home Audience 3 Is it possible for pregnant women to have their teeth done? Remove only as a last resort. Conditions for the use of anesthesia in pregnant women

Is it possible for pregnant women to have their teeth done? Remove only as a last resort. Conditions for the use of anesthesia in pregnant women

Almost every woman faces the need for dental treatment during pregnancy. This is mainly due to the fact that the female body actively supplies the child with all the necessary beneficial microelements for its development. While myself future mom may suffer from vitamin deficiencies. For this reason, the integrity of tooth enamel is compromised due to calcium loss. In this case, microbes and bacteria are given complete freedom.

Each of us, sooner or later, has encountered toothache and knows very well what a difficult ordeal it is. Moreover, not only on the physical level - how many nerves will go away before anyone decides to go to the dentist. And many people fear this doctor. However, there is no need to torture yourself, especially pregnant women, and in order to avoid the occurrence of caries and toothache itself, it is necessary to be observed by an appropriate specialist.

Dental condition during pregnancy

Any pregnant woman experiences global hormonal changes body. Due to increasing progesterone, the blood supply to all tissues, including gums, increases, which leads to their loosening. As a result, the risks of gingivitis, stomatitis, and exacerbation of caries increase. If you don't take care of your mouth, or when we're talking about about bad heredity, teeth fall out. The enamel becomes more sensitive to the effects of hot, cold, and sour foods.

In addition, hormones influence the amount of saliva produced and its pH. It becomes more and more, and the balance shifts towards acidity. If no measures are taken, the bone structure becomes covered with hard plaque and tartar forms.

During the development of a child and as he grows, the demand for calcium increases, which is used to create his skeleton. And if calcium reserves are not enough, this element is taken from the mother. Moreover, the source, most often, is teeth. Therefore, in many women, the enamel is destroyed.

Thus, the question of whether and how teeth can be treated during pregnancy disappears by itself. Of course, you need to visit a specialist at least once every trimester or if you have complaints. The decision about dental treatment during pregnancy is made only by the dentist and in each case individually. It all depends on the problem that the expectant mother presented with and her condition. Manipulations are carried out immediately or treatment is postponed for a certain period of time.

Toothache should not be ignored!

There is a folk legend or myth according to which pregnant women must endure toothache until childbirth. Any person will question this, who can endure such hellish torment?! You should not trust some beliefs - dental treatment is not only allowed, but also recommended by many specialists.

Under normal circumstances toothache subjects any person to real torture, and what can we say about pregnant women. This is a lot of stress for them and should be avoided at all costs! For expectant mothers, pregnancy itself is already a difficult test. And, as many reviews note, treatment during pregnancy is simply necessary.

As is now clear, thanks to changes in the hormonal background of the female body, the microflora oral cavity no longer the same: saliva no longer has protective properties, and therefore an attack from bacteria is inevitable. As for the immune system, it is weakened and for this reason the appearance various diseases in the oral cavity is a matter of time and attitude.

What is stomatitis, gingivitis and other diseases of this kind? These are real foci of infection, which can easily penetrate into the tissues of the body and through circulatory system reach the fruit. There is hardly any need to explain what all this could mean.

If you do not pay attention to this situation in a timely manner, the woman will subsequently have to undergo a serious course of treatment. Lack of calcium in a child’s body leads to the formation of a weak skeleton and teeth.

State care

Many mothers are interested in one question: is it possible to undergo dental treatment during pregnancy for free? While the child is developing, he needs vitamins and a large number of others useful microelements. In fact, this is why most of the family budget is spent, which in many families is seriously limited.

What to do if the expectant mother suddenly has a toothache? There is certainly no need to panic, because in almost every city there are state dental clinics where treatment for pregnant women is provided free of charge. Payment for such services is made from the state treasury.

What about anesthesia?

There is one more important point- what about anesthesia, can it be used? Many expectant mothers are frightened by the dental treatment procedure itself, which causes fear. Because of this, stress sets in, and the child always feels everything that his mother is exposed to. And this has a bad effect on his health. A specialist with extensive experience will select the optimal anesthesia for a woman during dental treatment during pregnancy.

The same specialist knows very well that pregnant women are prohibited from general anesthesia, since it is nothing but serious consequences does not promise:

Death due to a severe allergic reaction to general anesthesia.
Miscarriage.
Fetal rejection.

In this connection, doctors recommend using local anesthesia. It will not only allow the mother to avoid unnecessary pain and, as a result, stress, but will be completely safe for the child. Many dental clinics use modern drugs. Their main advantage is that they localize pain to a specific area without affecting other organs. Although the anesthetic substance enters the blood, it does not penetrate the placenta.

Permitted anesthesia

During the treatment of pregnant women, anesthesia is used if necessary. It was mentioned above that the use of general anesthesia is extremely undesirable due to dangerous consequences. For this reason, experts use other methods. One of these is local anesthesia.

The dentist will use anesthesia for dental treatment during pregnancy, which will numb part of the mouth. This method considered the most effective and safe means during treatment or extraction of teeth.

Another option is sedation. In this case, the patient is put into a sleep state, which helps reduce anxiety. Only pregnant women should stop using nitric oxide, Diazepam and others similar drugs. The best option- listening to music, acupuncture.

Admission to treatment

Not all oral diseases can be treated during pregnancy. Below is a list that includes those diseases for which there is no such prohibition:

Caries refers to infectious diseases, the development of which damages hard dental tissues - enamel and dentin. Carrying out dental treatment during pregnancy and placing fillings in this case is not prohibited. This will avoid more serious inflammation, not only in the mother, but also in the child.

