Dental treatment in the first month of pregnancy. Is it possible to treat teeth during menstruation? Toothache during pregnancy: what can hurt in general

During the planning period for conception, women are advised to visit a dentist for oral hygiene. This is necessary to maintain the condition of the teeth during gestation. During the period of gestation, the body weakens, existing diseases worsen, and the risk of developing new ones increases. You can warn them even before pregnancy. But it is not always possible to avoid problems, therefore it is important to know at what period of pregnancy teeth can be treated with anesthesia, x-rays, removal and cleaning.

It is possible that it is during this period that the eruption of wisdom teeth (eights) will begin, provoking discomfort. You should be prepared and know how to anesthetize and what to do when. Removal is an extreme measure of treatment, but if necessary, it will have to be pulled out, because if not cured, the consequences will be even more serious. Before starting therapy, a picture is always required, but it can not be taken in every trimester of pregnancy.

Is it possible to treat caries in pregnant women
The use of anesthesia and anesthesia
Treatment in the early stages and in the 1st trimester
Therapy in the 2nd trimester
Treatment in the 3rd trimester and on later dates
Can pregnant teeth be removed?
Wisdom tooth
Wisdom teeth erupt: what to do
Eight removal
Is an x-ray harmful and is it possible to take a picture
Cleaning
When can I do ultrasonic cleaning?
Whitening
Implantation
Prosthetics
Oral Care Tips

During gestation, the risk of developing inflammatory diseases of the mouth and caries increases, and not because microelements go to build the skeleton of the unborn baby. The reasons are a weakened defense mechanism and hormonal changes that start from the moment of conception. But before treating teeth during pregnancy, you should figure out when and how you can do it, because certain activities negatively affect gestation.

Reference! When a tooth hurts or the periodontium becomes inflamed, you should immediately contact your dentist. The doctor will conduct a safe treatment and tell you what to do to avoid pulpitis and periodontitis in the future. Under no circumstances should these problems be ignored.

Can pregnant women treat their teeth with anesthesia

Dental treatment during pregnancy with anesthesia is possible. Anesthesia is carried out with drugs with a minimum concentration of adrenaline. Local tissue freezing is also acceptable. Contraindicated general anesthesia, pain relief with adrenaline.

The main drug in dentistry for anesthesia during pregnancy is Articaine. Ubistezin, Alfakain and Artifrin are also used. The anesthetic Lidocaine, which is popular in dental practice, is contraindicated.

Dental treatment during early pregnancy

In the 1st trimester, any therapeutic measures are not recommended. Treating teeth during early pregnancy is dangerous. In the first months, the laying of the organs and systems of the unborn child takes place. In the first trimester, the greatest risk of threatened abortion.

If therapy is needed in case of acute toothache, emergency measures can be taken. The dentist can perform nerve removal without the use of arsenic. This also applies to other indications for treatment. In case of caries, a filling must be placed. It is possible to seal, but only without the use of anesthetics. Treatment, if possible, is postponed to the second trimester, when there is no serious threat to the woman's health.

Treatment in the second trimester

Dental treatment during pregnancy in the 2nd trimester will be favorable. The placenta is already formed, the laying of the systems has occurred, and psychological condition in pregnant women at this time the most stable. The therapy can be performed with an anesthetic substance, it is also allowed to take an x-ray.

In the second trimester, you need to visit a doctor even if there are no complaints for preventive measures. The dentist will perform professional hygiene, fluoridation, if necessary, will recommend the best oral care products.

Late dental treatment

In the last trimester, treatment is not recommended. Sanitation, namely filling, depulpation - removal of the nerve and blood vessels, tooth extraction during pregnancy is best done from to. In the 3rd trimester, the uterus is greatly enlarged, which leads to excessive pressure on the vena cava when lying down in the dentist's chair. This lowers blood pressure and disrupts the overall blood flow.

