Dental treatment during pregnancy: how far along can
Problems with teeth in pregnancy occurs most expectant mothers. This is due to the fact that the fetus takes minerals and vitamins, including calcium. And as you know, it is the basis for our dental tissues and bones. In addition, the body of a pregnant woman falls under the influence of hormones, which can also affect the teeth-jaw system. But, unfortunately, many of them are mistaken in thinking that anything to do with teeth at any stage of pregnancy. Tooth pain can not endure the ordinary people, and especially pregnant women. This can once again cause uterine tone.
What happens if you don’t treat teeth pregnant
Let’s start with the fact that the presence of any pathogenic bacteria is the source of the infection. Starting from gingivitis, ending the diseases of the teeth and their complications, and their presence can affect adversely on the body of the expectant mother and the fetus. In one cavity a lot of bacteria. If not treated in time, the infection will continue. It enters the body with food consumed by the mother. In the first trimester the placenta is still weak and can not protect the fetus, therefore, pregnant women are prescribed a special vitamin complexes. They need to support the body until the placenta is fully formed. Therefore, their method is mandatory, despite the fact that in the past gave birth to healthy children without any vitamins. If there is any doubt to treat teeth during pregnancy or not, it is better to consult with a specialist who can accurately answer this question. Only a trained person can know what needs help in a given situation. Because the body all different, and pregnant women are mostly not predictable.
Is it possible to carry out therapeutic measures during pregnancy
In some cases it is even necessary. But when it is better to treat the teeth and gums during pregnancy depends on the complexity of the situation. Gynecologists were more afraid of the first and last trimester. Because these periods are the most dangerous to the fetus. Therefore, if there is no urgent need, in these terms, it is desirable to avoid any interferences. As for the second trimester is from 14 to 20 weeks of pregnancy it is possible to carry out manipulations for the treatment of teeth. If you do not bother with the part of the teeth-jaw system, it is still the dentist’s office you must visit three times during the whole period of pregnancy for preventive inspection. If necessary, carry out professional care. In other cases, if you can not tolerate, for example, acute dental pain, the treatment is carried out after a thorough medical history of the patient. In any case it is not necessary to release the patient with acute pain.
In some cases, treatment is necessary
It is necessary in all cases where there is any lesion in the oral cavity. More this applies to those States, when a pregnant woman torturing pain. But this does not mean that if you have a cavity it is not necessary to treat, even with no pain. Most importantly, try to do it during the second trimester. Dental treatment during pregnancy is very crucial moment. Because the causing any the slightest pain, the patient immediately begins to tighten involuntarily. And this can lead to tone. This may relate to unpleasant sounds. Therefore, it is necessary to warn the patient about all the manipulations to be carried out. As mentioned above, any event is best done in the second trimester. The third is the development of all organs, so it is advisable to avoid any outside interference.
Dental treatment during pregnancy should include a complete reorganization, if the patient’s condition allows it. Modern dentistry uses many materials for this, which is completely harmless to future mothers and their babies. And this applies to both anesthetics. Based on this, do not be afraid to treat teeth during pregnancy.
An important role plays the choice of a specialist — it needs to be able to carry out all necessary actions, to be competent, know all the nuances of treatment for pregnant women. If the doctor is well versed in how to work with future moms, then he will prescribe the right treatment.
Treatment of caries
Most often, the caries are visible on checkups. Therefore, it is found in pregnant women either superficial or medium. But in cases where the patient applies to their teeth responsibly and regularly sanitizes the oral cavity. It will be possible so that not having time to cure before pregnancy carious process has gone into the deeper layers of the pregnancy. Superficial and middle caries possible to treat without anesthesia. Most importantly, to pause, to use water jet during a dissection. To treat a cavity should be of an ether-less solutions. Any sealed material at the discretion of the patient. You can put a chemical or light. Neither of them material have no harmful effects. The lamplight, gleaming where the light-curing material is also harmless.
If a pregnant woman is hurt that her torment should be anesthesia. Today there is a large variety of anesthetics, including those where the concentration of the vasoconstrictor component, that is, less adrenaline, and some of it in the composition at all. In any case, local anesthetic is harmless if he has no intolerance. Important to enter it with a slow stream without too much pressure to avoid tearing of the soft tissues. Better to do anesthesia than to endure the pain and torment that doctor who will be afraid once again to cause you pain discomfort.