During the course of periodontitis, gum pockets are formed, which provides a favorable environment for the habitat of most harmful microorganisms. Thus, this disease is a potential and dangerous source of infection, which puts pregnancy at risk. Therefore, periodontitis must be treated as soon as possible, regardless of the period.

Pulpitis is characterized by inflammation of the dental nerve or pulp. At the same time, the woman feels sharp painful sensations. In this case, for treatment of this disease anesthesia must be used.

Periodontitis is also an inflammatory process that occurs in an acute form and is localized in the tissues that hold the teeth. If you do not take any action, this subsequently leads to intoxication of the body.

Gingivitis is accompanied by inflammation of the mucous membranes of the gums and also requires timely treatment teeth during pregnancy.

With stomatitis, the mucous membranes of the oral cavity are affected. Many people do not take this dental disease seriously, considering it harmless. However, medicine cannot confirm this, so it is better to carry out treatment in a timely manner. Otherwise, there may be serious health problems.

What you shouldn't do

Now it’s worth touching on those procedures that under no circumstances should be performed in dental clinics during pregnancy. In particular we are talking about the following:

Correct the bite using hardware.
Remove tartar.
Whiten teeth.
Remove or treat a wisdom tooth.
Implantation cannot be done - it is carried out before pregnancy, which should be taken care of in advance, or after childbirth.

Such procedures must be postponed until after the baby is born, otherwise the most different consequences. And not in better side.

Is it safe to have dental treatment during pregnancy?

Of course, however, not every woman, being in “ interesting position» pays close attention to the oral cavity. But in vain! According to many dentists, it is in the interests of every mother, especially young girls, to take care of their health, because they are now responsible not only for themselves, but also for their child.

Healthy teeth- a sure sign that female body Everything is fine. In this case, fetal development will proceed without complications or deviations. To do this you must adhere to simple rules oral hygiene and then serious problems can be avoided.

I trimester

One thing is important here - until the fertilized egg attaches to the uterus, it is extremely undesirable to treat teeth. For most women, going to the dentist causes anxiety and, as a result, stress. Moreover, during medical procedure anesthetics are used. All this provokes Negative consequences in relation to the fetus, including the threat of miscarriage.

It is not advisable to carry out dental treatment during the 1st trimester during pregnancy. In particular, this applies to weeks 8-12. Moreover, this applies to any dental intervention, which also applies to filling. It is better to postpone the procedure for more late date. However, cases acute pain, pulpitis and periodontitis are exceptions to the rule, since they cannot be ignored.

As a good freezing agent, you can use Ultracain, which is completely safe for children. But pregnant women should not use Lidocaine, even though it is very popular in dentistry. Because of it, blood pressure rises and heart rate increases.

II trimester

At this stage of pregnancy, necessary dental procedures are not contraindicated. If the specialist does not identify serious risks, treatment may be delayed until after the baby is born. If caries is present and the lesion is small, then you can do without an injection when treating teeth during pregnancy. “Armed” with a drill, the dentist will carefully remove the affected tissue and close the hole with a filling. The nerve endings will not be affected.

However, if a pregnant woman is experiencing severe toothache accompanied by bleeding gums, treatment should be carried out immediately. Only a doctor can cope with the problem, thereby avoiding the occurrence of various complications. For emergency treatment inflammatory process and acute pain, another modern anesthetic, Orticon, has been successfully used. The effect of the drug is targeted, therefore, it will not penetrate the placenta.

III trimester

During this period of pregnancy, fetal growth is most intense, which affects the mother: fatigue increases. When the mother spends most of the time lying down or takes a semi-sitting position, the fetus increases its pressure on the vena cava and aorta. As a result, the heartbeat increases, a migraine appears, and in some cases the mother may lose consciousness.

Concerning reproductive organ, then the sensitivity of the uterus increases, and exposure to almost any serious irritant can provoke premature birth. Therefore, dental treatment during pregnancy in the 3rd trimester is carried out only in emergency cases. It is recommended, if possible, to carry out manipulations until the 36th week arrives. These include:

Processes irreversible when it comes to immediate removal of dead tissue.
Flow purulent inflammation.
Acute pain.

As for pain, it is not recommended for pregnant women to endure it, since it leads to the creation stressful situation, which in turn has a negative impact on hormonal background. This actually provokes a miscarriage.

Tooth extraction

Dentists rarely resort to tooth extraction in pregnant women. Similar procedure involves removing the diseased tooth along with the root from the socket. This operation should be performed only in an emergency in case of acute pain or severe inflammation.

Otherwise, if it is necessary to carry out treatment and tooth extraction during pregnancy, it is recommended to do this between 13 and 32 weeks. In this case, the fetus is formed, the woman’s immunity is already normal, and her psychological condition more stable.

But as for the wisdom tooth, its removal is contraindicated for expectant mothers. Otherwise there is no avoiding serious complications:

malaise;
temperature increase;
increase in pressure;
the appearance of pain in the ears, lymph nodes;
it becomes difficult to swallow.

All these symptoms have a bad effect on the child's health. For this reason, even at the planning stage of the baby, it is necessary to visit the dentist and, if there are problems with the wisdom tooth, solve them before conception.

Features of dental treatment during pregnancy or existing myths

There are some myths, or so-called folk beliefs, regarding whether or not to treat the teeth of pregnant women. Let's consider the most popular cases:

Due to dental treatment, the fetus develops poorly.
Expectant mothers are not contraindicated in any dental procedures.
Pregnant women should not be treated with anesthesia.
Do not resort to x-rays under any circumstances!

The first myth is no longer relevant in our time. Pain in the teeth indicates the occurrence of unwanted processes in the oral cavity. This not only causes discomfort and pain, but mainly forms an infectious focus, which does not lead to anything good! In addition, many clinics use modern equipment and anesthesia, which helps protect both mother and child.