Reference! If it is necessary to carry out any procedures, it is recommended to lie in a chair, slightly turned on its side.

The body of a woman at this time is extremely sensitive to various stimuli. If you tear your teeth even with anesthesia, it will be a strong stress, which will affect the state of the blood supply to the fetus. When problems appear in the third trimester, you need to visit a doctor and he will decide what to do. If possible, treatment will be carried out after childbirth.

Can teeth be removed during pregnancy?

Tooth extraction during pregnancy is always performed in the 2nd trimester. Pulling it out early and late is dangerous. But even in a relatively safe period, risks remain. When a tooth hurts apparent reason, before removal, it is necessary to take a panoramic picture in order to select the optimal treatment regimen. During pregnancy, X-rays are acceptable, but only on modern equipment, which is now used in dentistry.

Reference! Radiovisiographs can reduce the radiation dose by dozens of times, so they can be used to diagnose diseases. oral cavity in pregnant women and young children.

Before removal, the doctor necessarily compares the risks, and decides when treatment can be postponed. According to indications (including rotten teeth, cysts) extraction is performed using a local anesthetic.

What to do if a wisdom tooth grows

Wisdom teeth during pregnancy can bring a lot of problems. When it first erupts, the gum hurts a lot. If this process is disturbed for some reason, inflammation of the hood formed by the tissues of the gums occurs - pericoronitis.

When a tooth is cut, aching and sore, you can do the following:

rinse your mouth with soda solution several times a day;
hold a decoction of sage or oak bark in your mouth;
examine the tooth, remove food particles and plaque around it;
put a piece of ice on your cheek.

You can take painkillers to relieve pain only with the permission of a doctor. Your dentist may prescribe safe NSAIDs (non-steroidal anti-inflammatory drugs) for topical pain relief. When a tooth is very sore during eruption, it is effective to use anti-inflammatory dental gels on a natural basis.

Wisdom tooth extraction during pregnancy

Wisdom tooth extraction during pregnancy is highly discouraged. The figure eight is difficult to access, and almost always requires the use of additional tools to remove it from the hole.

Reference! Often, difficult removal is accompanied by complications when the instruments break or the crown tissue crumbles, and its particles get stuck in the hole, provoking alveolitis.

It is dangerous to pull out a wisdom tooth for pregnant women for several reasons:

anesthesia is required;
you need to do an x-ray;
take medication to prevent complications.

This is a triple whammy to avoid. When possible, the figure eight is treated with conservative methods before childbirth, then it is removed.

X-ray radiation is dangerous for a woman and an unborn child. The harm of X-rays on traditional devices and CT during pregnancy makes them unsuitable for diagnosis in this group of patients. In dentistry, radiovisiographs are used - installations with minimal exposure, which minimizes risks. A panoramic x-ray of the tooth is contraindicated during pregnancy in the early stages and in the last trimester.

The safest period for visiography is the second trimester (up to and including). When a woman took an x-ray once at an early stage and was treated, not knowing that she was pregnant, this will not affect the baby's health in any way.

Can you brush your teeth while pregnant?

Professional teeth cleaning during pregnancy can and should be done. This is an important measure for the prevention of dental diseases. Every woman in the second trimester is recommended to visit the clinic for occupational hygiene.

Ultrasonic teeth cleaning during pregnancy

Removal of dental plaque using ultrasound has contraindications. These include:

the presence of implants;
hypersensitivity enamels;
pathology of the cardiovascular system.

Ultrasound cleaning is not contraindicated for pregnant women, but some nuances must be taken into account.

If you are afraid of dentists, even such a simple procedure will be stressful, therefore it is recommended in the 2nd trimester. The doctor may use local anesthesia to avoid discomfort during the cleansing, but the procedure itself is painless.

Teeth whitening during pregnancy

Whitening is not an important therapeutic measure, so the procedure is recommended to be postponed. For its implementation in dentistry, abrasive substances and acids are used that act locally, that is, they do not have a systemic effect.

