Is it possible for pregnant women to have light fillings? Is it possible to treat teeth for pregnant women? What harm does anesthesia cause? Prevention and dental care at home

Contents [Show]

Pregnancy brings not only joyful troubles, but also aggravates some diseases. The fetus draws calcium from the mother's body, as a result of which teeth are often destroyed and long-standing fillings fall out. Everyone knows the fact that if a tooth gets sick, it needs to be treated urgently, the sooner the better. For pregnant women, a natural question arises: is it possible for pregnant women to have their teeth filled? Will this harm the unborn child?

Toothache in a pregnant woman - you need to go to the dentist

Why can’t you delay treatment?

During pregnancy, the body's natural defenses are significantly reduced, so women are at risk for diseases of the teeth and gums. The fruit needs a large amount minerals and, if the mother does not consume enough vitamins, then the embryo has to make up for the deficiency from the available resources of the mother’s body. As a result of this process, the female body does not have enough calcium to maintain and meet its own needs. Its deficiency is fraught with:

• increased sensitivity of teeth;
• destruction of enamel;
• bleeding gums;
• loss of fillings;
• destruction of dentin and other more serious problems.

It is very important to understand that timely treatment will help preserve your teeth in the future. A child needs vitamins not only when he is in the womb, but also in postpartum period. With mother's milk, the baby receives all the necessary substances, multivitamins and minerals. If you do not take care of dental treatment during pregnancy, then it is quite possible that during lactation a woman will already lose several dental crowns.

Moreover, if problem teeth, especially those with carious lesions, are not dealt with in a timely manner, the risk of transmitting the disease to the unborn baby increases.

In this case, the child’s baby teeth may appear already affected by caries.

What methods does the dentist use to treat pregnant women?

Another question that pregnant women ask is whether it is possible to get a filling during pregnancy? Dental treatment while carrying a baby is a very important, mandatory process, but due to the fact that some drugs can penetrate the placenta and harm the fetus, there are some nuances.

Local anesthesia is used, which does not enter the bloodstream

Pregnant women do not have their teeth filled under general anesthesia.

A contraindication to x-rays is pregnancy up to 20 weeks. General anesthesia for dental treatment and filling is not the best undertaking for any person. Each body reacts to artificial induction into a coma differently. General anesthesia is a completely safe method; with one injection you can perfectly numb any tooth. Naturally, it is necessary to choose the right drug suitable for treating pregnant women.

X-rays are completely safe to take after 20 weeks of pregnancy. There is no need to worry, because modern equipment has a targeted effect only on the diseased tooth. Dentists do not always offer treatment right away. If it can be postponed until the postpartum period, then why not.

Safe X-ray and special protection

There are situations when urgent intervention is required. A disease such as periodontitis can cause premature birth. Another acute gum disease is gingivitis. With significantly reduced protective functions of the body, it develops very quickly and leads to tooth loss.

Sealing

The ideal option is to first seek advice from a dentist, even while planning a pregnancy. If the dental problem began already during pregnancy, it is better to start treatment after 12–14 weeks. It is at this time that the placental barrier has already been formed, and even with the use of anesthesia, the threat to the baby will be minimized. It is not recommended to have teeth filled a month before giving birth unless there is an urgent need for it.

If a tooth hurts under a filling, then you need to take an x-ray and see if there is pus in the canals. Often, the old filling is removed and the canals are cleaned; if necessary, a temporary filling is installed for several days with a safe medicine that will promote healing and have a bactericidal effect.

If a filling that has been installed for a long time falls out during pregnancy, the surface of the tooth is cleaned, and if nothing hurts, then even a temporary filling with medicine is not required; the doctor immediately installs a permanent filling. In this case, you can get rid of the problem tooth in one visit. Most often, to install permanent fillings, doctors use the following filling material:

• metal;
• phosphate;
• composite reflective.

Non-hazardous materials are used for filling

How diseases are treated oral cavity?

Caries is quite treatable, especially in early stage when it's one small hole. You don't even need anesthesia to fix this problem. IN severe cases, when a person does not turn to a specialist, destruction reaches the pulp. In such cases, removal of nerves and more stringent treatment measures are indicated. A temporary arsenic filling is a contraindication.

Gingivitis develops as a result of hormonal changes in a woman’s body during pregnancy. An inflammatory process occurs in the gums, as a result of which the soft tissues swell and can even cover the dental crowns. This process prevents the usual hygiene procedures, therefore, you need to seek qualified help as soon as possible, otherwise the disease will develop into a more serious form of periodontitis. Prescribed for the treatment of gingivitis antiseptic treatment gums As a result of the spread of inflammation, toxins enter the mother's blood, which negatively affects the health of the unborn baby.