Complications of carious process
Pulpitis pain can not stand, no one is the strongest in nature. Some may escape analgesics, but what to do for pregnant? If the nerve is inflamed, then it can not pull — you need to remove it. If it is acute forms of pulpitis, it is best to devitalized pulp, and then remove it. Channels need after they are processed well to seal and obturatoare. To check this you need to make an x-ray. Except for pregnant women can be retinoblastoma? The question immediately arises at all. In fact from one shot nothing will happen, especially because the stomach is protected by a special lead-lined Cape. In addition, in modern clinics use intraoral radiology, which has exposure to significantly less. It is better to carry out x-ray control to make sure that the channels are well treated than to hope for it, but this is not. If they are not treated efficiently, the infection outside of the tooth to the bone. In the best case there is periodontitis.
As for periodontitis, then there is also the end result of treatment are well sealed root canals. But in this case, if there is a purulent discharge, is necessary to enable him to completely clear. Therefore, for some time, the tooth should remain open. A lot depends on the patient. She will need to often do a rinse to accelerate the outflow of pus, and close with a cotton ball tooth during a meal that the leftovers got there and did not clog the channels. If this happens, the pus has nowhere to go and may form a flux. So you need to explain to the patient that the recommendations the doctor gives not for show and you need to follow them strictly.
Tooth filling in stages
After the cavity is prepared and ready to fill it with a filling material, then begin to process it with antiseptics. Then isolate the tooth from salivary fluid and dried completely. Here, the opinions of doctors divided. The enamel should be etched prior to the application of the insulating gasket. Etching gel functions mainly on the enamel. But if it’s done immediately after the antiseptic treatment, it is believed that orthostoma acid used for etching of the enamel can clear the prepared cavity from bacteria and dirt. Rinse after you do this thoroughly and very carefully. We can not allow the patient at least a little swallowed. Then applied gasket material and sealed the tooth.
The need for tooth removal
In this situation, depends on gestational age and clinical scenario. Normal deletion does not cause any difficulties. Again, everything is done under local anesthesia with modern anesthetics.
As for the wisdom teeth, their removal is considered to be difficult surgery. Therefore, if there is no urgent need, it is better to move to the postnatal period. Because after removal can be treated with antibiotics, antimicrobial and anti-inflammatory drugs. In other words, it is better not to climb.
Importantly, after removal of the tooth, to comply strictly with the recommendations given by the surgeon not to rinse, not to take a hot and hard food, etc.
Pregnancy gingivitis manifests itself very often. Again, primarily because of hormonal changes. It is characterized by inflammation of the gums, swelling, bleeding with a light touch. In more advanced cases, it can grow, covering a significant area of the coronal portion of the tooth. Before you try to remove the inflammation, it is essential to brush your teeth, get rid of plaque and calculus. Then spend antiseptic processing. The mild form is usually sufficient. As for growths, remove them under local anesthesia in the surgical room. This operation is also harmless manipulation for the expectant mom and baby.
Prosthetics during pregnancy
Can pregnant women dental treatment, namely to prosthesis? Of course you can. This is the most harmless manipulation. Even better prosthetic and make yourself a beautiful and healthy smile during pregnancy than after. Because of the time, then this may not be enough and the teeth will be destroyed even more. So, for holding prosthesis, there is no obstacle. As for implantation, then it is better to wait. Because the implant itself is so alien element. And if we consider the hormonal restructuring, the risk of complications increases.
Prevention and care of teeth during pregnancy
Prevention, first and foremost, needs to be shared. The expectant mother needs to think about his food. This is important not only for teeth but also for the future baby. You must include in your diet plenty of foods containing proteins, calcium, fluorine. The second necessary measure is personal hygiene. The dentist needs to explain how to properly brush your teeth, what toothbrush and toothpaste to use, can I use mouthwash for the oral cavity. If you saw the stain on the tooth, do not wait until it hurts. It is better to ask for help. Indeed, as already known, the treatment of caries without any difficulties and harm. Still, it is imperative to protonirovanie mouth and the future father because he has the same source of infection, which it can transfer the expectant mother through physical contact.
Regarding other dental procedures
There is one question that torments a lot of pregnant — is it possible to whiten teeth? Let’s start with the fact that bleaching is a direct effect on the enamel. If it has to add the leaching of calcium from the teeth due to the fruit, the teeth will decay faster. So the answer to this question is negative. In any case it is impossible. If you have suffered before pregnancy, it is better to suffer more in these 9 months. Because no bleaching is not completely secure. There are more gentle methods, but for moms it can be too harmful.