The procedure is not contraindicated during the period of gestation, but whether it is possible to whiten teeth during pregnancy should be checked with the dentist in each individual case. The event requires special preparation, includes a complete sanitation of the oral cavity. When there is a bad tooth, carious cavities or hypersensitivity, it is impossible to do whitening.

Dental implants and pregnancy

Dental implantation is contraindicated for pregnant women. An exception would be dental implants. They can be inserted during pregnancy, but this should be done in case of emergency. Implantation involves surgery for a pregnant woman, the use of anesthesia, medication to prevent complications.

The implantation of implants is a strong stress for the body. In addition, after the main procedure, it will be necessary to take anti-inflammatory, painkillers, because without them the pain will be severe. Most of the drugs prescribed after implantation are contraindicated in pregnant women.

Is it possible to have dentures during pregnancy?

Restoration and prosthetics of teeth during pregnancy are allowed. Installation of prostheses does not include:

surgical stage;
anesthesia;
medication.

This is a painless procedure that, if desired, can be performed during pregnancy.

In some cases, prosthetics still have contraindications. This applies to cases when it is necessary to first remove, depulp and grind the enamel, when the crown is placed on a dead tooth. If the chosen design does not require this, a woman can safely plan prosthetics.

How to take care of your teeth during pregnancy

During pregnancy, it is important to pay even more attention to oral health. To provide proper care should visit a dentist. The doctor will tell the pregnant woman how to protect her teeth and gums from diseases as much as possible, and also recommend which paste to choose.

How to properly care for your oral cavity during pregnancy:

Clean your mouth in the morning and before going to bed, if possible in the afternoon.
Floss the spaces between your teeth daily.
Rinse your mouth after every meal.
Buy a brush with bristles medium degree rigidity.
Limit sweets that damage your teeth.
Apply paste with low level abrasiveness.
With a tendency to form stones, use an abrasive paste.
When teeth become loose, use a soft brush.
With bleeding gums, alternate hygienic paste with medical.

Also during pregnancy, you should carefully consider the choice of pasta. It should not contain sodium lauryl sulfate, and fluorine in it should be at a minimum concentration. It is better to refuse bleaching pastes. Be sure to use rinse aid. It is better for pregnant women to start with funds for plant-based or cooked at home. But from them there may be adverse reactions in the form of allergic manifestations:

gums itch;
swell;
become numb;
blush;
swell up.

It is worth giving up bleaching at home. This will damage the enamel, increasing the risk of tooth decay and loss. They will begin to crumble, sensitivity will increase, problems with the gums will appear. When this could not be avoided, and the gum moves away, you do not need to pull it, touch it with your hands and try to treat it yourself. If a tooth has broken off, but has not completely fallen out, it is possible to restore it with filling materials without the need to remove the root.

Observing general rules hygiene and prevention of dental diseases, as well as regular visits to the doctor, you can avoid the need for treatment and maintain oral health. If the tooth begins to disturb, in no case should it be ignored. Timely treatment be safer than complication therapy.

Actual video

Is it possible to treat teeth during pregnancy

The period of pregnancy always prepares future mothers for many unwanted surprises. Month after month, hormonal levels change in women, mineral reserves are depleted, and immunity weakens. And these are just a few possible causes for problems in the mouth. But this is not the end of the world, as most pregnant women claim, referring to the prohibition of painkillers. This is just an excuse to devote a few free hours for yourself 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, women in position consider visiting the dentist something superfluous and secondary. All 9 months they run around the clinics and take a lot of tests for the sake of the well-being of their child, and they put off taking care of their health until later. And what is the result? Even a small problem, which could take 15 minutes to solve at the dentist, by the end of pregnancy can lead to tooth extraction and chronic periodontal disease.