Oral stomatitis in pregnant women is another common disease that occurs as a result of decreased protective functions body.

Dental treatment for pregnant women - gentle

The disease is not as serious as the previous one, but causes unbearable pain and provokes swelling. At the dentist's office, the doctor will prescribe you a safe medicine.

Removal and prosthetics

People do not always turn to dentists on time and in the most advanced cases the tooth may fall out or the doctor himself may come to the conclusion that it is better to remove it dental crown. There are no contraindications for removal during pregnancy. Dentures can also be installed, but the doctor will try to persuade you to do this during the postpartum period.

Few people would want to go without a tooth, but it is important to understand that installing a new dental crown is an introduction foreign body, which your body must accept. With a weakened immune system, the body’s adaptation to the implant will take much longer. After installing a false tooth, you will have to take a course of antibiotics, which can negatively affect not only the mother’s body, but also the fetus. Wisdom tooth removal is separate topic. The procedure itself is quite complex. The process involves complete removal a healthy tooth with strong roots, and even covered with gum. After such removal, serious complications are possible.

When to see a dentist?

Teeth don’t ask when they should hurt. If your tooth hurts in the eighth week of pregnancy, then going to the dentist cannot be put off for another month. If necessary, the dental office will select the appropriate treatment for you at any time. Sometimes treatment is carried out without anesthesia, with the selection of safe filling materials.

Before and after dental treatment for a pregnant woman

If possible, delay treatment, it is best to start it in the second trimester. It is strictly forbidden to whiten teeth in any trimester, this can lead to destruction of enamel, it is also not recommended to remove tartar, it is better to do this while planning pregnancy.

Do mother's untreated teeth affect the fetus?

As you know, any change or illness of the mother during pregnancy negatively affects the condition of the baby, the condition of the teeth is no exception. During pregnancy you cannot tolerate severe pain, and everyone knows that toothache is the worst. This has a psychotraumatic effect on the fetus. The development of any inflammation in the oral cavity is associated with an increase in the number of pathogenic microorganisms. Over time, destroying the enamel and eventually reaching the pulp, bacteria penetrate into the blood, and with it into the placenta and into the body of the unborn child.

Enduring pain and not treating teeth is dangerous for the baby

The neglected condition of teeth can provoke the development various pathologies in a baby.

The development of infection causes inflammation, and then intoxication, which is accompanied by fever, vomiting, and digestive disorders. Such symptoms can lead to premature birth.

If a problem with your teeth is identified, you must consult a dentist at any time and determine the degree of complexity. Doctors strongly recommend dental treatment during pregnancy, because advanced dental diseases can lead to premature birth and the development of pathological processes in the fetus.

ratings, average:

Subscribe Stay up to date with new products on our site

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. An increased level of progesterone leads to increased blood supply to body tissues, including the 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?

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:

• caries - destruction of the hard tissues of the crown with the subsequent appearance of a hollow and exposed nerve;
• gingivitis – inflammation of the gums, which is characterized by bleeding and hyperemia of the mucous membranes;
• periodontal disease is a process affecting the gums and bone structures (leads to loosening of teeth);
• stomatitis - damage to the soft tissues of the oral cavity.

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 that 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 an 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

In the second trimester, dental diseases are prevented and teeth are treated, the condition of which 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

Period intensive growth fetus, in 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 painful sensations, especially when treating teeth for long periods (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

All anesthesia during pregnancy is based on articaine. Non-toxic drugs local action"Ultracain DS", "Ubistezin" do not penetrate the placental barrier and do not harm the fetus. It is forbidden to inject them only when bronchial asthma, anemia, intolerance to sulfo groups. If necessary, the doctor can treat teeth with anesthesia (freezing) every day.

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. 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 women;
• 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 - a source of infection that can be transmitted to the newborn. Close contact with the baby (hugs, rocking, kissing) is only permissible if the teeth are healthy.

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; this is a necessary measure for the full development of the fetus and the health of the expectant mother.

• Dental health in expectant mothers
• Unfavorable factors
• Procedures that are not recommended
• When is it possible?
• Radiography in pregnant women
• The effect of diseased teeth on the fetus

Dental health in expectant mothers

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 are a 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. Calcium, magnesium and phosphorus are found in accessible form in the skeletal system, including teeth, and the mother. 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, affects immune system body;
• 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

Surgical tooth extraction is 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 that 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 is not performed in the first trimester of pregnancy.

