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You can treat pregnant teeth. What period of pregnancy is optimal for dental treatment? Tooth extraction during pregnancy

There are many misconceptions about dental treatment among pregnant women. We refute the myths and give unambiguous answers to the questions: is it worth enduring the pain, how dangerous is x-ray, and is it possible to treat teeth under anesthesia? We have made notes for all procedures - from “prohibited” to “required”.

Visits to the dentist in every trimester of pregnancy

Necessary. Immunity decreases during pregnancy. And this is not surprising: a woman bears within herself a new organism, different from herself. What changes from the dentist's point of view? Firstly, the risk of bone tissue destruction increases. Secondly, changes occur in the functioning of the glands that produce saliva. The rate of saliva secretion decreases, its viscosity increases, and the pH shifts to the acidic side.

As a rule, during pregnancy a deficiency of calcium and magnesium occurs - this reduces the mineralizing ability of saliva. It ceases to perform a very important function: to wash teeth, remove food debris, and supply tooth enamel with minerals. The risks of gum disease and tooth decay increase. Therefore, a pregnant woman should be responsible for brushing her teeth and regularly visit the dentist for professional cleaning, as well as prevention and treatment at the earliest stages.

Highly undesirable. Avoid any dental intervention (except for professional hygiene) in the first and third trimesters: in the first, all organs and systems of the child are formed, in the third, excitability increases, so any irritants can lead to danger or.

Can. The second trimester (this is approximately 14-20 weeks), when all the baby’s systems are smoothly developing, is the safest for dental treatment.

Dental treatment under anesthesia

Can. If treatment is still necessary for the expectant mother, preference is given to modern local anesthetics. They are hypoallergenic and well tolerated by the body. Such painkilling injections do not penetrate the placental barrier and will not harm the baby.

Forbidden. Anesthesia with a high content of adrenaline. Such drugs have been used in clinics before, they could provoke muscle spasms. This is exactly what obstetricians-gynecologists and pregnant women themselves are afraid of, completely refusing any pain relief.

In most modern clinics, such compounds have not been used for a long time, however, to protect yourself, it is better to do this: when making an appointment with a doctor, explain that you are pregnant and that you cannot use anesthesia with a high content of adrenaline. When you visit your dentist, make sure the anesthesia is safe again.

Highly undesirable. Surgical interventions in pregnant women at any stage are carried out only for urgent indications. What kind of evidence is this? Dental injuries and purulent-inflammatory processes in the oral cavity. All other operations can be considered elective and postponed until the postpartum period.

Is it worth enduring toothache during pregnancy?

No way! Many women still refuse any pain relief and endure pain. “It’s more harmless for the baby,” they say. And it’s good if you still go to see a doctor - many simply suffer at home, use the most unimaginable home remedies, but never go to the dentist! The Internet is full of messages from women who consider themselves almost heroines because they endured severe pain, not wanting to harm their unborn child.

But in fact, it only gets worse: pain, especially severe and prolonged, disrupts the functions of internal organs and metabolism. And that's not all! Pain has another aspect - psychological. A woman may be afraid of pain, worry about it, lose her temper, and commit rash acts. All this is not at all beneficial for the pregnant woman and the child. Excruciating pain actually goes beyond the control of the central nervous system and can cause serious harm to the body.

By the way, why is toothache so bad? The fact is that pain receptors are located in almost all tissues of the body (except for the nervous tissue of the brain and spinal cord). And the greatest density of nerve fiber endings that record pain is located precisely at the border of dentin and tooth enamel.

X-ray during pregnancy

Only under strict indications! We quote sanitary rules and regulations (SanPiN): “Pregnant women are prescribed for X-ray examination only according to clinical indications. Studies should, if possible, be carried out in the second half of pregnancy.” This means that the dentist will order an x-ray only if there is a serious threat to the patient’s health. Also, studies using a tomograph and visiograph are not recommended - radiation exposure is still present, although it is less than with a regular x-ray.

