Dental treatment during pregnancy 3rd trimester

If you are planning dental treatment during pregnancy in the 3rd trimester, it is a very crucial period. Often even the presence in the body of a female patients teeth can inflict to the developing baby harm. How is dental treatment in the last trimester?

Why pregnant caries develops

It argued that the defeat of the teeth due to the fact that the body’s need for calcium and vitamins during pregnancy increases. This is true, but it is not decisive in the process of destruction of tooth enamel. It is a mistake to assume that during pregnancy the teeth can even be softened.

Studies show that increase the body’s need for calcium kompensiruet the fact that the digestive tract begins harder to throw the macronutrients in the blood. Significantly reduced the release rate of calcium in sweat and urine. This suggests that the development of caries is to blame at all other processes, associated with the lack of care.

Recent data from the health surveys clearly show that the destruction of teeth by caries is associated with violation of norms of hygiene.

Some pregnant women can consume large amounts of carbohydrates. This negatively affects the condition of the tooth enamel, and poor hygiene contributes to the development of such processes.

It often happens that a woman is practicing frequent snacking, because the appetite at this time is greatly enhanced. If you do not monitor the hygiene of the oral cavity very quickly teeth are affected by caries.

The effect of decay on the pregnancy

Recent studies of foreign scientists show that the more women patients teeth, the higher the risk of premature birth. The fact that tooth decay causes the activity of pathogenic bacteria of the genus actinomyces. She also contributes to a significant deterioration of the course of pregnancy due to the fact that the body produces cytokines. These substances negatively influence on the uterus, because the cause of the reduction of the body and extension of the cervical canal.

Pregnancy have negative effects and complications of caries — pulpitis and periodontitis. Such action is as follows:

  1. Due to the inflammation of the pulp or of the appearance in the oral cavity of the inflammation with pus in the blood gets toxic substances. They spread throughout the body and cause great harm to the fetus.
  2. Due to the inflammation of the pulp and gums there is a very strong pain. It has a negative effect on the emotional state of the woman.
  3. Pain causes pathologic changes virtually in all organs and systems. It is proved that it contributes to changes in hormonal balance that can lead to early childbirth.

Whether it is necessary to hurry with the treatment of the teeth

Often, even those women who never had dental problems, during pregnancy begin to suffer dental pathologies. This is especially noticeable in the 3rd trimester. The fact that the increased demand of the female body in calcium, changes in the hormonal background is bad for the teeth. Often suffer and gums that begin to bleed.

Due to the fact that during pregnancy changes the chemical composition of saliva, she begins to support inflammatory processes in the oral cavity. Because of this active is the reproduction of pathogenic microorganisms. This, in turn, leads to the development or exacerbation of caries process.

That’s why during pregnancy should always be seen by a doctor. If the teeth or gums require treatment, you do not need to ignore your doctor’s advice and start therapy immediately. You can not postpone it even for a few months. The doctor will not appoint at this time, implantation or other measures. Some treatments can also be prohibited as they negatively affect the condition of the baby.

Anesthesia and x-rays: application features

Not always for carrying out dental procedures require anesthesia. After all, some of the procedures are painless. Anesthesia is always a difficult question for the doctor and the expectant mother. Certain types of pain medications have a negative impact on health. That is why the doctor very carefully selects for anesthesia drug.

If it is urgent to remove the tooth, we choose only local anesthesia. The drug should have minimal harm to the body of the mother and baby. It is strictly forbidden to use General anesthesia. Local anesthetic should not penetrate the barrier of the placenta.

With regard to the use of x-rays, then do it only in a pinch. Certainly all measures are taken in order to best protect the baby from harmful rays. On the belly of a pregnant put on a special apron made of lead (it is known to delay x-rays). Sometimes an x-ray is done through a special device in intraoral radiology. The amount of radiation exposure is several times lower.

Treatment of dental caries during pregnancy

If during pregnancy the woman develops a cavity, it should be treated necessarily. If you do not do this, then in the body there is a constant source of infection affecting the fetus and the health of the expectant mother.

In the third trimester increases the weight and size of the fruit, this increases the pressure on the inferior Vena cava and the aorta, the largest artery of the human body. Cardiac output significantly decreases, which leads to a strong heartbeat and a sharp drop in blood pressure. Such factors must be taken into account during therapeutic interventions, because patients are forced to spend long hours reclining.