Prohibited drugs

If we talk about prohibited drugs, we can highlight:

• Lidocaine;
• Sodium fluoride;
• Stopangin;
• Imudon.

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. A side effect of the drug can be post-term pregnancy.

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

IN Food Industry Sodium fluoride is used in drinking water production technology, and the drug is also added to toothpastes. Large doses of 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 the 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 in emergency cases involving 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 influences, including medications.

In the third trimester, there is an increase in pressure on the aorta by the fetus. To reduce blood pressure, dental treatment cannot be carried out in the traditional way. supine position on the back.

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.

Should also be taken into account general state women. 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.

For anesthesia of pregnant women, topical drugs should be used that do not penetrate the placental barrier and have a low degree of effect 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 costs 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;
• After meals, use dental floss and mouthwash;
• 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 daily norm calcium;
• 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 a large and index fingers movements are performed towards the gum. 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 with 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.

Modern treatment of pregnant women at the dentist using anesthesia raises a large number of questions among women carrying a child. In most cases, pregnant women are afraid of procedures whose safety is not well known. The use of anesthesia is associated with many fears, prejudices and misjudgments. In any case related to health issues, it is important not to go from one extreme to another, but to carefully study all aspects of the drug’s effect on the body, all possible risks and contraindications.

Today, dentists and doctors involved in pregnancy agree on the need to visit the dental office in order to preserve the woman’s health and the normal development of the baby, because in many cases it is the teeth that are subject to destruction during pregnancy. In many ways this problem occurs due to hormonal changes occurring in a woman’s body. In fact, this process is natural, promoting the natural development of the child.

Is it possible to treat teeth for pregnant women with anesthesia?

While carrying a child, it is necessary to promptly treat the oral cavity using safe methods anesthesia, since hormonal changes can destroy even completely healthy teeth.

An infection occurs in the oral cavity, which only contributes to destructive processes.

Let us consider in more detail the cases of using anesthesia for pregnant women and cases of prohibition for its use.

When is pain relief required?

Before deciding on the possibility of using anesthesia during pregnancy, consider whether you really need it? After all, for example, the treatment of an uncomplicated carious cavity can be done without its use. The dentist will be able to carefully clean the canals without affecting the nerve itself, and there will be no need for dental anesthesia, which is undesirable for pregnant women.

Treatment of an uncomplicated carious cavity can be done without the use of anesthesia

Visit to the dental office

In the event of complicated caries or the need to remove an entire tooth, the situation changes radically, and the use of local anesthesia becomes necessary. The attending physician must be informed about the situation of the pregnant woman.

Important! Much depends on the individual sensitivity of the patient - local anesthesia can be avoided if you are able to withstand the pain from the procedure.

While carrying a child, the mother’s mood is felt by the child, which is why if teeth are extremely sensitive, it is recommended to inject a painkiller when treating them.

Mechanism of tooth destruction

The effect of anesthesia on the body of a pregnant woman

Among pregnant women, there is a widespread belief that any type of anesthesia is harmful during fetal development. In this regard, most pregnant women prefer to postpone a visit to the dentist's office.

When carrying a child, it is necessary to check with your attending physician about the possibility of dental treatment using anesthesia.

It is often allowed if

• there is no individual intolerance;
• painkillers are carefully selected;
• treatment is carried out in the second or third trimester of pregnancy.

It is important to understand how pain medications affect women who are pregnant. Dentists often use medications containing adrenaline, which promotes contraction. blood vessels, which leads to an analgesic effect.

These drugs are prohibited during pregnancy, as they increase uterine tone and provoke an increase in blood pressure. It is because of this that expectant mothers should receive treatment using only modern medicines containing a minimal amount of adrenaline.

Expectant mothers should receive treatment using only modern medications containing a minimum amount of adrenaline

When treating teeth during pregnancy, painkillers are administered by injection, which begins to have an effect after a short period of time. A pregnant woman usually does not feel any pain from medical procedures, which allows for a variety of procedures, including the removal of a diseased tooth. Neither mother nor child will feel any negative emotions.

When carrying a child, it is prohibited to perform anesthesia:

• in the first trimester of pregnancy;
• in the last month of pregnancy;
• if you are allergic to constituent components anesthetic drug;
• if there is a danger to the mother and child from the type of painkiller used.

When treating teeth during pregnancy, painkillers are administered by injection.

There are some types of anesthesia that are prohibited during pregnancy. The consequences of their use may be irreversible.

When and how is dental treatment performed?