Can. Is there an alternative? Nowadays, some clinics use DIAGNOcam for research - a modern device that allows you to take pictures of the coronal (visible) part of the tooth without x-ray exposure. This will not replace x-rays 100%, but in many cases it will help cure a pregnant patient. With DIAGNOcam, for example, caries can be detected at an early stage and minimally invasive treatment can be carried out.

Prevention of oral diseases before and during pregnancy

Necessary. At this stage you need to visit the dentist. The doctor will perform a complete sanitation of the oral cavity: examination, prevention and treatment. During pregnancy, the doctor will prescribe professional teeth cleaning - every trimester or just twice (depending on the condition of the oral cavity).

Home care is also important. It includes choosing the right toothpaste with minimal (or no) lauryl sulfate content; the paste should also not contain mint oils.

It is useful to use remineralizing gels (sold in pharmacies). They help reduce tooth sensitivity, which may appear during pregnancy, strengthen the hard tissues of the tooth and stabilize caries in the staining stage. Consultation on home prevention can be obtained at an appointment with a hygienist.

There is a misconception that treating teeth during pregnancy is strictly prohibited. But doctors say the opposite. Carrying out therapy while carrying a child is not only not prohibited, but also extremely necessary. There are just certain deadlines and precautions for this.

What are the dangers of advanced caries?

The assertion of experts that dental treatment is a necessary procedure is not groundless. The presence of carious cavities and other foci of infection at least leads to deterioration existing dental pathologies.

But this is not the most dangerous thing. The infection can spread throughout the body, leading to systemic complications.

First of all it suffers Gastrointestinal tract, since the infection from the mouth quickly enters the esophagus and stomach. This can lead to gastritis, intestinal dysfunction, and late toxicosis. As a result, metabolic processes are disrupted, which negatively affects the development and growth of the fetus.

Often, in the presence of dental diseases, a child is born with a low body weight.

If the source of the disease is located near the periodontium or bone tissue, then the infection can lead to complete loss of teeth. The infection can enter the bloodstream and cause inflammation of organs or cause general intoxication body.

Studies have shown that bacteria that cause caries are a common cause premature birth.

Therapy in the first trimester

The first trimester is one of the important stages of pregnancy, during which dental treatment is carried out using anesthetic drugs extremely undesirable. During this period, the formation and development of all fetal organs occurs.

An incompletely formed placenta is not able to provide high-quality protection to the fetus. Any exposure to medications can lead to pathological disruption of formation his internal organs.

At this period of time, treatment is carried out only in case of acute manifestations of the disease, for example, periodontitis, pulpitis, which threaten complication in the form of a purulent infection. In the chronic course of the disease, it is recommended to postpone treatment until a more favorable period.

Therapy in the second trimester

The second trimester is the most favorable time for treatment, since the risk of negative influence is minimized. By the beginning of this period, the woman’s body gets used to the new state and becomes stronger.

The placenta, which acts as a barrier and prevents the penetration of foreign substances to the fetus, is fully formed.

At this stage allowed carry out treatment acute and chronic dental pathologies using anesthetics local action, which includes no adrenaline or its presence is reduced to a minimum dosage.

Before therapy Can conduct research using x-ray equipment(visiograph), only in this case it is necessary to use a special protective apron.

Conduct implantation in the 2nd trimester not recommended, since these procedures require the use of a large number of medications.

Therapy in the third trimester

Just like the first trimester, the third applies to a not very favorable period for dental treatment. At this time, the muscles of the uterus become as sensitive as possible and respond to any impact by increasing tone.

Anesthesia drugs have the same effect. In most cases, they contain a minimal dose of adrenaline, which increases the tone of the uterus, which increases the risk of premature birth.

In case of urgent intervention, the woman should be kept in the lateral decubitus position during therapy, as the fetus puts strong pressure on the main aorta and can cause increased pressure and loss of consciousness.

What diseases must be eliminated?