The second myth is also fundamentally wrong. Some dental procedures put the baby's development at risk. For example, when bleaching, special chemical cleaning agents are used. During implantation, there is a risk of implant rejection by the fetus. Dental treatment during pregnancy using products containing arsenic and adrenaline is also contraindicated.

The third myth is true, but in relation to anesthesia of the past generation. At that time, the products contained Novocaine, which is incompatible with the placenta and, once in the mother’s blood, the substance reached the fetus and had a detrimental effect on its development. Modern anesthesia is an articaine group of anesthetics, completely harmless for pregnant women and their unborn children.

As for the fourth myth, now everything is somewhat different. In modern dental clinics, specialists no longer use film equipment - they have been replaced by radiovisiographs, which do not have film. Their power is below the permissible safety threshold. Moreover, the radiation is directed specifically to the root of the tooth, and the procedure itself is not complete without a lead apron, which protects the child in the womb from unwanted rays.

As you can see, most of these myths are not worth our attention; medicine has moved forward and now expectant mothers do not need to worry about whether to treat their teeth or not. In particular, you should not listen to " knowledgeable specialists”, who will only do harm with their advice. And, as is now clear, the best period for dental treatment during pregnancy is the 2nd trimester. The child is in no danger.

It is recommended to have your teeth treated by a dentist when preparing for pregnancy. However, it happens that a doctor’s help is required while carrying a baby. A lost filling, a chipped tooth, gum inflammation and other problems require immediate attention, as they threaten complications and more expensive treatment in the future. There is no need to postpone a visit to the doctor until the postpartum period, because then the young mother will have much less time for herself.

Is it necessary to treat teeth during pregnancy?

When carrying a baby, the condition of your teeth may worsen already in the first trimester due to hormonal changes. Increased level progesterone leads to increased blood supply to body tissues, including gums. They become loose, which provokes gingivitis, stomatitis, and exacerbation of caries. With poor oral hygiene and poor heredity, teeth quickly deteriorate and fall out. Their enamel becomes sensitive to hot, cold, and sour foods.

Hormones also affect the amount and pH of saliva. There is more of it, the balance shifts towards acidity. In the absence of preventive and therapeutic measures Hard plaque and tartar quickly form, which can lead to tooth loss. In the 2nd and 3rd trimester, there is a lack of calcium, which also leads to tooth decay.

Expectant mothers are wondering whether dental treatment and prosthetics are necessary during pregnancy, or whether these procedures can be postponed. Doctors recommend coming for examinations at least once every three months, or with specific complaints. The decision about dental intervention is made individually, based on the problem and condition of the pregnant woman. Often manipulations are carried out immediately, using local anesthesia. Sometimes treatment is delayed for postpartum months.

When is the best time to go to the doctor?

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

A dental examination is required when registering during pregnancy (6-12 weeks). If until this time the expectant mother is not worried about anything, she does not need to see a doctor. During the examination, the doctor may reveal:

Also, the expectant mother should consult a doctor with acute and aching pain. In this case, pulpitis or periodontitis is diagnosed (complications of caries that gradually affect neighboring tissues). In severe situations, periostitis and osteomyelitis are possible - severe purulent processes which are observed in the absence of treatment for caries complications.

When identifying dental problems the doctor carries out sanitation, which is recorded in the pregnant woman’s chart. IN difficult cases treatment is carried out immediately. If possible, the procedure is postponed until the second trimester. At this time, the placenta is formed, which protects the baby from the effects of anesthesia. Early toxicoses pass, and the expectant mother feels well and can sit in a chair for the allotted time.

1st trimester

In the 1st trimester, the organs and tissues of the fetus are formed. It is highly undesirable to treat teeth until the fertilized egg is implanted. The anxiety and stress of the expectant mother, as well as the anesthetics used, also affect the health of the fetus and can provoke early miscarriage. Dental intervention is also undesirable for 8-12 weeks.

If possible, filling is postponed until the second trimester. An exception is made for acute pain, pulpitis, periodontitis, which cannot be ignored. Ultracaine is often used as a freezing agent in the first trimester - the most safe drug for the fetus. Lidocaine, popular in dentistry, is not used because it leads to increased blood pressure and increased heart rate.

2nd trimester

Prevention is carried out in the second trimester dental diseases and treat teeth whose condition threatens to worsen at 30-38 weeks. If there is no risk, manipulations are postponed by the dentist until the postpartum months. Small pockets of caries can be cured without an injection. The doctor carefully removes the lesion using a drill and places a filling without touching it. nerve endings. Thanks to modern equipment, filling is painless and comfortable.

3rd trimester

A period of intense fetal growth, during which the expectant mother experiences increasing fatigue. In a lying or half-sitting position, the fetal pressure on the inferior vena cava and aorta increases, which leads to palpitations, migraines, and sometimes even loss of consciousness. The sensitivity of the uterus to external influences increases, which sometimes leads to premature birth.

Treatment in the third trimester is indicated in extreme cases (it is advisable to carry out manipulations before 36 weeks):

irreversible processes in which it is important to remove dead tissue;
purulent inflammation;
unbearable pain.

What procedures do not affect the fetus?

Treating teeth while expecting a baby is not dangerous. At the appointment, the expectant mother should tell the doctor what stage of pregnancy she is at, inform about her state of health and the medications she is taking. The information will allow the doctor to choose the optimal treatment tactics.

Pregnant women are allowed to remove soft plaque, fill teeth, treat gum disease, gumboil, pulpitis and periodontitis, and remove teeth. The issue of prosthetics is decided individually.

It is important not to refuse anesthesia and not to endure pain, especially during long-term dental treatment (35-36 weeks). Pain leads to the release of adrenaline into the blood, which increases the tone of the uterus. This negatively affects the condition of the fetus.