Carrying out large quantity Research has made it possible to identify drugs with the least amount of the hormone adrenaline in their composition.

For example, the following are preferred as anesthesia for pregnant women:

• Ultracaine;
• Primacaine;
• Ubistezin and others.

Ultracaine drug

The use of these drugs does not pose a risk to the health of pregnant women, since all harmful substances, contained in them, cannot penetrate the walls of the placenta, which means that they are not able to penetrate the baby’s body. Primacaine and Ultracaine are the most common painkillers. Some experts are not against their use even in early pregnancy.

For your information! Ultracain is not only unable to penetrate the placental membrane, but also does not penetrate into breast milk, which is why it is used even during the lactation period.

The attending physician individually determines all necessary doses of medication according to the stage of pregnancy, the state of health and the age of the woman. Primacaine enters the placenta minimally and, moreover, has a short half-life, which is why conduction anesthesia with the use of this drug is permitted when carrying a child.

Video - Is it possible to treat teeth during pregnancy?

In the first trimester, during the first 3 months, the baby’s organs and systems are formed and developed. It is not recommended to carry out dental treatment before the fertilized egg is implanted, since the embryo is characterized by high sensitivity to external irritating factors.

People often experience pain when visiting a dental office, and the pain experienced by a pregnant woman is quickly transmitted to her child. It makes no sense to question the dentist about possible harm from anesthesia during pregnancy, since the answer is obvious and any interventions during the formation of organs and systems are not recommended due to the possible impact on the processes.

Important! It is recommended to put everything aside necessary procedures up to the 4th month of pregnancy in the absence of pulpitis or periodontitis, because these diseases affect the baby’s health and require appropriate treatment.

Pulp inflammation

It would be most optimal to visit the clinic in the second trimester of pregnancy, since this period is characterized by a certain formation of systems and organs and the likelihood of causing harm is negligible. However, it is necessary to consult with the doctor managing the pregnancy about the possibility of anesthesia in your particular case. Go through the row preventive procedures and treat teeth in need of emergency treatment.

However, it is worth remembering about procedures that are prohibited even during the second trimester.

These include the following procedures:

• whitening;
• prosthetics;
• implantation

Teeth whitening is a prohibited procedure during pregnancy

Important! Whenever possible to visit the dentist after giving birth, it is better to postpone the visit.

The end of the third semester is also unfavorable for dental procedures. This period is often characterized by the general fatigue of the expectant mother and her anxiety about future births. In addition, the uterus becomes sensitive to external influence and any medical manipulation can cause premature birth. It is because of this that visiting the dentist is recommended only in special cases.

1. Treatment is not recommended in the first trimester.
2. In the second trimester, it is prohibited to use anesthetics and general anesthesia, as well as use medications whose components can cause allergic reactions in women.
3. In the third trimester, dental treatment in the last month before delivery is contraindicated.

In the third trimester, dental treatment is contraindicated in the last month before delivery.

For your information! It is worth noting that at different periods of gestation there are some differences in penetration medicines through the placental membrane.

1. In the early stages, the placenta is sufficiently thick, which reduces its permeability.
2. On later it becomes thinner and drugs penetrate into it more easily.

Video - Dental anesthesia during pregnancy

Dental treatment for pregnant women is not only possible, but necessary. You cannot tolerate toothache; it is a huge stress for both the woman’s body and the baby. In addition, hidden foci of infection in the mouth can lead to infection of the fetus. Therefore, you should not put off visiting the dentist.

Features of dental treatment for pregnant women

Pregnancy is not absolute contraindication for any dental procedures. However, the patient must warn the doctor about her situation, and also indicate the exact duration of pregnancy.

Main nuances of therapy:

• while carrying a child, caries, pulpitis, periodontitis and inflammatory gum diseases (gingivitis, periodontitis, stomatitis) can be treated;
• To fill a tooth, you can use both chemically curing materials and light-curing composites; photopolymer lamps are safe for the fetus;
• enamel bleaching is prohibited;
• dental treatment is carried out under local anesthesia(injection of Ultracaine, Articaine), the expectant mother must not be allowed to endure terrible pain in the dentist’s office;
• General anesthesia is strictly contraindicated.

Early and late dental treatment

The entire period of pregnancy is conventionally divided into 3 periods (trimesters).

First trimester (up to 12 weeks)

In the 1st trimester (the earliest period) the laying of all vital important organs child. The placenta is just beginning to form; it cannot yet protect the fetus from negative influence. Therefore in this period It is undesirable to carry out any medical intervention. However, the dentist can prescribe local drugs to relieve inflammation (Chlorhexidine, Miramistin, Cholisal).