A woman should clearly understand that there are three good reasons why you need to go to the doctor:

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

Advice! Do not consider bad teeth during pregnancy a small problem that will be solved by itself. Better to do preventive examination rather than get lost in conjectures and experiences. Seek only professionals with experience in dental care for pregnant women. They will know when, how and with what treatment can be carried out?

Is it possible to treat teeth during pregnancy?

Many women, getting to the dentist, ask the same question: “Do they treat teeth 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, where does the fruit? The fact is that inflammatory processes in the oral cavity can affect the development of the fetus not the most 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 fast the infection will spread throughout the mother's body if the purulent focus is in the root region of the tooth? Or will a strong gingivitis pass to an already born child with a mother's kiss? There are many options, and not all of them are harmless.

Normally, a woman's amount of calcium in the body is 2%. Very often, during pregnancy, she receives less of this mineral from nutrition or she has metabolic problems, and calcium is not absorbed. In this case, night cramps in the limbs will join the holes in the teeth, and the risk of postpartum hemorrhage will double. In addition, the newborn baby will be at risk of developing allergic reactions and rickets. Therefore, a preventive examination by a dentist should be carried out in each trimester.

A few statistics...

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

Suitable strings of pregnancy for dental treatment

We have already seen that it is possible to treat teeth during pregnancy. But when is the best time to do it? If a critical moment comes, then you need to go to the dentist immediately for help. If time endures, then the 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 a minimum content of adrenaline or radiography (in extreme cases) is allowed. In the first trimester, the embryo is only being formed and organs and systems are being laid, so the use of anesthesia and any drugs is contraindicated. After 20-24 weeks, it is physically quite difficult for a woman to go through an event such as dental treatment.

On a note! In the 3rd trimester, the fetus puts a lot of pressure on the aorta. If a woman has to undergo dental treatment, then her position in the chair should be special. To avoid fainting or falling blood pressure, a woman needs to be located 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, do not worry, and secondly, tell the doctor what week of pregnancy you are, about its course and about taking medications, if you take them. This will help the doctor choose the optimal and safe treatment tactics.

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

If you have caries...

Caries is a common hole in the tooth. At the stage of occurrence, caries is simply treated and does not require painkillers. If the process is started, then the destruction of dental tissues will reach the pulp and the removal of the nerve and more severe treatment will be required. The only limitation is arsenic. Its use is not allowed. And there are no restrictions in the choice of fillings. It is possible to fill teeth with both chemical fillings and light curing fillings using ultraviolet lamps.

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

If you have gingivitis or stomatitis...

Pregnancy gingivitis is a hypertrophied increase in the gums under the influence of hormonal disruptions in the process of preparing for childbirth. The gum tissue is easily inflamed and can completely cover the dental crowns. With this condition of the oral cavity, a woman is simply not able to maintain hygiene and she needs professional help. Self-medication with home remedies will only aggravate the disease and it will all end with a complex form of periodontitis. According to recent studies, in women with an exacerbation severe forms periodontal disease during pregnancy, preterm birth and some pathological conditions in newborns.

A timely visit to the doctor will alleviate your painful condition with gingivitis and protect your baby from exposure to toxins. The doctor will prescribe gum treatment with an antiseptic, rinses and applications to relieve inflammation, and perform professional oral hygiene.

Due to weakened immunity, women often experience stomatitis in the oral cavity. Small ulcerative lesions cause severe pain and puffiness. This disease does not bring any particular danger, but it will not 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 near the root of the 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 seal the dental canals, you will have to take an x-ray. Modern radiovisiographic devices irradiate 10-15 times less than their ancestors. In addition, the lead apron will protect the baby from radiation.

If you suffer from dental stones ...

During pregnancy, both teeth and tartar create many difficulties. Plaque and calculus can cause bleeding gums and encourage the growth of "bad" microorganisms. This procedure is not anesthetized and is carried out using ultrasound or special instruments.

What anesthesia can be used during pregnancy?