The dentist is not always ready to treat diseases during pregnancy. The following pathologies are the main indications for therapy:

  • Caries. Even with a small amount of caries, the infection penetrates the gastrointestinal tract and causes its dysfunction. In addition, in the presence of cavities, the quality of chewing food significantly deteriorates, which increases the load on the stomach.

    With deep damage, the infection can penetrate into the bone tissue, leading to inflammation and loss of the crown.

  • Periodontitis and/or pulpitis. Act as a complication after caries. If the problem is not stopped in a timely manner, it leads to a purulent infection, which can lead to the development of sepsis.
  • Odontogenic periostitis– characterized by inflammation of the periosteal tissue. A complication is complete tooth loss.
  • Periodontal disease, periodontitis. They cause pathologies of the heart, joints and general intoxication of the body.
  • Stomatitis– a dangerous pathology, which is often accompanied by a deterioration in the general condition of the body up to a sustained increase in temperature and severe intoxication. The disease can provoke pathological development of internal organs or fetal death.
  • Gingivitis– inflammation of the mucous tissues of the oral cavity. Leads to a general decrease in immunity and the addition of other dental pathologies.

In addition to the listed diseases, during pregnancy Can conduct simple tooth extraction(except for the last molars, which most often require complex removal).

It is also possible to install orthodontic structures ( braces) And prosthetics with minimal use of medications.

Pain medications

The choice of drug for anesthesia plays an important role during gestation. Preference is given to products with minimal adrenaline content.

As a rule, small dosage such a drug shouldn't affect the uterus and penetrate the placental barrier, causing a negative effect on the fetus.

Only a few drugs meet these requirements:

  • Ultracaine. It is a colorless solution whose active ingredients are articaine and epinephrine. The auxiliary components included in the product: sodium metabisulfate, purified water, sodium chloride.

    The drug is fast-acting - the analgesic effect occurs within 2 minutes after the injection and lasts up to 45 minutes. It does not have a depressing effect on the vascular system and the heart, but is prohibited in cases of glaucoma, kidney pathology, and severe hypoxia.

    It is also worth remembering the side effects of the drug: urticaria, low blood pressure, heart rhythm disturbances. The drug is sold in special cartridges (carpules) intended for use only with a special syringe.

    This injection system is painless. After administering ultracaine, the syringe along with the carpule are destroyed. The cost of one cartridge of this product ranges from 45 to 90 rubles.

  • Primacaine. This is a combined action anesthetic containing epinephrine and articaine. The main difference between this drug is its short half-life, making it can be used by children, pregnant and nursing mothers.

    After the injection is given, primacaine begins to act within 30 seconds. The action lasts about 40 minutes. The drug is contraindicated for heart disease, anemia, renal failure, and high blood pressure.

    In the last trimester its use may provoke bleeding. The average cost of the product is 80 rubles.

  • Ubistezin. The main active ingredients are articaine and epinephrine. Additional components: sodium sulfite, water for injection. Like other articaine drugs, it has an anesthetic effect 1 minute after administration and retains it for up to 45 minutes.

    The drug has virtually no negative effects on the heart. In rare cases, there is a slight increase in blood pressure and rapid heartbeat.

    Contraindications include kidney disease, hypertension, and tachycardia. Ubistezin can be purchased for about 40 rubles.

  • Septanest. The main components are articaine and adrenalin. It has a minimal vasoconstrictor effect and does not have a negative effect on the functioning of the heart.

    The maximum analgesic effect occurs three minutes after the injection and lasts about an hour. The drug is contraindicated for bronchial asthma, as it can provoke an attack of suffocation.

    When using in the first trimester may cause dizziness and loss of consciousness. The average market cost of one ampoule of the product is about 60 rubles.

Septanest

Therapy without injection

The use of anesthetics is not always required during dental treatment. In some cases, you can do without pain relief. Even if therapy is carried out during the safest period, the risk of negative effects of medications on the body of the pregnant woman and the fetus always remains.

Therefore, for pathologies in the initial stage, they try not to use anesthesia. As a rule, there is no pain with this treatment. Instead, discomfort can only appear.