Permitted types of anesthesia

When prescribing an anesthetic, the dentist will take into account the allergic reaction of the expectant mother to medications. At high blood pressure Novocaine is allowed (we recommend reading:). If the pain bothers you at home, you can take No-shpu, Spazmalgon, Paracetamol, Nurofen in the doses recommended by your doctor. It is prohibited to use Lidocaine, Septanest, Imudon, and Sodium Fluoride during any period of pregnancy. Drugs can lead to pathology and negatively affect the fetus.

Is it possible to do x-rays?

Dental ultrasound is not performed on pregnant women. To assess their condition, the doctor uses x-rays, which show the location and condition of the roots, dental canals, and hidden carious cavities. The procedure is done after 12 weeks using radiovisiographs - modern devices that give a minimal dose of radiation. In this case, the patient is covered with a lead apron, highly sensitive film is used, and the necessary photographs are taken simultaneously.

Removal of a tooth

Tooth extraction – last resort, which is resorted to only in the most serious cases. Thanks to modern anesthetics, the procedure is painless, but very exciting for the expectant mother. In order for the hole to heal quickly and properly, you must follow your doctor’s recommendations for oral care after surgery. Teeth can be removed according to indications at any time. The anesthetic Lidocaine, popular in dentistry, is not used. It can disrupt blood pressure and heart function, leading to shortness of breath, vomiting, rashes, and migraines.

Treatment of caries

Crown caries and its complications negatively affect the course of pregnancy and become a source of infection, purulent inflammation and pain. The pain itself does not affect the fetus, but leads to discomfort for the mother, which is transmitted to the baby. Infection and inflammation are much more difficult. They can lead to various pathologies.

Caries during pregnancy can be treated at any time, but it is better in the second trimester. For depulpation and complicated forms, anesthesia is used. The use of arsenic is unacceptable. There are no restrictions in the choice of fillings. The doctor will select either chemical filling materials or light-curing fillings.

Is it possible to put crowns?

Dental prosthetics during pregnancy have no contraindications. Orthopedic dentists perform procedures painlessly and safely for health. However, it is important to remember that the gums are swollen during this period, and the impressions may be incorrect. This will lead to discomfort when installing and using finished prostheses. Whether it is possible to insert teeth, place veneers and onlays, and from how many months to do this, the orthopedist will determine during an individual consultation.

Other restrictions you should be aware of

A number of dental procedures are prohibited for pregnant women. Among them:

orthodontic treatment (installation of braces, correction of bite, normalization of the functions of the dental system is undesirable);
teeth whitening;
implantation and other manipulations where general anesthesia is required;
removal of tartar using highly abrasive and chemical devices.

It is extremely undesirable to remove “eights” (wisdom teeth) during embroidery. It is often accompanied by swelling, bleeding and other complications, after which you need to take antibiotics. The time of removal is agreed upon with the gynecologist.

This may be the 2nd or 3rd trimester, when freezing does not affect the intrauterine development of the fetus. They tear out a crooked growing tooth, which interferes with the neighboring one and causes inflammation of the gums, as well as “eight” teeth with deep caries of the crown.

Prevention of dental diseases

Healthy teeth during pregnancy are the result of proper care and timely preventive treatment. To preserve them and forget what caries, gingivitis, and dental cysts are, you should follow the recommendations:

brushing your teeth 2 times a day using a brush and toothpaste selected by your doctor;
using dental floss;
thoroughly rinse the mouth after vomiting caused by toxicosis;
a diet rich in calcium and phosphorus;
A decoction of chamomile, St. John's wort, and oregano for rinsing will help strengthen the gums;
taking vitamins A, C, D, E and mineral complexes for pregnant;
self-massage of gums and teeth.

The future father should also undergo oral sanitation. Dentists explain why this is necessary. Rotten teeth and unhealthy gums are a source of infection that can be transmitted to a newborn. Close contact with the baby (hugs, rocking, kissing) is only permissible if the teeth are healthy.

There are many worries and fears associated with dentists. Some people fear them even more than other doctors. And this happens not so much because of the doctors themselves, but because of their own convictions. Firstly, it will not leave anyone indifferent, and, secondly, no one has replaced the drill yet, and this is one of the devices that frightens patients more than others. Of course, modern equipment is significantly different from what was used before, but, as they say, fear has big eyes. And the most burning question - is it possible for a pregnant woman to have anesthesia - can bring even more horror to already vulnerable women.

First, you need to clearly find out in what cases the anesthesia method is used. Anesthesia during pregnancy is used only in cases of treatment of neglected teeth with caries, and during some operations on the gums. Why such measures are necessary is quite simple to explain. All microorganisms that cause tooth decay and gum inflammation are infections. It can enter the stomach with food, and then penetrates into the body. Naturally, the child, especially initial stages development depends on the composition of the mother’s blood. This is how serious problems with the fetus happen due to a small carious spot. That is why it is better to plan your pregnancy in advance and then the question will certainly not arise: “Can a pregnant woman have her teeth treated with anesthesia?”

During pregnancy, this is one of the important stages of serious treatment. The fact is that dental procedures in this position can have a negative impact on the fetus, so it is not used. Local medications do an excellent job and cause absolutely no harm to both the mother and the unborn baby. In modern dentistry, anesthesia during pregnancy is used only on the basis of articaine. It is completely safe. But still, dentists are often asked whether a pregnant woman can have her teeth treated with anesthesia.

In some cases, the use of painkillers is not necessary, but is advisable, because Without them, stress or anxiety, unpleasant or painful sensations are possible, which will negatively affect both the health of the mother and the fetus. That is why sometimes it is better to protect yourself with local anesthesia.