Until now, there is a myth between pregnant women that if a tooth hurts during pregnancy, then it will have to be treated without anesthesia. This makes frightened women go to the dentist on "cotton" legs in anticipation of terrible agony in the dentist's chair. And only when they get to the doctor, they learn that a new generation of painkillers is actively used in practice to treat women in position.

Anesthetics based on articaine and mepivacaine ("Ultracaine") contain a minimum amount of vasoconstrictor components and have a purely local effect, without getting through the placenta to the child. Therefore, the torment of a toothache brings much more damage to your child than anesthesia of the teeth 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” seal a crooked canal, diagnose a cyst or hidden caries. This will require an x-ray. It is allowed only after 12 weeks of pregnancy.

How are x-rays done for pregnant women:

She is covered with a lead blanket.
Determine the appropriate exposure and use class E film.
Take all necessary pictures at the same time.

It's important to know!

It is preferable to contact the clinic, where there are modern devices with microdoses close to the normal radiation background.

Removal and prosthetics of teeth during pregnancy

The need for a tooth extraction during pregnancy is rare, but occurs if you have neglected your tooth and caries has completely affected it. The process is absolutely safe for pregnancy, except for the excitement of the patient. After tooth extraction during pregnancy, hypothermia or overheating of the damaged gum area should be avoided.

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

Interesting!

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

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

What procedures should be postponed

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.
Wisdom tooth extraction 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.
Teeth whitening. The chemical constituents in bleaching liquid cross the placental barrier and have a toxic effect on the fetus. In addition, whitening destroys enamel and increases the risk of dental diseases.

What threatens the baby with sick mother's teeth

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

What drugs are prohibited during pregnancy

Before you are given an injection of painkillers and offered to make an application, ask what drug will be used.

Lidocaine - Chemical substance for local anesthesia. Causes convulsions, dizziness, weakness and decreased pressure.
Sodium fluoride is a caries treatment. It is used to strengthen tooth enamel. High concentrations adversely affect heartbeat and fetal development.
Imudon is a drug for the treatment of inflammatory diseases of the oral cavity. The negative factor is unknown, since studies have not been conducted.

Carry out doctor's orders

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

The ideal option is to treat your teeth at the stage of pregnancy planning.
Get regular checkups with your dentist.
Maintain good oral hygiene: floss, rinses, soft toothbrushes and high-quality toothpastes.
Adjust the menu so that it contains enough calcium.
If you suffer from toxicosis, after vomiting, be sure to rinse your mouth with a soda solution.
Rinse your mouth to prevent gingivitis herbal decoction from chamomile, oregano, mint and St. John's wort.

Women should 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.

Modern dental anesthesia during pregnancy causes a lot of controversy. Expectant mothers are often afraid to treat their teeth so as not to harm the baby. But don't go to that extreme.

pregnancy fruits
apple brush complex
electric can snow-white
dentist smile pain

Dentists and gynecologists are sure that a visit to the dentist is necessary for the health of a woman and the full development of her child, because teeth are often destroyed during the bearing of a baby. This is due to hormonal changes in the body. However, this natural process which focuses on the development of the child.

During pregnancy, it is very important to treat your teeth on time with safe anesthesia. Because of hormones, even healthy teeth can begin to break down. An infection is formed in the oral cavity, which only contributes to the destruction process. Let's take a closer look at what anesthesia is allowed and prohibited during pregnancy.

When pain relief is needed

Before deciding whether it is possible to treat teeth using anesthesia during pregnancy, think about whether you need it? After all, a simple, uncomplicated caries can be cured without it. The doctor will gently clean the channels and not affect the nerve, so it will not hurt, and dental anesthesia, which is so undesirable during pregnancy, will not be needed.

Dentist visit

Another thing is if you need to cure complicated caries when you have to remove a nerve. Or, during pregnancy, you have to remove the entire tooth, so local anesthesia is indispensable. In this case, you must definitely tell the doctor about your situation.