If the patient is unable to calmly tolerate unpleasant sensations, it can be used local anesthesia with spray or gel.

In situations where the procedure is accompanied by severe pain, it is recommended to use anesthetic drugs, since in some cases the pain can have a greater negative impact than the drugs used.

Conclusion

Dental treatment during pregnancy is a necessary procedure. The method used will depend on the pathology and the degree of its neglect. No dentist will resort to treatment with anesthesia unless there are certain indications for it.

The use of painkillers will be justified only if the harm from the pathology exceeds the negative impact of anesthetics.

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2 Comments

  • Daria Gikst

    September 9, 2016 at 03:25 pm

    Just recently, a couple of months ago, I became a mother and the question of dental treatment arose for me. I can say with confidence that pregnancy is not a death sentence and not a reason not to visit the dentist. I am not a doctor, but at an elementary level, understandable to the average person, I can make an unambiguous conclusion that the drugs used for pain relief are no more harmful than all those factors for which not a single pregnant woman is insured: ecology; the quality of store-bought products (in the manufacture of which God knows what they use). And it’s better to have your baby’s teeth treated before the baby is born than for him to receive a dose of harm from his mother’s diseased teeth. Moreover, medicine has stepped far forward and is minimizing the pain of the procedure.

  • Olga

    September 11, 2016 at 2:55 am

    I had my teeth treated by a dentist during pregnancy, the doctor assured me that the anesthesia would not affect the child in any way, and I believed him. The main thing in the dentist’s chair is not to be too nervous, as this can affect the child. So I tried to calm down and distract myself, think about something good. Of course, an X-ray also had to be done, but I was afraid and postponed this procedure. But more than a year has already passed since the birth of the child and I still haven’t had an x-ray, which means they are right in saying that after you give birth there will be no time at all to go to the doctors. This is one of the reasons for dental treatment during pregnancy.

  • Lisa

    November 7, 2016 at 03:06 pm

    When I was pregnant, dental treatment didn't seem very important to me. In principle, everything was fine with my teeth, but around the sixth month one of the teeth began to crumble and as a result there was almost nothing left of the tooth. I didn’t go to see a dentist, but somehow I had a conversation about this incident with my gynecologist, how much he scolded me for not immediately going to have my tooth treated. My second trimester was almost over and I finally went to the dentist, the tooth turned out to be affected by caries and it was difficult, but I managed to save it with the use of anesthesia, the dentist explained everything to me and explained that the anesthesia he used would not harm the child, but here’s how since my caries would cause him quite a lot of harm. Only now does it dawn on me how stupid I was...

  • Marina

    March 2, 2017 at 5:24 am

    During pregnancy I had all my teeth treated. I went to the dentist in the first trimester, but she advised me to start all manipulations from the fourth month. She was treated with painkillers, fortunately, this did not affect the child in any way. As a result, I breastfed my child for almost two years and my teeth remained intact. And if I had not dealt with this issue during pregnancy, then probably more than one tooth would have had to be removed. So, you really need to do everything on time. Moreover, now there are painkillers that are absolutely harmless to the expectant mother and baby.

Every girl experiences special joy while awaiting pregnancy. But at the same time, she must not forget that in this exceptional situation she must be especially attentive to her health. And the point here is not only that this can affect the process of childbirth.

Any even minor illness can subsequently affect the baby’s health. This is why it is so important for every expectant mother to undergo a complete examination of the body during pregnancy.

You should not ignore any specialist, including the dentist. This, first of all, applies to those girls who have not previously had problems with their teeth, since during pregnancy, the risk of developing dental diseases increases more than ever.

While awaiting the onset of labor, the expectant mother needs to remember that at this moment in the body significant changes are taking place. Hormonal levels are disrupted, the body has to spend more energy, its need for useful microelements increases, and changes in the composition and acidity of saliva occur.

All these changes affect all body systems, including teeth. In this regard, experts recommend that pregnant women be especially attentive, since in their situation, caries can harm not only the expectant mother, but the unborn baby.