Second trimester (from approximately 13 to 24 weeks)

In the second trimester, the risk of dangers decreases significantly. The placenta serves as a reliable protective barrier for the baby. This is the optimal period for dental treatment and other dental procedures.

Third trimester (from 25 weeks to delivery)

In the 3rd trimester there is increased sensitivity uterus to drug effects. In addition, during this period the woman’s body is quite weakened. Therefore, “extra” stress in the dentist’s office is extremely undesirable. If possible, it is better to postpone dental treatment during lactation. However, this does not apply emergency cases, for example, acute toothache.

Dental diagnostics during pregnancy

Treatment of pulpitis and tooth extraction during pregnancy cannot be done without diagnosis. Traditional radiography (sighted x-ray) is not the best option for pregnant women. Fetal cells are in the process of dividing, so they are especially sensitive to radiation.

But if there is a need for such diagnostics, it is better to carry it out in the second trimester. Be sure to cover your stomach and pelvic area with a protective lead apron.

The safest option for women during pregnancy is digital radiovisiography. This method is characterized by minimal radiation exposure - 90% less compared to film X-rays.

Local anesthetics are used that do not cross the placental barrier. Another requirement for painkillers is a low degree of impact on blood vessels.

Lidocaine is not suitable for expectant mothers as this drug may cause muscle weakness, convulsions and a sharp drop in blood pressure.

The best option is anesthetics based on anticaine:

These drugs do not harm the baby because they act locally. They also have a reduced concentration of vasoconstrictor components (adrenaline, etc.), which is safe for the mother.

Tooth extraction during pregnancy

Tooth extraction is surgery, which is always accompanied by psycho-emotional stress. Of course, it is undesirable for women while carrying a child.

Therefore, tooth extraction is carried out only in extreme cases:

• crown or root fracture;
• deep carious lesion, which becomes the cause purulent inflammation;
• formation of a cyst whose diameter exceeds 1 cm;
• incessant sharp pain which cannot be eliminated with conservative therapy.

Wisdom teeth removal is generally not performed during pregnancy. This operation often ends with alveolitis (inflammation of the socket) and other complications requiring antibiotics.

Implantation and dental prosthetics during pregnancy

During pregnancy, you can have any type of prosthesis, including crowns and bridges. The exception is dental implants.

Dental implant placement is often expensive vitality. But during pregnancy, all resources are aimed at development healthy baby.

In addition, after implantation, anti-inflammatory and painkillers are required, which are contraindicated for the expectant mother.

Dental treatment during pregnancy can be done absolutely free if you use compulsory medical insurance policy. A list of all government institutions, as well as private dentistry, can be found on our website.

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

For some reason, pregnant women consider visiting the dentist as something superfluous and unimportant. For the entire 9 months, they run around the clinic offices and take many tests for the well-being of their child, and put off taking care of their health until later. What's the end result? Even a small problem that could take 15 minutes to solve at the dentist can lead to tooth extraction and chronic periodontal disease by the end of pregnancy.

A woman should clearly understand that there are three good reasons why she needs to see a doctor:

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

Advice! Don’t consider bad teeth during pregnancy to be a small problem that will resolve itself. It is better to do a preventive examination rather than get lost in guesswork and worries. Contact only specialists who have experience in treating teeth for pregnant women. Will they know when, how and with what treatment can be carried out?

Is it possible to treat teeth during pregnancy?

Many women, when going to the dentist, ask the same question: “Are teeth treated during pregnancy?” Everyone would like to hear the word “no” and postpone this procedure as far as possible. But dental treatment during pregnancy is the responsibility of every expectant mother who takes care of herself and her baby. You, of course, ask, what does the fruit have to do with it? The fact is that inflammatory processes in the oral cavity may not affect the development of the fetus the best way. Even a simple carious tooth, which does not bother a woman, serves as a source of microorganisms that enter the stomach and provoke late toxicosis. Just imagine how quickly the infection will spread throughout the mother’s body if the purulent focus is in the root area of ​​the tooth? Or will severe gingivitis be passed on to an already born child through a mother’s kiss? There are many options here, and not all of them are harmless.

Normally, a woman has 2% calcium in her body. Very often during pregnancy she does not receive enough of this mineral from her diet or she has problems with metabolism and calcium is not absorbed. In this case, the holes in the teeth will be accompanied by night cramps in the limbs, and the risk will double postpartum hemorrhage. In addition, the newborn baby will have a risk of developing allergic reactions and rickets. Therefore, a preventive examination by the dentist should be carried out every trimester.