It all depends on your individual sensitivity. If you understand that you can suffer, it is better not to use painkillers. However, during pregnancy, the baby feels the mood of the mother, so if it hurts a lot during dental treatment, you need to inject anesthesia. Think not only about your well-being, but also about the child. Learn about the best and.

The effect of painkillers on the body

Many women believe that any anesthesia is very harmful to the fetus. That is why they put off going to the dentist. During pregnancy, be sure to check with your doctor if you can do anesthesia. It is usually allowed in the following cases:

no individual intolerance;
anesthetic is chosen correctly;
treatment is carried out in 2-3 trimesters.

It is necessary to understand how anesthesia works in dentistry during pregnancy. Doctors usually use drugs based on adrenaline. It can constrict blood vessels, have an analgesic effect. These funds are prohibited during childbearing, because they can provoke an increase in uterine tone and blood pressure. Therefore, expectant mothers should be treated only with modern medicines with a minimum amount of adrenaline.

When you treat your teeth during pregnancy, anesthesia is administered by injection, so it takes effect in a few minutes. A woman does not feel pain and manipulations of a doctor at all, so you can do any procedure, even remove a bad tooth. Neither mother nor baby will feel anything. During pregnancy, you can not do anesthesia at the dentists in the following cases.

First trimester.
Last month.
Allergy to the components of the anesthetic drug.
The type of painkiller used is dangerous for a woman and a baby.

There are several types of pain relief that are prohibited during childbearing. The consequences may be irreversible.

When and how to treat teeth

Numerous studies have been conducted that have identified drugs with a minimum content of adrenaline. The use of these funds is safe for a woman, because harmful components are not able to cross the placenta. This means that they will not enter the body of the fetus. The most common anesthetics are Primakain and Ultracain. Some doctors believe that they can be used even in early pregnancy.

Ultracaine not only cannot cross the placenta, but also does not enter the breast milk. Therefore, it can be used even during lactation. The doctor individually calculates the required dose, taking into account the duration, health and age of the woman. Primakain gets into a placenta in the minimum percent. Moreover, it is characterized by a very short half-life. That's why conduction anesthesia with this drug is allowed during pregnancy.

The first trimester is very responsible, because during the first three months, systems and organs are formed in the fetus. It is not necessary to treat the teeth until the fertilized egg is fixed, because the embryo has an increased sensitivity to external stimuli. A woman often experiences stress and anxiety when visiting a dentist, which usually affects the well-being of the child and can lead to miscarriage.

It makes no sense to even ask the dentist if the anesthesia done affects the pregnancy. The answer is obvious, because treatment during organ laying is not recommended, because any intervention can disrupt the process. Postpone the procedure until the fourth month unless you have pulpitis or periodontitis. These diseases are very harmful to the fetus and need to be treated.

The most suitable time to visit the clinic is the 2nd trimester. By this time, the fetus has already formed systems and organs, so there is a small chance of harming it. However, if you are pregnant at 4-6 months, you need to ask your doctor if you can do local anesthesia.

Carry out all the necessary preventive procedures and take care of the teeth that need emergency treatment. However, even during the 2nd trimester, it is forbidden to carry out bleaching, implantation and prosthetics. If there is an opportunity to go to the dentist after childbirth, it is better to postpone the visit.

By the end of the third trimester, treatment is not worth it. At this time, the expectant mother usually gets tired quickly, constantly worrying about the upcoming birth. Her uterus becomes very sensitive to external influences. Any medical intervention can cause premature birth. That is why a visit to the dentist should be only in case of emergency.

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Treating pregnant teeth is not just possible, but necessary. You can’t endure a toothache, it’s 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, do not put off a visit to the dentist.

Features of dental treatment for pregnant women

Pregnancy is not an absolute contraindication to any dental procedures. However, the patient must warn the doctor about her position, and also name the exact gestational age.