Against the background of progressive carious processes in the oral cavity, favorable conditions are created for the development of various diseases in the expectant mother and her child. Long-term practice shows that caries can negatively affect the health of the fetus.

If you do not take good care of your oral cavity, bacteria begin to accumulate in it, and at a certain point they can penetrate the gastrointestinal tract. And this can already be serious weaken the immune system body, and over time, cardiovascular diseases and diseases of the digestive system will begin to develop.

In the absence of therapeutic measures, intoxication of all organs can occur. It follows from this that it is necessary for every expectant mother to begin dental treatment at the moment of the first appearance of symptoms indicating problems with them.

The main reason for the development of caries in the oral cavity is activity of special bacteria. There are some among them, due to the presence of which the body can begin to produce increased quantities of cytokines. And when the level of their concentration in a woman’s blood reaches a critical level, this can lead to expansion of the cervical canal and cause contraction of the uterus.

At this stage, it is important to begin dental treatment as soon as possible. Otherwise, you may encounter various serious diseases, such as periodontitis or pulpitis.

Timely treatment of caries during pregnancy is also important because it can cause serious discomfort to a woman due to acute pain. This can seriously affect her state of mind, as well as cause injury to the fetus.

Before starting dental treatment, the doctor must answer the question of whether it is safe to carry out such activities. An experienced specialist knows that for certain diseases it is better not to engage in treatment.

If any of the above dental diseases are detected you can start treating them right away in pregnant women. But at the same time, there are a number of problems that need to be resolved until the birth of the child. In this case, we are talking about the following procedures:

  • bite correction using a hardware method;
  • removal of tartar;
  • teeth whitening;
  • surgery to remove and treat wisdom teeth;
  • installation of implants, it is unacceptable to carry out dental implantation during pregnancy before giving birth.

According to dentists, dental treatment is not only indicated during pregnancy, in most cases it is necessary, as this will reduce the risk of serious pathologies in the body of the expectant mother and her baby.

Therefore, you need to be attentive to any inflammatory processes - bleeding gums, increased sensitivity of teeth and acute pain. When they are first discovered, it is necessary seek help from a dentist.

By starting dental treatment at an early stage during pregnancy, you increase the chances of successful treatment of the disease. However, depending on the stage of pregnancy, the measures prescribed by a specialist can be adjusted in a certain way.

First trimester

This stage of pregnancy lasts from 1 to 13 weeks of fetal life. At this time, you need to be especially attentive to the female body, since at this stage the likelihood of complications is highest.

This is due to the significant restructuring of the body that occurs at 5–6 weeks. Against the background of hormonal imbalance, signs of toxicosis are often observed, and emotional disorders are present.

And it is also at this stage that the formation of the embryo begins, therefore any slightest shock can provoke the development of serious complications. In the first months of pregnancy, the fetus reacts especially sensitively to toxins and mechanical stress.

Given this, it is necessary to minimize surgical intervention, otherwise the risk of unplanned abortion increases. At this stage of pregnancy, carry out dental treatment is not recommended, and if such a decision is made by a doctor, then there must be good reasons for this - acute inflammation of the pulp or periodontitis.

Second trimester

This stage of pregnancy lasts from 14 to 27 weeks of fetal development. There are no special shocks for both the mother’s body and the fetus. Therefore, this stage is ideal for dental treatment.

In the second trimester, the process of development of the placenta is completed, all internal organs of the child are already fully formed, and at the same time, the fetus becomes more resistant to the effects of bacteria and toxins.

When treating teeth at this stage of pregnancy Anesthesia is permitted. But when choosing drugs for dental treatment, the doctor must pay attention to their toxic properties. This stage of pregnancy is also suitable for tooth extraction using anesthesia.

Third trimester

This period of pregnancy lasts from 28 to 40 weeks of fetal life. The child’s cerebral cortex and sensory organs are still developing. Around 38–40 weeks, the respiratory organs finish forming. But at this stage of pregnancy serious changes occur in the psycho-emotional and physical state of a woman.

