous and safe for oral cavity sanitation?
In the first weeks from conception, the ovum is transplanted and attached. Next, the process of forming the organs of the unborn child begins. During this period, any intervention in the woman's body is especially dangerous. The pain and stress that a pregnant woman experiences during treatment can lead to an increase in the tone of the pregnant uterus. The result is placental abruption and the threat of termination of pregnancy.
In the last stages, the woman's body prepares for the upcoming birth. At this time, it is important to protect the pregnant woman from stressful situations... And filling a tooth is a kind of stress. There is a risk of giving birth ahead of time. The birth of a premature baby entails a lot of nursing problems. If the teeth were not healed by the third trimester, it is better to postpone this procedure until the postpartum period.
Is it possible to put a filling during pregnancy if the period is more than 14 weeks? Yes, this is the most favorable time to visit the dentist. The danger of miscarriage has already passed and the baby's organs are formed. You can safely start treatment and not be afraid of complications. Local anesthesia will not affect the course of pregnancy, since the placental barrier is strong enough.
What filling materials are used for pregnant women
The process of treating carious teeth rarely takes place in one stage. The first step is cleaning the tooth cavity and filling medicinal product that relieves inflammation. The reamed tooth is closed with a temporary filling. If a woman is not worried about pain and discomfort for several days, the dentist changes the temporary composition to a permanent one.
Materials are widely applicable:
- Metallic;
- Composite;
- Phosphate.
Reflective fillings made of composite materials are of high quality, durability and safety.
Can teeth be filled during pregnancy without prior X-ray? If a tooth hurts or a cyst has formed, you cannot do without a picture. But pregnancy and radiography are two incompatible concepts... What to do in this case?
An alternative to X-ray is a radiovisiograph. The stream of rays is directed directly to the selected area, and the harm from this device is several times less. A protective apron is put on a woman, as additional remedy security.
Preventive actions
- Keep your teeth clean by brushing twice a day;
- Visit the dentist annually;
- Eat more fresh vegetables and fruits;
- Limit the intake of sweets at night;
- Rinse your mouth with medicinal herbal decoctions.
If you are still in doubt whether it is possible to put a filling during pregnancy, weigh the pros and cons.
Summing up, we can conclude that in the prescribed period of pregnancy this procedure absolutely safe. To fill your teeth is not only possible, but also necessary. The absence of carious teeth is not only your health, but also the guarantee of the birth of a healthy baby.
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