The main nuances of therapy:

during the bearing of a child, caries, pulpitis, periodontitis and inflammatory diseases gums (gingivitis, periodontitis, stomatitis);
both chemically curing materials and light-curing composites can be used for tooth filling; photopolymer lamps are safe for the fetus;
enamel whitening is prohibited;
dental treatment is carried out local anesthesia(injection of Ultracaine, Articaine), the expectant mother should not be allowed to suffer terrible pain in the dentist's office;
general anesthesia is strictly contraindicated.

Early and late dental treatment

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

First trimester (up to 12 weeks)

In the 1st trimester (most early term) there is a laying of all the vital organs of the child. The placenta is just beginning to form, it cannot yet protect the fetus from negative influences. Therefore, during this period it is undesirable to carry out any medical intervention. However, the dentist may prescribe local preparations to relieve inflammation (Chlorhexidine, Miramistin, Holisal).

Second trimester (approximately 13 to 24 weeks)

In the second trimester, the risk of hazards is significantly reduced. 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 (25 weeks to delivery)

In the 3rd trimester, there is an increased sensitivity of the uterus to drug exposure. In addition, during this period, the woman's body is quite weakened. Therefore, "extra" stress in the dentist's office is highly undesirable. If possible, it is better to postpone dental treatment for lactation. However, this does not apply to emergency cases, such as acute toothache.

Diagnosis of teeth during pregnancy

Without diagnostics, the treatment of pulpitis and the extraction of teeth during pregnancy is not complete. Conventional radiography (sighted x-ray) is not the most the best option for patients "in position". Fetal cells are in the process of dividing, so they are especially sensitive to radiation.

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

The safest option for women during pregnancy is digital radiography. 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 effect on blood vessels.

Lidocaine is not suitable for expectant mothers, as such a drug can cause muscle weakness, cramps, and a sharp drop in blood pressure.

The best option is anticaine-based anesthetics:

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 a surgical operation that is always accompanied by psycho-emotional stress. Of course, it is undesirable for women during childbearing.

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

fracture of the crown or root;
deep carious focus, which causes purulent inflammation;
the formation of a cyst, the diameter of which exceeds 1 cm;
incessant sharp pain that cannot be eliminated with conservative therapy.

Removal of wisdom teeth during pregnancy is generally not carried out. Such an operation often ends with alveolitis (inflammation of the hole) and other complications that require antibiotics.

Implantation and prosthetics of teeth during childbearing

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

The implantation of a dental implant often requires a large expenditure of vitality. But during pregnancy, all resources are directed to the development of a healthy baby.

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

Dental treatment during the period of bearing a child can be done absolutely free of charge if you use compulsory medical insurance policy. List of all public institutions, as well as private dentistry you will find on our website.

During menstruation, a woman experiences discomfort, which is often accompanied by painful sensations. Heaviness and pain in the lower abdomen, dizziness, general weakness and nausea are just a short list of symptoms that accompany the course of menstruation. However, many of the fair sex are interested in the question of going to the dentist and possible negative consequences.

What dental procedures are allowed during menstruation?

Many women wonder why almost all experts say that dental procedures are contraindicated during menstruation? During menstruation, a woman's body is weakened, and blood clotting is reduced, which is why experts recommend postponing a trip to the dentist, unless it is urgently necessary. Procedures such as fillings, cleaning, remineralization or x-rays can be carried out without special restrictions.

If we are talking about the removal or resection of the tooth, it is recommended to postpone this procedure for a few days. When it is not possible to reschedule a visit to a specialist, it is necessary to warn the dentist about the fact of menstruation. This will determine the optimal method of treatment and choose an anesthetic.

Features of dental manipulations and possible risks

To correctly answer the question regarding the possibility of dental treatment during menstruation, it is necessary to find out what changes occur in female body in this period.

One of the most significant factors to consider is the reduction in blood clotting, which facilitates the flow of menstruation, but limits the possibility of dental intervention.