Some statistics...

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

Suitable pregnancy strings for dental treatment

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

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

Diseases that can and should be treated during pregnancy

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

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

If you have caries...

Caries is a common hole in a tooth. At the stage of its occurrence, caries can be easily treated and does not require pain medication. If the process is started, the destruction of dental tissue will reach the pulp and removal of the nerve and more stringent treatment will be required. The only limitation is arsenic. Its use is unacceptable. And there are no restrictions in the choice of fillings. You can fill your teeth like chemical fillings, and with light-curing fillings using ultraviolet lamps.

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

If you have gingivitis or stomatitis...

Gingivitis in pregnant women is a hypertrophied enlargement of the gums under the influence of hormonal imbalances in preparation for childbirth. The gum tissue becomes easily inflamed and can completely cover the dental crowns. With this condition of the oral cavity, a woman is simply unable to maintain hygiene and needs professional help. Self-medication with home remedies will only worsen the disease and it will end in a complex form of periodontitis. According to recent studies, in women with exacerbation severe forms periodontitis during pregnancy, premature birth and some pathological conditions in newborn children.

Seeing a doctor in a timely manner will make your painful condition for gingivitis and protect the baby from exposure to toxins. The doctor will prescribe treatment of the gums with an antiseptic, rinses and applications to relieve inflammation, and will professional hygiene oral cavity.

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

If you have periodontitis or pulpitis...

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

If you suffer from tartar...

During pregnancy, both teeth and tartar create many difficulties. Plaque and tartar can cause gums to bleed and encourage the proliferation of “bad” microorganisms. This procedure does not involve pain and is performed using ultrasound or special instruments.

What anesthesia can be used during pregnancy?

There is still a myth circulating among pregnant women that if a tooth hurts during pregnancy, it will have to be treated without anesthesia. This forces frightened women to go to the dentist on weak legs, expecting terrible pain in the dental chair. And only when they see a doctor, they learn that a new generation of painkillers is actively used in practice to treat pregnant women.

Anesthetics based on articaine and mepivacaine (“Ultracaine”) contain a minimal amount of vasoconstrictor components and have a purely local effect, without passing through the placenta to the child. Therefore, suffering from toothache causes much more severe damage to your child than dental anesthesia during pregnancy.

On a note! General anesthesia is contraindicated during pregnancy.

X-ray during pregnancy: is it acceptable?

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

How to do X-rays for pregnant women:

1. She is covered with a lead blanket.
2. Determine the appropriate exposure and use Class E film.
3. All necessary photographs are taken simultaneously.

It is important to know!

It is preferable to go to a clinic where there is modern devices with microdoses close to normal background radiation.

Removal and prosthetics of teeth during pregnancy

The need for tooth extraction during pregnancy is rare, but it does occur if you have neglected your tooth and caries has completely affected it. The process is absolutely safe for pregnancy, except for the patient’s anxiety. After tooth extraction during pregnancy, you should avoid hypothermia or overheating of the damaged area of ​​the gum.

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

Interesting!

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

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

Which procedures are best postponed?

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

What are the dangers for a baby from a mother’s bad teeth?

1. Psychotraumatic factor. Toothache negatively affects female body and at the same time on the condition of the child.
2. Infection. Various pathogenic microorganisms can cause all sorts of complications in a child.
3. Intoxication and inflammation. Periodontal damage causes bad feeling, high temperature, toxicosis, disorders digestive system. This threatens late gestosis for the mother and hypoxia for the fetus.

What drugs should not be used during pregnancy?

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

1. Lidocaine is a chemical for local anesthesia. Causes convulsions, dizziness, weakness and decreased blood pressure.
2. Sodium fluoride is a remedy for the treatment of caries. Used to strengthen tooth enamel. In high concentrations it has a negative effect on heartbeat and fetal development.
3. Imudon is a drug for the treatment inflammatory diseases oral cavity. The negative factor is unknown since no studies have been conducted.

We carry out doctor's orders

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

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

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

Often pregnant women are afraid to go to the dentist for fear that dental treatment may harm the unborn child. This fairly common misconception can lead to loss of teeth in a woman. This puts the baby at risk of spreading infection in the oral cavity. In the future, this will lead to premature damage to baby teeth. Infection from carious teeth is transmitted to the baby from the mother during breastfeeding. In this article we will talk about whether it is possible to treat teeth for pregnant women, how to properly treat teeth during pregnancy.

