Dental treatment during pregnancy second trimester
Dental treatment during pregnancy second trimester performed after the oral examination. During this period, hormonal changes, and microflora of oral cavity, which increases the risk of dental diseases.
The first months of pregnancy were considered to be inauspicious period to treat teeth. The clinical features of early pregnancy include nausea, vomiting, heartburn. Dentists and gynecologists are advised to undergo the treatment of dental diseases from the third month. In this period, the fetus is actively growing. However, the risk of teratogenesis is reduced, but there is a risk of toxic effects of drugs.
Dental treatment during pregnancy from the third month, since this period is the well-being and emotional stability of the patient. With a sudden cramps in different muscles. It does not allow pregnant women long to be in the dental office. During treatment in the 2nd trimester of pregnancy is recommended to perform the workout.
Identified active disease is eliminated before the onset of the third trimester. Otherwise, the therapy is transferred to the postnatal period. If you see any problems with their teeth should consult a dentist. Why you need to treat dental disease to women in the situation?
The infection in the oral cavity, can penetrate to other organs. Especially dangerous diseases for pregnant women are considered as pulpitis and periodontitis.
Dental pain negatively affects the mental and emotional condition of the mother. Pain triggers the release of adrenaline, which affects the fetus.
Tooth decay affects childbearing. Scientists have proved that there is a correlation between the number of cariogenic bacteria and premature birth. Separately there was a proven link between child birth and low birthweight. Scientists believe that microbes cause in the female body the formation of anti-inflammatory cytokines, which stimulate uterine contractions. This can lead to rupture of membranes.
Dentists suggest dental treatment during the second trimester as well as after birth this would not be possible. The child will require a round-the-clock attention. Through the contact may pass the bacteria on to the baby. Dental therapy during pregnancy is a necessity. All women in the position of second trimester is assigned a routine examination at the dentist.
The choice of anesthesia
Pain relief during pregnancy use can and should be. This is due to the fact that pain with fear negatively affect the condition of the mother and the fetus. If to treat the teeth without anesthesia, there will be a big adrenaline rush. It’ll hurt the baby. Severe pain can cause miscarriage or premature birth.
When you use anesthesia, there are some contraindications that should be considered by the dentist. The choice of drug depends on the duration of pregnancy. To anesthetize pregnant during dental treatment, medication is used local effects. They minimally impact the COP. Most women in the position of the injected Ubistesin and Ultrakain. The safe dosage of these anesthetics are selected for each patient individually. Sometimes the dentist can enter Primaquin, Septanest, Scandonest.
It is impossible to anesthetize a pregnant drugs, which contain a large amount of adrenaline or its derivatives. While metadrenaline medicines contraindicated for reception, as in the absence of adrenaline, the faster the drug enters the female body to the fetus.
Arsenic is contraindicated in pregnant women. He’s dangerous in the first trimester due to teratogenic effect. The term «impose arsenic» means the use of drugs with similar effects like arsenic. In this case the chemical element in their composition is missing.
Pregnant lidocaine for dental treatment is undesirable, as it easily penetrates the fruit. Therefore, in his instructions stated that his intake during pregnancy is prohibited. But dentists may use it after 16 weeks of pregnancy if the placenta is formed. Procaine cannot be used during pregnancy. Its use is permitted if the patient has high blood pressure or there are other indications.
The purpose and passage of the x-ray pregnant — this is a controversial issue among modern dentists. Using this technique it is possible to make an accurate diagnosis, controlling the quality of the therapy. Rays influence is directed, not scattered.
During the examination, the patient is put on the apron that protects her from the possible exposure. But the x-ray device generates powerful rays that adversely affect the pregnant woman. Therefore, this diagnosis is prohibited in the first trimester.
In the 2-3 trimester allowed the passage of x-rays. When possible, dentists prefer videografie, in which there is minimal radiation.
The procedure for the extraction of teeth is considered simple and harmless for the patient and her child, if it is performed correctly. Dentists advise pulling teeth in the third trimester. If the manipulation is done in the second trimester, then local anesthesia is used. Special attention is paid to the constant pain, the trauma of the tooth, inflamed nerve, malignant tumor, the cyst. Such effects are eliminated without consideration of the duration of pregnancy.
Eight pregnant not sick. Such an operation can cause an increase in body temperature, deterioration of health of the pregnant woman. It is dangerous for the fetus. Manipulation in the removal of wisdom teeth is transferred to the postnatal period.
From the 13th to 27th week of actively growing fruit, but all his organs are formed. Therefore, treatment of dental diseases in this period is not dangerous. It is recommended to undergo a preventive examination at the dentist and cure teeth if they are not in good condition. The decision on the need for treatment in the second trimester is made by the doctor in each case individually. In the decision, the direct impact of the following factors:
- the complexity of the detected pathology;
- health & well-being of the patient;
- the results of laboratory and instrumental methods of diagnosis.
In the second trimester treated with primary caries, periodontitis, pulpitis, periodontitis, stomatitis, gingivitis. In some cases, allowed the removal of the tooth under anesthesia. Often this manipulation is transferred to the last trimester. In other periods prosthetics, in addition to implantation.
Prohibited dental procedures for pregnant women:
- strengthening and whitening of teeth;
- removal of stone;
- removing eights.
In dentistry used painkillers and strengthening medicines, some of which prohibited women in the state. This list includes the following medications:
- Lidocaine — reduces the pressure that causes convulsions and other side effects;
- Stopangin — causes fetal abnormalities, thus triggering the delayed;
- Sodium fluoride drug against tooth decay, which breaks the heart;
- Imudon — immunomodulator with an unknown effect on the fetus.
In any pregnancy it is recommended to comply with preventive measures, proper care of the teeth. This takes into account the fact that the simple and ordinary maintenance is not enough. Pregnant shown twice a day brushing your teeth. After eating you need to floss. For cleaning use a brush with soft or medium hardness. It is forbidden to use toothpaste with whitening effect. Otherwise, it will damage the enamel.
Better to give preference to pasta with a curative effect. Additionally, it reviews the diet. The menu include foods with calcium. To prevent inflammation of the gums, massage them with your fingers coated with toothpaste. If you experience problems with your teeth, it is recommended to make an appointment to the dentist, not considering the duration of pregnancy.