During the period of menstruation, there is also a general weakening immune system and a decrease in protective functions in the oral cavity, creating a favorable environment for the development of infectious and bacteriological diseases. If these disorders occur, bad breath may appear, accompanied by redness or bleeding of the gums.

Any dental intervention can provoke the occurrence and development of inflammation. It is for this reason that it is recommended to postpone visits to the dentist whenever possible.

Extraction of teeth

Tooth extraction is a procedure that requires surgical intervention. Its complexity and severity is similar to other operations. If the dentist has prescribed an extraction, then you should not postpone a visit to a specialist. During menstruation, teeth should be pulled out only in emergency cases, which include:

exacerbation of pulpitis or caries;
cystic formation on the roots;
inflammatory process provoked by a dental disease.

filling

According to most experts, dental fillings can be performed during menstruation, due to the slow formation of dental tissue. In fact, she simply does not have time to succumb to the hormonal changes that occur in a woman's body during menstruation.

It is possible to fill teeth during menstruation without fear that changes in the body will cause rejection of the filling substance. As for more serious procedures that require the use of antibiotics or the use of painkillers, it is better to postpone them until the end of menstruation. This is due to the high risk of body resistance to pain medication, the likelihood of complications and reduced blood clotting.

Resection and removal of the wisdom tooth

If during the period of menstruation it is necessary to remove or resect the wisdom tooth, you should weigh the pros and cons in advance. In particular, we are talking about the fact that this procedure is a surgical operation, accompanied by blood loss and requiring the use of a strong anesthetic. It is recommended to remove a wisdom tooth only in cases where it no longer makes sense to treat it.

As mentioned above, during menstruation in the body of a woman occur hormonal changes, which may affect susceptibility to pain medication. It should also be understood that additional blood loss during menstruation can cause nausea, severe dizziness, fatigue, and in some cases, loss of consciousness.

Can anesthesia be used during menstruation?

Many of the fair sex experience panic fear before any dental procedure. They insist on the use of anesthesia even when treating superficial caries or performing professional cleaning. In addition to the psychological fear of dentists, it is not uncommon for a woman to have low pain threshold that in the absence of a good painkiller can lead to loss of consciousness, especially if it is necessary to extract teeth.

Of course, in the arsenal modern dentist there is various means anesthesia, however, the effectiveness of any of them can be significantly reduced when used during menstruation. Sitting in a dental chair, a woman should understand that during menstruation, anesthesia may not work at all. It is for this reason that it is necessary to prepare in advance for the fact that painful sensations will have to be endured.

Toothache relief at home

A toothache can overtake a person at the most inopportune moment. The body of a woman, weakened by the course of menstruation, reacts especially sharply to any manifestations of pain, forcing them to think about taking an anesthetic.

Regardless of which drug is chosen, you should carefully study the instructions for use, paying attention to the list of contraindications. It is also important to remember that taking medicines cannot be combined with alcohol. Otherwise, you can achieve exacerbation of toothache and the appearance of allergies.

In addition to receiving medicines, you can get rid of toothache at home with the help of traditional medicine:

One of the most effective is a solution of soda. For cooking, it is enough to take a glass of warm boiled water and dissolve 1 tsp in it. baking soda. You can also add 2-3 drops of iodine to the solution. Rinsing should be done several times a day.
A small amount of vodka will help get rid of a toothache. It must be typed into the mouth, held for some time near the diseased tooth, then spit. An alternative is propolis or its tincture.

If the home first aid kit has alcohol tincture propolis, you need to dilute half a teaspoon in a glass of warm water and rinse your mouth. In the presence of pure propolis, you can take a small piece of the substance and attach it to the aching tooth.

The list of ways to get rid of toothache can be endless, but it should be understood that with proper care and regular preventive visits to the dentist, you can significantly reduce the risk of its occurrence. If you visit a specialist every 6 months, you can prevent the appearance and development of dental diseases and promptly treat your teeth.