However, anesthesia during pregnancy is not used during all periods. In the first and third trimester, it is better not to treat teeth if procedures such as tooth extraction are required. And the removal of the so-called “wisdom teeth”, which complete the formation of an adult’s jaw, is not carried out at all. The fact is that this procedure requires the mandatory use of antibiotics, which is extremely undesirable during pregnancy.

Of course, dental anesthesia during pregnancy is an extremely unpleasant procedure, because... an injection in the oral cavity cannot be painless. But it’s still better than enduring incredible pain when nerves are hurt or removed.

But why do many people have dental problems during such an important period? The answer is very simple - calcium, which previously was used only to maintain the bone skeleton, teeth, nails and hair of the mother, is now spent largely on the child and the formation of its bone shells. Plus, saliva changes composition and beneficial microorganisms, maintaining the necessary balance, it becomes significantly smaller.

But, if you need to treat your teeth, then this must be done with complete confidence in the doctor. If you feel better, then ask the question again: “Can a pregnant woman have her teeth treated with anesthesia?” In this case, it is imperative to inform the dentist of your exact date and chronic diseases or allergic reactions to drug components or food products. This will not only help you choose the right necessary medications, but also to find out what procedures are appropriate to carry out.

We wish you and your children healthy and strong teeth!

toothache during pregnancy, dental anesthesia during pregnancy, tooth extraction during pregnancy, dental x-ray during pregnancy, anesthesia during pregnancy, caries during pregnancy

It is perhaps difficult to find a person who has not learned from personal experience what toothache is. And those who have encountered it know: sometimes it’s difficult to wait until the morning to quickly get into the dentist’s chair. What can we say about abandoning the thought of treatment for several months - toothache during pregnancy does not wait or endure, but forces you to take the most urgent measures.

To begin with, let us note that the ideal option is when toothache never bothers you. This is quite realistic and easy to implement. All you need to do is contact to a good doctor, cure everything that might ever bother you and then go to an appointment twice a year as a preventive measure for professional hygiene. With this development of events, even the smallest caries will not escape the eyes of an attentive doctor. Of course, it is best to treat teeth before pregnancy, without waiting for piercing unbearable pain.

And even if you were pregnant, you should still go to the dentist as planned, but not in the early stages, but in the second trimester. This is the time that is considered ideal for full dental treatment during pregnancy.

What to do if you have a toothache during pregnancy?

If you have a toothache during pregnancy, it would be good to know the contact information of a trusted doctor. It is very important. If you don’t have such a person in mind yet, make sure in advance that in case of acute toothache during pregnancy you have someone to call. A pregnant woman is an object of increased attention for a doctor, and to be honest, she is not an ordinary patient at all. Your main task as a patient is to not lose your head at the moment of severe toothache and try to find, through friends and acquaintances, a trusted doctor whom you can turn to, and not run headlong to the nearest dental office. This is really very important.

Toothache during pregnancy: what can hurt?

Modern medical supplies and the drugs are quite neutral, thanks to which full dental treatment can be carried out during pregnancy. Let us repeat again: the ideal time for a planned visit is the second trimester, only because it is the most stable and predictable. But this rule does not apply to acute toothache during pregnancy and treatment can be carried out when needed. The unshakable works here medical rule: Treatment is justified when the benefits from it are greater than the expected harm. So, during pregnancy you have a toothache. The first thought is probably caries. Let us immediately note that small, barely noticeable, new caries does not cause painful sensations. What you are sick with has probably been with you for a long time. Perhaps it pulpitis or periodontitis. In any case, this is a kind of permanent inflammation and a source of infection in the body of a pregnant woman. What is better: the supposed harm from treatment or a source of rotting and constant proliferation of bacteria in the mouth? For any doctor the answer is obvious. Therefore, the question of whether or not to treat teeth during pregnancy is not worth it for him. Definitely - treat!

Any inflammatory process in the body, including in the oral cavity, provokes an increase in the level of leukocytes in the blood. Surely, this will be confirmed by a general blood test, which all expectant mothers regularly have to take. Here we are talking not only about acute inflammations that hurt, worry and don’t let you forget about yourself, here we are talking about chronic processes which can only be diagnosed. Without it, the doctor can only make a preliminary diagnosis. All of the above also sounds in favor of visiting a dentist before pregnancy. But if this fails, be sure to visit a specialist during pregnancy to get ahead of the pain and plan possible treatment before giving birth. However, if necessary, most dental procedures can be performed throughout the entire nine months.

Dental anesthesia during pregnancy

Let's start with dental anesthesia during pregnancy. It is often impossible to do without it. Good anesthesia is the basis of any treatment. If the patient is in pain, the doctor is unlikely to be able to carry out all the manipulations efficiently. For successful treatment The doctor needs a calm, relaxed patient with his mouth wide open. And this is only possible in the absence of pain. Only extremely rare cases allergies may force the doctor to refuse an injection with an anesthetic. Next we will answer main question: Is it possible to use anesthesia during pregnancy? So, dentists have modern painkillers in their arsenal that are not contraindicated for pregnant women. These drugs are non-toxic and are quickly eliminated from the body. And most importantly, they do not pass the hemoplacental barrier, and therefore are safe for the child. Before your appointment, be sure to tell your dentist about the specifics of your situation, possible allergies or reactions to anesthesia. If the doctor is dealing with ordinary caries during pregnancy, the treatment will be simple and quick. All manipulations (tooth preparation, drying, installation and “exposing” fillings) and preparations are used and performed at the local level and do not threaten the health of the mother and fetus.

Toothache during pregnancy: pulpitis or periodontitis?