Often expectant mothers complain of sudden surges in blood pressure, headaches and rapid heartbeat. You need to be especially careful with the use of anesthesia and be attentive to stress, as this can provoke early labor.

Considering the risks described above, the doctor can decide on dental treatment in the third semester only if there are no other options left.

The essence of anesthesia is to relieve pain using special drugs. An injection of adrenaline is usually used for dental treatment. First, it’s worth finding out exactly how painkillers work. To relieve pain, an anesthetic injection is given in the gum.

The drug begins to act approximately 2-3 minutes after entering the body, and the pain immediately disappears, which allows the doctor to perform the necessary dental treatment procedures. Usually, in the early stages of caries development, the pain is not so acute, and therefore anesthesia is not required. But there are a number of diseases when it is impossible to do without anesthetics.

For dental treatment in pregnant women painkillers are allowed to be used. This can prevent stress, which can negatively affect the well-being of mother and baby.

But the choice of painkiller must be approached very carefully, since there are drugs that are unacceptable to use during pregnancy.

Use of anesthesia during pregnancy

During pregnancy, anesthesia is allowed for dental treatment. But even here there are some nuances - the doctor must very choose carefully painkiller, taking into account the characteristics of the woman’s condition.

There are a number of drugs that should not be used during pregnancy:

Taking into account the above risks, most often doctors use medications that do not contain adrenaline for dental treatment during pregnancy. Treatment is usually carried out with drugs containing ultracaine and primacaine. The first component is not able to cross the placenta, and this eliminates any negative impact on the fetus.

Preparations containing ultracaine are considered relatively safe and can be prescribed to pregnant women even during breastfeeding, since they are not able to pass into breast milk.

Primacaine does not pose a great health hazard, even in light of the fact that it is able to pass through the placenta in small quantities. However, its negative effects are minimal as it disintegrates quickly.

During pregnancy, the expectant mother should be especially attentive to her health. This is important not only to maintain good health, but also to avoid complications in the child. Therefore, any disease that occurs during pregnancy needs to be treated promptly.

This also applies to dental problems. But here the help of a specialist is needed, since only he can tell whether a certain disease can be treated during pregnancy. You also need to take into account that to minimize harm during dental treatment during pregnancy, you need to choose the right moment.

It's possible only done by a specialist who, taking into account the condition of the mother in labor, will be able to select the fastest-acting medications and say whether they are safe for the pregnant woman.

While waiting for her baby, every woman needs to be diagnosed by a dentist, after which treatment may be necessary. But for many, even the thought that dental treatment during early pregnancy can negatively affect the development of the fetus is scary. A timely visit to the doctor, a set of restoration procedures and proper dental care are reliable indicators of the health of the mother and the unborn child. However, if the problem already exists, can teeth be treated early?

During pregnancy, the body's need for calcium increases many times over. If the expectant mother does not receive this valuable mineral in the required quantity, she may develop diseases of the oral cavity and skeletal system. In the process of bearing a baby, women undergo hormonal changes, the composition of saliva and the general flora of the oral cavity change, which has a beneficial effect on the development of caries. This may be the beginning of various diseases and bacterial growth.

Therefore, quite a lot of people have to have their teeth treated in the early stages of pregnancy. An neglected problem harms the health of the mother and fetus, and the presence of infection in the oral cavity leads to dangerous inflammatory processes and unwanted complications. A timely visit to the dentist will help to avoid such consequences, prevent infection and intoxication of the body.

Types of oral diseases to be treated in pregnant women

Many mothers are very worried that dental treatment in the early stages of pregnancy will negatively affect the health of the unborn baby. In order to prevent sad consequences, it is extremely important to detect symptoms in time, which will serve as a reason for a visit to the doctor:

  • bleeding from the gums - visible when brushing teeth or eating;
  • toothache – aching or constant;
  • special sensitivity of teeth - painful sensations when eating cold or hot food.