Why does dental caries occur in pregnant women?
During pregnancy, the composition of saliva changes; the amount of substances that protect teeth from the development of caries decreases. The composition of the microflora in the oral cavity is also disrupted; the number of bacteria that prevent the formation of caries decreases. In addition, it changes calcium metabolism in the body, all calcium reserves are used to build the body of the unborn child.

When can pregnant women have their teeth filled?
If you are just planning a pregnancy, you should consult a specialist and make sure that all your teeth are checked by a doctor and filled in advance. If symptoms such as darkening of the enamel, bleeding gums, reaction to cold or hot appear, it is not recommended to postpone a visit to the dentist.

However, it is better to start dental treatment when the 14th week of pregnancy has passed. During this period, the placental barrier has already formed, the threat to the child is minimal. If there are no major problems with teeth and gums, you should not treat your teeth a month before giving birth. During this period, a pregnant woman should be protected from stress, and a visit to the dentist is already a cause for concern.

If tooth damage occurs in the first three months of pregnancy, do not delay your visit to a specialist. In a short period of time, the tooth will not have time to decay significantly; a visit to the dentist may end with a simple tooth filling without the use of anesthetics. By putting off visiting a doctor, you are exacerbating the problem and will then require more serious help specialist with nerve removal and canal filling.

Local anesthetics during pregnancy
Of course, local anesthetics of the previous generation, such as lidocaine, are not recommended for use during pregnancy. But pharmacology does not remain at the same level!

Pregnant women should not be afraid of using local anesthetics. Rather, toothache causes more harm; this is already a strong stress factor, and there is no need for the expectant mother to worry. Modern drugs, used in dentistry, for example, Ultracain, Ubistezin, are not able to pass through the placental barrier and, therefore, will not cause any harm to the baby.

Dental X-rays and pregnancy
Dental X-rays in pregnant women are usually very serious reason for excitement. Tell your doctor immediately that you are pregnant. A competent specialist will resort to dental x-rays only in case of emergency.

An alternative to a traditional X-ray machine is a radiovisiograph. The radiation emitted by this device is tens of times less than that of a common X-ray machine. A narrowly directed beam of X-rays goes only to the area of ​​the diseased tooth. Additional protection is provided by a lead apron worn by the woman during the procedure.

Tooth extraction during pregnancy. What to do if there is a need to remove a tooth?
If the condition of the tooth allows, this operation should be postponed until the second trimester of pregnancy. As already noted, there is no threat from the use of modern anesthetics to a pregnant woman and fetus.
More complex surgical intervention, for example, the removal of a wisdom tooth should be postponed until after childbirth.

What dental materials are used to fill teeth?
First, the doctor installs a temporary filling using a harmless composition. Materials for permanent fillings in pregnant women include metal, phosphate, and composite materials. Reflective composite materials are considered the most durable.

As you can see, there is no need to be afraid of visiting a dentist during pregnancy. Much worse for the child will be the appearance of reduced immunity and stomatitis, and the source of infection will be the mother’s carious teeth.

Hormonal changes in a woman’s body during pregnancy lead to problems with teeth and gums. During this period, diseases such as caries, gingivitis and periodontitis may worsen, which, in the absence of timely treatment may lead to tooth loss. Can pregnant women have their teeth filled? More information about this is provided below.

The body's natural defenses during pregnancy are noticeably reduced, and a woman is at risk for oral diseases. If the expectant mother’s diet does not contain enough vitamins and minerals, the embryo makes up for the deficiency from the mother’s resources. As a result, the pregnant woman is catastrophically lacking calcium, and the following complications arise:

• increased sensitivity of teeth;
• destruction of enamel;
• bleeding gums;
• loss of fillings;
• destruction of dentin and other, more serious consequences.

The problem that has arisen should be taken seriously and treated as early as possible in order to maintain healthy teeth in the future. The baby should receive the necessary minerals and multivitamins not only during intrauterine development, but also during breastfeeding in the postpartum period.

If a woman does not treat carious lesions during pregnancy, she may lose several teeth by the time her baby is born. There is a risk of transmitting the disease to the unborn baby; the child’s baby teeth may be affected.

When to fill?

You should get your teeth in order while planning your pregnancy. It is better to visit the dentist in advance and have problem areas filled. In case of darkening of the enamel, bleeding gums, or discomfort from hot and cold food, you should consult a doctor.

During the entire period of bearing a child, it is recommended to conduct examinations three times in order to identify existing problems in time. In the first three months of pregnancy, you will need to carefully monitor the condition of your teeth. The sooner the expectant mother visits the dentist, the greater the chance of having a filling done without the use of anesthesia.