It’s a completely different matter when most of the tooth tissue is affected by caries, the pain is unbearable, and at the appointment the doctor states: “You have pulpitis.” Surely, many of you have experienced this acute, throbbing toothache. Not only does it occur unexpectedly, it can rarely be suppressed with painkillers. The tooth hurts day and night, and nothing helps... If such severe toothache during pregnancy deprives you of sleep, the question of caries is no longer an issue; most likely, you are faced with another problem. These symptoms are united by the disease “pulpitis” - inflammation of the neurovascular bundle in the tooth. Pulpitis can also be characterized by pain when biting on a tooth. It is aching, dull or tugging, making it simply impossible to eat. What is important is that pulpitis always begins with minor caries. Most often, the diseased tooth has already been treated, and it seems to you that there is nothing to hurt there anymore.

In the case of pulpitis, when the neurovascular bundle in the tooth becomes inflamed, and periodontitis, when inflammation spreads from the root canal to the bone surrounding the tooth, root canal treatment is the main measure in eliminating this disease. The doctor discovers everything root canals in the tooth, expands them, disinfects and hermetically seals the root tips. Modern methods of treating pulpitis and periodontitis are carried out in one or two visits to the doctor. Root canal treatment is required to be performed under anesthesia. Note that quality treatment root canals are simply impossible without x-ray examination. As a rule, the doctor takes at least three photographs during treatment - before, during the procedure and after it. This is necessary to make sure that all the canals are found, “passed” along the entire length and that there is no source of bacterial growth left inside the tooth. At the end of the procedure, the doctor will put a calcium-containing preparation into the pregnant woman’s tooth cavity, place a temporary filling, and invite her for an appointment after childbirth. It is important to understand here: if the treatment of pulpitis or periodontitis has stopped at an intermediate stage, do not delay visiting the doctor after the birth of the child. The temporary filling is not reliable. It should be replaced with a permanent one as soon as possible.

Dental X-ray during pregnancy

It is known and proven that X-ray radiation in large quantities negatively affects human body. However, this does not apply to modern dentistry. To take a photo in dental office, microdoses of X-ray radiation are used. They are so minuscule that in Western dental clinics, doctors and assistants have long stopped using lead “aprons” for protection from radiation. IN modern clinics To take a picture, you don’t need to go to another room: as a rule, x-rays are taken using a visiograph - a small device that hangs on the wall right in the doctor’s office. Studies have been repeatedly conducted that have proven that an X-ray of one tooth in terms of radiation volume corresponds to two hours spent in front of a TV or computer screen. Now consider how much time you spend in front of a screen and how much importance you attach to x-rays in dentistry. However, with all these facts in favor of modern X-rays, not a single sane doctor would persuade a pregnant woman to take an “extra” X-ray if there is no urgent need for it.

Tooth extraction during pregnancy

Unfortunately, this situation is not uncommon. If the process in the tooth is irreversible and the treatment will only prolong time and will not bring any benefit, the doctor decides to remove it. Important tip: if one doctor recommended that you have a tooth removed, do not rush to agree immediately, but also do not delay the decision. In the case of such recommendations, it may be worth going to another specialist, because there are so many doctors, so many opinions. One dentist can only remove it, while another will try to save and restore the tooth. However, if the situation is obvious and the tooth must be removed, definitely agree. Preserving the source of inflammation and infection is harmful to the health of the mother and the unborn child. After surgery, when the anesthesia wears off, you will most likely have a difficult time. At the operation site there will be discomfort, perhaps even pain. It is not recommended for pregnant women to take any painkillers. In case of acute pain - only paracetamol. After removal, also depending on the initial situation, the doctor may prescribe antibiotic therapy. This is necessary to completely eliminate the infection. Knowing your situation, the doctor will select a group of antibiotics that is safe for the expectant mother. Here the conclusion suggests itself - you shouldn’t wait to such a situation that you have to have teeth removed during pregnancy and take antibiotics again. Take care of them ahead of time, visit the dentist as a preventive measure and do not forget about good hygiene.

Dental hygiene during pregnancy

Proper oral hygiene during pregnancy is no less important than visiting the dentist on time. Changing hormonal levels bring with them many problems. Expectant mothers who have taken good care of their teeth throughout their lives are unlikely to be affected by such problems. Pregnancy will cause inconvenience to those who went to the dentist only because severe pain. Swollen gums, blood on the toothbrush and bad smell from the mouth... If these problems are familiar to you, most likely you are faced with gingivitis in pregnant women. This disease has its origins hormonal basis. During pregnancy, the blood supply to the mucous membranes of the body changes. As a result, the periodontal papillae (the area of the gum located between the teeth) may slightly enlarge. And most importantly, poor oral hygiene stimulates the growth of bacteria. The result is gingivitis. At this point, special attention should be paid to oral hygiene. With proper care and consideration hormonal changes Gingivitis will most likely go away soon after delivery. But if the situation in the mouth is advanced, hormonal changes in a woman’s body can give rise to more serious problems. If you notice signs of gingivitis, it is recommended to immediately consult a doctor. The dentist will conduct professional cleaning teeth, prescribe anti-inflammatory therapy and recommend maintaining good hygiene. If you don’t know how to do this, do not hesitate to ask a specialist directly at the appointment. The doctor will definitely tell you about the correct technique for brushing your teeth and about various devices and products that will help maintain dental hygiene at home at the proper level (irrigators, dental floss, etc.).

Most people put off dental treatment until the very last moment. Unfortunately, only acute, unbearable pain pushes them to go to the doctor. There are many reasons for this: a peculiarity of the Russian character, and childhood psychological trauma associated with the dentist, and the absence of a truly personal doctor. It shouldn't be this way. If you visit the dentist on time, your teeth will never hurt. And the well-known proverb about a lost tooth for every child will not work with you.