Taken together, these symptoms confirm the onset of the development of the inflammatory process. If a woman has toothache in the early stages of pregnancy, this is a reason to immediately undergo a dental examination. It will help you decide on the form of treatment for oral disease before complications occur.

List of diseases for which treatment must be started immediately:

  • Gingivitis is an inflammatory process of the mucous membrane of the gums, sometimes there is loosening of the teeth. The advanced stage can form periodontitis.
  • Periodontitis and periodontal disease are inflammation of the gums and bone tissue, which can serve as the beginning of intoxication of the body, the development of heart disease, and rheumatism.
  • Tooth decay is a disease that leads to the spread of bacteria in the mouth and inflammation of the jaw bone.
  • Periodontitis and pulpitis are the consequences of the development of caries, which lead to inflammation of the dental nerve and are accompanied by severe pain.
  • Stomatitis is a minor lesion in the oral cavity. The disease often develops against the background of weak immunity.

Depending on the identified disease, the dentist will select treatment: from rinsing with herbal decoctions to a serious set of therapeutic and preventive measures. During pregnancy, there is another procedure that can be performed - prosthetics. It has no contraindications.

Prohibited dental care methods for pregnant women

Despite the fact that it is possible to treat teeth in the early stages of pregnancy, there are a number of procedures that should not be performed on expectant mothers:

  • whitening enamel and strengthening teeth;
  • removal of dental stone;
  • changes in bite and position of teeth.

These procedures are prohibited due to the fact that they use chemicals, the effects of which negatively affect the health of the mother and the development of the fetus. Dentists also recommend refraining from removing wisdom teeth, which lead to adverse complications. This procedure is best carried out before conception or after the birth of the baby.

An exception in matters of dental treatment is also implantation. Since a child already takes away the body’s strength, women often face the following:

  • The implant takes too long to take root:
  • the gums bleed heavily, which makes the dentist’s work difficult in general;
  • requires taking a significant amount of painkillers, as well as medications directly for;
  • after the procedure, during engraftment, problems arise with eating due to pain, which is not at all suitable for pregnant women;
  • a downtime may not allow you to finish what you started; the mother will have to wait until she gives birth.

Optimal time to visit the dentist

Many women expecting a child ask the question, “When can I have my teeth treated?” The first trimester is a period of a more important and meaningful relationship with your body. At this moment, your baby’s organs are just beginning to form. If toothache occurs in the early stages of pregnancy, dentists recommend starting treatment after fertilization of the egg is established. It is during this period that the fetus has increased sensitivity. The second trimester is the best time to go to the dentist. During this period, the organs of the unborn baby will already be formed, and the treatment will take place without dangerous consequences for him.

In emergency cases, when it is necessary to administer anesthesia, special types of anesthetics are used that cannot penetrate the body, but act exclusively on the sore spot.

For serious diseases of the oral cavity, it is advisable to visit the dentist after childbirth. But on all these issues it is better to consult with a good specialist who will determine the condition of the teeth and prescribe the correct treatment.

X-rays and anesthesia during early pregnancy

It is not recommended to take dental x-rays during early pregnancy, especially in the first trimester. But if there is a need for an x-ray, then for additional safety the woman’s stomach and body are protected with a lead apron that does not transmit x-rays. When carrying out this procedure, the beam is directed strictly to the area of ​​the jaw being examined and is not scattered to the sides. The radiation received by the expectant mother during the examination is equivalent to two hours of exposure to the sun.

When treating teeth, many pregnant women are often concerned about the question: is it possible to use anesthesia? In dental practice, anesthetic drugs are used that will not harm the unborn baby. To carry out anesthesia, a pregnant woman must use only topical medications that will not penetrate the blood circulation.

Lidocaine is not used in dentistry as an anesthetic during pregnancy, as its effect can negatively affect the development of the fetus, slow breathing and increase blood pressure.