Using a drill, the dentist will remove damaged tissue tooth and place a suitable filling. If the visit is delayed, it will be necessary to remove the nerve using painkillers. The first and third trimesters of pregnancy are considered critical, as important organs of the baby are formed at this time, so it is better to refuse medical intervention at this time.

After the 14th week of pregnancy, the placenta forms in the fetus, which protects it from infections, so it is better to start treatment after this period. Visits to the dentist should be stopped one month before giving birth unless there are serious problems.

Anesthesia

Currently, modern non-toxic anesthetics that are safe for pregnant women are used for the treatment and removal of teeth. They have a local effect, have a low concentration of vasoconstrictors and do not penetrate the placental barrier.

During treatment, a minimal amount of anesthetic is used to inject into the gums surrounding the diseased tooth. The procedure lasts 20 minutes, during which time the woman does not feel pain, which is very important in her position.

Also, in such a short time, the anesthetic cannot enter the placenta. Greater harm will bring it to the baby constant feeling pain by the expectant mother than the gentle effect of anesthesia.

During pregnancy, all the body's forces are aimed at preserving and bearing a healthy baby. Existing reserves nutrients are aimed at the development of the fetus, and the mother’s body does not receive the necessary vitamins and minerals.

The need for calcium, fluorine and phosphorus, which are necessary for building the child’s bone tissue, is especially great. Its deficiency is replenished from the mother’s bones and teeth and negatively affects their condition, which begin to quickly deteriorate.

To strengthen the immune system and protect against infections, pregnant women are recommended to take vitamin complexes.

• brush your teeth twice a day;
• after eating, use special threads and rinses;
• the toothbrush should be soft or of normal hardness;
• do not use whitening pastes;
• toothpastes should be therapeutic and prophylactic;
• To obtain your daily calcium intake, consume dairy products;
• take vitamins and microelements prescribed by your doctor.

To preserve teeth during pregnancy, it is recommended to limit the consumption of foods containing carbohydrates, especially flour and sweets. The diet should contain dairy products, nuts, chicken eggs, cod liver, vegetables and fruits.

To strengthen the gums, you can prepare rinsing solutions with baking soda, as well as decoctions of oak bark, chamomile and calendula. During pregnancy it is not recommended to carry out ultrasonic cleaning teeth, therefore great attention should be given .

Gum massage helps to prevent inflammation. Apply a little toothpaste, after which light movements are made with the thumb and forefinger for 5-7 minutes.

At the beginning of caries treatment, the dentist can place a temporary filling, the composition of which does not pose a threat to the health of the fetus. For permanent ones, metal, phosphate and composite materials are used.

Light-curing fillings are considered the most durable., which do not pose a danger to either the mother or the unborn child.

Diagnosis for pregnant women is carried out in case of emergency, so when visiting the dentist you should immediately inform about your situation. If the need arises, modern clinics are equipped with visiographs that do digital photographs teeth. These devices low level irradiation, so it is completely harmless to mother and child.

In the absence of modern equipment, it is permissible to use a computed tomograph in compliance with certain recommendations and acceptable standards irradiation. A lead apron is required, which is placed on the stomach and protects from radiation.

Tooth extraction for pregnant women is prescribed strictly according to medical indications, for example at constant pain syndrome. It is recommended to do this from 13 to 32 weeks, when the fetus has formed a placenta and the main development of organs has completed.

The tooth is removed under local anesthesia, after which the doctor’s recommendations should be strictly followed: Do not rinse or especially heat sore spot. It is better to postpone the removal of wisdom teeth to avoid possible complications.

How are oral diseases treated?

Minor caries is easy to treat and goes away without the use of anesthesia. In advanced cases, removal of the nerve using gentle painkillers is indicated. Due to changes hormonal levels, inflammatory processes in the body of pregnant women occur rapidly, so any infection can lead to complications.

During pregnancy, against the background of decreased immunity, hypertrophic inflammation occurs. If inflammation is not removed in time, toxic substances enter the child’s body through the blood, which will negatively affect his health. The mother experiences suppuration of the gum pockets and mobility of the teeth, which leads to a complication such as periodontitis. In this case, you should immediately seek qualified help.

Now it’s clear whether it’s possible to get a filling during pregnancy. The doctor will prescribe antiseptic treatment of the gums with special ointments and gels. Another common disease in pregnant women is stomatitis, which occurs due to hormonal imbalance and poses an infectious threat to mother and child. For its treatment, there are a number of drugs that are safe for expectant mothers.