The issue of dental treatment during pregnancy causes a lot of controversy. Expectant mothers are afraid of harming the child, because dental treatment usually occurs with the use of anesthesia. But the opinion of gynecologists and dentists is adamant: it is possible to treat a pregnant woman’s teeth; necessary measure for the full development of the fetus and the health of the expectant mother.

It’s good if the pregnancy is planned in advance, and the expectant mother takes her health with full responsibility, understanding that her health is the health of the baby and the key to its normal development from the very first days.

But families do not always plan pregnancy, and often a woman has to heal her teeth while already pregnant. Many expectant mothers avoid visiting the dentist, naively believing that any doctor’s intervention, especially pain-relieving injections and anesthesia, can harm the child.

In fact, untreated teeth are much more harmful to the woman’s body and the fetus, since an infection in the oral cavity can lead to local inflammation, and subsequently to infection and intoxication of the entire body.

Photo: Bad teeth have a bad effect on the fetus

On early stages, when the placenta has not yet fully formed and cannot serve as a protective barrier for the fetus, there is a high probability of damage to fetal tissue.

Unfavorable factors

Main unfavorable factor, which is responsible for tooth decay during pregnancy, is a hormonal change in the body.

Hormonal changes - natural process aimed at the full development of the fetus. But at the same time, perestroika to hormonal level negatively affects the condition of a woman’s teeth and oral cavity.

In this situation, even healthy and pre-treated teeth are subject to destruction, and infection in the oral cavity only activates the processes of destruction. Why is this happening?

The formation of the child’s skeleton occurs due to calcium found in the mother’s plasma. If there is not enough calcium in the plasma, the process of leaching calcium from the mother’s skeletal system begins.

Calcium absorption occurs with the required amount of magnesium and phosphorus. In accessible form, calcium, magnesium and phosphorus are found in skeletal system, including the mother’s teeth. IN normal conditions When there is a lack of minerals, saliva delivers them to the oral cavity.

During pregnancy, a woman changes the production, acidity and composition of saliva. A change in acidity promotes the growth of bacteria in the oral cavity. The consequence of this process is the thinning of tooth enamel and the rapid development of caries.

In the first trimester of pregnancy, gynecologists usually prescribe a maintenance vitamin course, which should not be neglected under any circumstances.

The choice of a dentist should be taken responsibly. The selected specialist must thoroughly know the techniques of dental treatment for pregnant women, the timing at which treatment can be carried out, and painkillers approved for expectant mothers.

Video: is it possible or not?

What dental diseases can be treated during pregnancy?

The following symptoms may be a reason to visit the dentist during pregnancy:

bleeding gums, which can be observed when brushing teeth or eating;
tooth sensitivity, pain response to cold and hot;
toothache, periodic or constant.

All these symptoms indicate the beginning of the inflammatory process. During pregnancy, it is necessary to treat any diseases of the oral cavity. The timing and method of treatment is determined by the doctor, and visiting a dentist in the early stages of the disease is the key to successful treatment and preservation of teeth.

Failure to visit the dentist on time can lead to sad consequences. For example, with shallow caries, treatment can be carried out without anesthesia; with a deep degree of damage, the nerve will need to be removed, in which case an injection of anesthesia will be required.

There are no restrictions when choosing a filling. You can choose a “chemical” filling or a light-curing composition. The lamps used for the light method are not dangerous to the fetus.

We list the diseases that can be treated during pregnancy:

caries - infection, consequences - inflammation of the jaw bone and problems with the gastrointestinal tract;
pulpitis and periodontitis- complications of caries, inflammation of the dental nerve, accompanied by acute pain;
odontogenic periostitis- a consequence of caries, expressed in inflammation of the periosteum (flux), which can lead to tooth extraction;
periodontal disease and periodontitis- inflammation of the gums and bone tissue responsible for tooth retention, leads to intoxication of the body as a whole, contributes to the development of rheumatism and diseases of the heart, joints, and affects the body’s immune system;
gingivitis- inflammation of the mucous membrane of the gums, a common disease in pregnant women;
stomatitis- local damage to the oral mucosa; the mechanism of the disease has not been fully identified; it is considered a disease of weak immunity.

Photo: caries, pulpitis and periodontitis require treatment during pregnancy

Removal of a tooth surgically performed with anesthesia in the second trimester of pregnancy, when the placenta is fully formed and protects the fetus from negative factors.

During the gestation period, you can have prosthetic teeth. Prosthetics has no contraindications, with the exception of dental implantation. To implant implants, the body spends energy, which is necessary for the development of the baby.

Prohibited procedures during pregnancy include all cosmetic dentistry procedures:

strengthening and whitening enamel,
removal of dental stone,
correction of the bite and position of the teeth.

This is due to the use of special chemicals which are contraindicated for pregnant women.

Dentists recommend removing wisdom teeth at the stage of planning and preparing for pregnancy. But the removal of diseased teeth is necessary, but surgical intervention not performed in the first trimester of pregnancy.

Prohibited drugs

If we talk about prohibited drugs, we can highlight:

Sodium fluoride;

Lidocaine is a local anesthetic that is not recommended during pregnancy due to a number of side effects:

muscle weakness,
convulsions,
labored breathing,
a sharp drop in pressure.

Stopangin contains two main substances - hexetidine and methyl salicylate.

And if the first is safe and even useful for pregnant women, since it destroys fungi and bacteria without consequences, then the second refers to non-steroidal anti-inflammatory drugs.

Non-steroidal drugs cause a teratogenic effect, that is, they contribute to the appearance of deformities and pathologies of the fetus. Side effect The drug may cause pregnancy to continue.