Before the birth the treatment is not carried out. The fact that at this time, significantly increases the sensitivity of the uterus to stimuli (including the teeth). Negative impact on pregnancy anxiety, fatigue. All this can even cause premature birth.

It is important that the woman has constantly pursued the prevention of dental pathologies, carefully follow the oral hygiene. There is a high risk of exacerbation of caries and periodontal disease, so it is impossible to postpone a visit to the dentist.

Therapy of pulpitis

One of the serious complications of dental caries is pulpitis. Analgesics only briefly able to reduce the intensity of pain.

Pulpitis can be cured in the period of carrying a child. In term 3 all manipulations should be carried out very carefully, because there is a risk of harm to the child.

Primarily a doctor recommends to put a temporary seal on the defeat of pulpitis. If a woman treated teeth, remove the teeth in front by the birth is not recommended. When root canal surgery without anesthesia is not necessary. For this purpose, only the most modern anesthetics, which act on the child’s body with minimal risk. All these devices do not contain adrenaline.

Before the treatment the pregnant woman should definitely call the dentist time. It is necessary to inform the doctor about all my feelings. Modern dental equipment can reduce the risk of complications to a minimum.

Is it possible to do teeth whitening


Some pregnant women are interested in the question of whether we can at this time whiten teeth. It can’t be during pregnancy and breastfeeding.

These contraindications are not absolute. Whitening is not able to hurt the baby and can cause preterm labor. That’s only worth it urgent to perform a teeth whitening procedure in such important for every woman, period? You can always wait a while and whiten teeth then, when the future baby will be safe from harm.

In office teeth whitening uses a peroxide urea. The concentration of such substances is quite high. If you can isolate the gums, it is still not ruled out getting a small amount of peroxide on the enamel. From there it goes directly into the blood. Moreover, pregnant women often occur gingivitis, stomatitis, and contact with the mucous membrane of even a small amount of sensitizing substance and without it worsens the condition of the oral cavity.

Whiten teeth is not necessary because the enamel is in the last stages of pregnancy becomes thin and vulnerable to damage. Conduct additionally irritating whitening teeth and promote tooth decay.


More recently, no doctor could put a set of dentures to a pregnant woman. Now the views on this issue changed somewhat. If the woman is not experiencing discomfort, then put dentures, crowns or veneers.

The doctors cited such arguments in favor of dental prosthetics during pregnancy:

  • this can positively affect the condition of the teeth and on the emotional sphere of women;
  • the problem with chewing of food ( if this process is disturbed, women can develop inflammatory pathology of the digestive system);
  • restores natural smile.

If a woman feels bad in the dental chair, then a visit to the dentist about denture should be postponed until the child is born. In the last trimester is very important to achieve psychological comfort and good mood. Therapies aimed at restoring the health of teeth, just need.

If there is a need to urgently prosthesis teeth, it is best to consult a doctor who will cause pregnant full confidence. Is the key to psychological comfort.

Prevention of dental caries

Still in the planning stage, the child must conduct a comprehensive examination of the body. Examination by a dentist should be one of required. At this time, it is necessary to detect and cure all bad teeth, to remove plaque from them and all dental stones.

In the same period of carrying a child all the preventive measures are such recommendations:

  1. Careful observance of hygiene of an oral cavity. This means that the teeth should be cleaned after each meal. It is recommended to use only those toothpastes that are picked up by the doctor.
  2. If vomiting occurs (and it happens due to toxicity), it is necessary to rinse the oral cavity with a weak solution of baking soda. So it is possible to neutralize the influence of acids found in vomit.
  3. During pregnancy you must follow a diet. Limit the intake of sweets and flour products.
  4. Apply the system and methods of prevention for each particular case individually.
  5. Planning is always necessary to visit a doctor. Every pregnant should be an individual schedule of preventive medical examinations.
  6. Need to find a good toothbrush. It is strictly forbidden to use a toothbrush of hard bristles. They damage and irritate the tooth enamel.

Prevention of dental diseases in the waiting period of the child reduces the risk of tooth decay. Prevention must be systematic and regular. Usually it is not difficult and available to everybody. In this approach, a woman can preserve healthy and beautiful teeth before birth, and this will have a positive impact on the health of the baby.

If you have problems with your teeth, you should not self-medicate, you need to go to the doctor.

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