If a woman needs dental care throughout her pregnancy, then an experienced doctor should first find out about her state of health, her illnesses, and the course of pregnancy in general. All these facts will help narrow down the choice and select the right drugs that are not able to penetrate the placenta.

Preventive oral and dental care procedures

During pregnancy, oral health care should be more intensive. When problems with teeth arise, women themselves are sometimes to blame. While waiting for the baby, the diet changes, food intake becomes more frequent, so the usual procedures will not be enough.

To avoid inflammation in the gums and bleeding, it is recommended to do a preventive gum massage. It is carried out with light finger movements for 5 minutes, lubricating the gums with toothpaste. You can also prepare an elixir and herbal tincture for rinsing at home.
Of course, ideally, a girl should visit a doctor before pregnancy and solve all problems. However, teeth can deteriorate within nine months, and under the influence of changed hormonal levels, gums can begin to bleed. In this case, you cannot do without a visit to the dentist. There is no need to be afraid of this! The main thing is to be sure to warn them that you are expecting a child.

May you and your baby’s teeth always be strong and healthy!

There is an opinion that it is better to avoid any interventions so as not to harm the baby. Indeed, during pregnancy, some procedures are contraindicated. Therefore, it is better to undergo examination and dental treatment at the stage of planning a child. However, nothing prevents you from seeing a doctor while expecting a child.

From this article you will learn:

NovaDent network dentistry offers dental treatment during pregnancy at affordable prices. More than 100 specialists in 15 clinics in Moscow and Moscow Region are at your service. We use safe technologies and guarantee a thorough organization of reception without queues or tedious waiting.

You can make an appointment at any of the NovaDent clinics by phone or online.

Features of dental treatment in early and late stages

The most favorable time for examination and treatment is the second trimester of pregnancy (from 14 to 27 weeks). By this time, the baby’s vital organs and systems have formed, and the placenta reliably protects the baby from external influences.

Early terms (1st trimester)

Early dental treatment requires special care, since many medications and x-ray examinations are contraindicated during this period.

Treatment in the first trimester can be carried out without anesthesia, and some dental procedures are also acceptable. Anesthesia is used only in emergency cases.

Late terms (3rd trimester)

In the third trimester, dental procedures are not contraindicated, but they cause discomfort to the mother. Due to the fact that the child is already quite large, therapy must be carried out lying on his back or side.

Dental procedures during pregnancy

X-ray. Treatment of pulpitis and periodontitis is impossible without x-rays.

If an x-ray is prescribed for a pregnant woman, all precautions are taken.

  • X-ray examination is carried out using a digital radiovisiograph. The radiation doses of this equipment are 90% lower than with film X-rays.
  • During the procedure, the abdominal area is covered with a lead apron and the woman’s stay in the X-ray room is limited.

X-ray diagnostics, especially an orthopantomogram, cannot be performed in the 1st trimester of pregnancy (from 1 to 12 weeks).

Treatment of caries. It is possible to treat caries in pregnant women, especially at the initial stage, with virtually no restrictions. If anesthesia is required, it is better to wait until the second trimester.

Tooth extraction. Tooth extraction under local anesthesia is not contraindicated for the expectant mother. However, complex removal, such as a wisdom tooth, is best done after the birth of the child.

Anesthesia for dental treatment while expecting a child

Modern anesthetic drugs based on articaine have an exclusively local effect and do not penetrate the placental barrier. Anesthesia is absolutely safe for mother and baby.

Recommendation: In the first 3 months, while the placenta is not yet fully formed, it is better for a pregnant woman to refrain from using anesthetics. Dental treatment with anesthesia is best done in the second trimester.

What dental procedures should not be done during pregnancy?

Teeth whitening. Professional whitening preparations penetrate the placenta and are dangerous for the fetus at any stage.

General anesthesia and sedation. General anesthesia drugs are prohibited for use by pregnant women.

Implantation. During implantation, antibiotics and anti-inflammatory drugs are prescribed. Moreover, the hormonal background of a pregnant woman increases the risk of implant rejection.