Sodium fluoride is an anti-caries agent; in dentistry it is used to strengthen tooth enamel.

IN Food Industry Sodium fluoride is used in production technology drinking water, the drug is also added to toothpastes. Large doses Sodium fluoride can disrupt the functioning of the heart and negatively affect the fetus.

Strengthening enamel at home Sodium fluoride can completely destroy tooth enamel and lead to tooth loss.

Imudon is an immunomodulating agent used to treat diseases of the oral cavity.

There are others medical supplies, which only at first glance seem harmless. During pregnancy, medications should only be taken as prescribed and under the supervision of a physician.

When is it possible?

In the first trimester, the placenta is still forming and cannot serve as a protective barrier from negative impact. In the third trimester, the woman’s body is already quite exhausted and the general physiological state may become a contraindication.

If urgent medical intervention is necessary, the duration of pregnancy does not play a role. The only question is choosing the right treatment technique and medications.

When treating teeth and oral diseases in the first and third trimesters, the dentist will need Additional Information and recommendations from a gynecologist about the woman’s condition and fetal development.

In the first trimester

During the first trimester, the formation and laying of soft tissues, organs and systems of the unborn baby occurs; the placenta is not yet formed.

Entry into a woman's body medicines may have a negative effect on the fetus, so treatment is not recommended. An exception may be emergency cases associated with acute pain.

But diseases such as periodontitis and pulpitis require immediate treatment. The consequences of infectious infection and intoxication of the body are much more dangerous than the effects of medications.

Treatment of caries can be postponed until the second trimester if the disease is not accompanied by pain.

In the second trimester

The period of the second trimester is the most suitable time for dental treatment, when a woman must undergo an examination by a specialist.

The dentist is obliged to heal not only teeth in critical condition, but also to assess the condition of the oral cavity and possible exacerbations in the subsequent third trimester of pregnancy.

In the third trimester

Treatment and removal of teeth in the third trimester is not recommended due to the special sensitivity of the uterus to all types of external influence, including medications.

In the third trimester, there is an increase in pressure on the aorta by the fetus. To reduce pressure, dental treatment should not be performed in the traditional supine position.

The woman should be in the dental chair, turning towards left side. This measure will reduce the risk of possible fainting during the procedure and prevent a decrease in blood pressure.

The general condition of the woman should also be taken into account. In the third trimester, the mother’s body is quite exhausted, and stress during dental treatment can provoke a deterioration in the physiological condition.

Radiography in pregnant women

X-rays are contraindicated during pregnancy.

It is prohibited to conduct research in the first trimester. If necessary to do X-ray However, if this occurs, a lead apron must be used to protect the abdomen and pelvic area.

The best option would be to choose a clinic where dental photographs are taken using a radiovisiograph - a modern device with a minimum radiation level.

Video: radiography and anesthesia during pregnancy

Treatment with a painkiller injection

The question of whether it is possible to treat teeth during pregnancy with anesthesia has been resolved. But what painkillers can be used for treatment? The danger of using painkillers lies not only in the effect on the fetus, but also in the fact that they constrict blood vessels.

Drugs should be used for anesthesia in pregnant women local action, do not penetrate the placenta barrier, with a low degree of impact on blood vessels.

Such drugs include Ultracain and Ubistezin.

When visiting the dentist, it is necessary to indicate the exact stage of pregnancy; the choice of drug will depend on this.

You should know that treatment under general anesthesia is strictly prohibited. Ask what medications the dentist uses.

Prevention and dental care at home

The condition of the oral cavity during pregnancy deteriorates sharply not only due to hormonal changes and the body's expenses for fetal development.

Oddly enough, dental diseases often appear due to the fault of the woman herself.

Photo: Dental hygiene during pregnancy

Regular care, as it was before pregnancy, is no longer enough. During pregnancy, your diet, frequency of meals and daily diet changes, which means you should reconsider methods of prevention and dental care at home.

What to pay attention to:

Brushing your teeth should be done twice a day;
use after meals dental floss and rinsing agents;
use toothbrush normal or soft degree of hardness;
do not use whitening pastes for daily care;
purchase therapeutic and prophylactic toothpastes;
do not use one brand of toothpaste;
include dairy products in your diet to get your daily calcium intake;
do not neglect taking vitamins and microelements prescribed by your doctor.

To prevent gum inflammation, you can massage.

To do this, apply a little toothpaste to the gums, after which movements are made towards the gum with the thumb and forefinger. Movements should be light, massage is performed daily for 5-7 minutes.

Pharmacy preparations for the oral cavity can be replaced with homemade elixirs. For example, an infusion of a mixture of St. John's wort, mint and oregano will strengthen gums and prevent caries. The ingredients are taken in equal parts and brewed with boiling water, the decoction should steep for an hour.

Video: dental care during pregnancy

The effect of diseased teeth on the fetus

The negative impact of caries, as well as its complications - pulpitis and periodontitis, on the development of the fetus has long been proven by scientists.

Untreated caries threatens a woman premature birth and low fetal weight at birth. Periodontitis and pulpitis contribute to the spread of infection throughout the maternal body, intoxication and damage to the soft tissues of the fetus.

Gingivitis, a gum disease, often results from hormonal changes in pregnant women. Bacterial breakdown products have the ability to enter the bloodstream, causing inflammation of a woman’s gums and negatively affecting fetal tissue.

In severe cases, infection can lead to termination of pregnancy. The same processes occur with stomatitis, so any diseases of the oral cavity must be treated immediately.

We must not forget about under stress women with exacerbation of oral diseases and acute pain. Pain can cause changes in the body of a woman and fetus physiological level. When pain occurs, an additional release of hormones occurs, which can negatively affect the development of the fetus.