The medical education of the population is doing its job, today all girls know that pregnancy should be planned.
Each future mother, together with the future father, must undergo a series of studies, therapeutic measures that will significantly reduce all the risks for the development of the fetus and the course of pregnancy. I am glad that those responsible families are becoming more and more.
There are many arguments in favor of this, and only one visit to the dentist and dental treatment will be one of them. Although pregnancy is a completely physiological state, meanwhile, it imposes a series of restrictions and, sometimes, prohibitions in the treatment and use of certain research methods that may be urgently needed.
Dental treatment during pregnancy: when necessary?
Among mothers they exercise certain beliefs, superstitions and other popular folklore. One of the myths that scare each other to the impressionable girls, says: “A child, a tooth takes”.
Most myths are related to fiction, and at least with a significant exaggeration, but this statement can become reality and can be explained from the point of view of medicine.
To be fair, it must be said that to avoid such a situation is quite possible. It is possible to “lose” a tooth, if at the time of pregnancy, the state of the woman’s oral cavity leaves much to be desired, but if she carefully watches her teeth, she can easily save them.
Following an analogy, a person’s bones and teeth will be a “bank account” of minerals: calcium, phosphorus and fluorine. As in any bank, some minerals disappear, others come, but the “debit with credit” must be reduced.
If this does not happen, then, as a result, the destructive processes, decay, begin to develop in the oral cavity. Caries itself is an aggravating factor of destruction, and the “bank account” of minerals is empty.
What is dangerous for a pregnant woman? First, the fetus takes the minerals to build its mother’s body, from its hidden resources, that is, minerals will be extracted from the bones and teeth of a pregnant woman.
In addition, nature organized everything so that the female body, to the detriment of itself, to try the normal development of the fetus.
However, if with nutrition, taking additional vitamins will not receive enough minerals and the reserves of your own female body will be small, the destruction process will be stronger and more noticeable.
The teeth can collapse not only as a result of a decay process, but can simply crumble. In addition to the manifestations that will touch the mouth, there is also fragility of the bones.
The situation is aggravated by the suppression of the work of the immunity of women, which practically does not prevent the development of the pathogenic microflora. It turns out that pregnant women have the greatest chances of caries formation and the destruction process, as such.
For a long time it has been observed that in pregnant women, cavities, most of the times in plural form, have a fulminating course, and are complicated quite quickly by pulpitis, periodontitis, etc.
All that is, but the lack of minerals and the presence of destructive processes will have a direct impact on the development of the fetus.
Characteristics of dental treatment during pregnancy.
The possibility of the harmful effects of the destructive processes in the fetus is not the only reason for the need to visit the dentist before the beginning of the pregnancy.
The fact is that the dental treatment process, regardless of the diagnosis, is associated with the use of certain medications and methods that will be prohibited or strictly limited during pregnancy.
The list of preparatory activities will include the following:
- Remediation of the oral cavity. The doctor will cure all decayed teeth, replace bad fillings that have failed to meet the requirements due to wear. In addition, even before pregnancy, it will be necessary to extract the teeth, if necessary (extraction of the wisdom teeth).
- Professional oral hygiene For the prevention of inflammatory diseases of the gums, that is, a specific type of gingivitis: pregnant gingivitis, it is necessary to eliminate all dental deposits (stones), needs cleaning and professional polishing of the teeth. By the way, these measures will be directed not only to the prevention of inflammatory phenomena, but also to the prevention of caries and destructive dental caries.
- To create a larger deposit of minerals in the teeth, procedures are required to artificially saturate the teeth with calcium and fluorine minerals. Women should remember that for a full course of saturation, the dentist should visit him repeatedly.
Dental treatment during pregnancy in the early stages.
Many drugs during pregnancy are simply forbidden, but how can a tooth be cured without anesthesia? In some cases, it is impossible to perform a complete treatment without a prior radiological examination.
Many women will say that they may suffer pain from the treatment of the tooth, only to avoid the use of anesthesia and not to harm the baby. Such actions can be even more dangerous.
The fact is that pain, as such, causes a discharge of adrenaline, in turn, adrenaline can be a trigger of hypertonic uterus. By the way, the fear of dental treatment and the understanding that it will now hurt will also cause an adrenaline rush.
According to statistics, however, pregnancy is often unexpected, and a decision is made to preserve it. So, how to treat the teeth in the first trimester of pregnancy?
Dental treatment during pregnancy with anesthesia.
Physiologically, in certain parts of the tooth there are painful areas, which will affect the corresponding reaction. Therefore, anesthesia is necessary not only in the treatment of caries complications, when the “nerve” of the tooth is affected, but also in the treatment of simple caries.
Today dentistry may well take an anesthetic that meets all the requirements and does not cause any harm to the development of the pregnancy. It is worth remembering that lidocaine during pregnancy is not used, because it can penetrate the fetus, inhibit their breathing, increase the pressure.
There are scientific works that show that, despite the ability to penetrate the protective barrier, the permitted doses of lidocaine do not cause significant damage to the body of the fetus, but, meanwhile, they are not used in medical practice.
When treating teeth in pregnant women, it is necessary to use anesthetics that act locally and do not enter the general bloodstream. Even if there is such a need, medications that can not cross the placental barrier will be selected.
Under any circumstance, the choice of anesthetic is difficult, the doctor will first find details about the health of the woman, the presence of concomitant diseases, the course of pregnancy and the gradual narrowing of the circle of authorized anesthetics.
Arsenic in dentistry during pregnancy.
Arsenic, as such, is a relic of the past and has not been used in dentistry for several decades, but, meanwhile, the term “put arsenic” itself does not want to leave the terminology of dentists.
Modern dentistry, today, uses drugs for the devitalization of the pulp, similar in effect to arsenic, but with its microscopic and dose, or without it at all. In line with this, dental treatment is allowed, even during pregnancy, with the use of “arsenic”, and can not harm the fetus.
This method of treatment has the greatest preference, since it is less painful. It is much better to eliminate a dead “nerve” than to eliminate it alive, but using anesthesia.
It is much easier to anesthetize the extraction of a tooth: a short-term operation than the extraction of a pulp, which will last more than a dozen minutes, but the anesthesia, as such, has a duration.
X-ray during pregnancy during dentistry.
It is simply impossible to imagine the treatment of caries complications without the use of additional research techniques, namely X-rays. This method of investigation is necessary at all stages of treatment, from diagnosis to treatment control. Everything would be fine and there is no need to doubt the need for x-rays, but what about pregnant women?
Is the x-ray dangerous during pregnancy?
Even without taking into account the fact that it is absolutely necessary to use X-rays during dental treatment, there are two opposing groups of dentists, one of which says a categorical prohibition of X-rays during treatment, and the other says otherwise. For the sake of justice, it is worth noting that the group that is “for” is the most numerous and in its justification gives serious reasons.
In a dental study, a strictly limited area is exposed to radiation: on both sides of the jaw, the X-rays are directed and do not disperse. In addition, for safety, the body and abdomen of the woman are protected by a lead apron, which does not transmit X-rays.
For even calmer pregnant women, it is necessary to understand what x-rays are. In fact, this is just a powerful light that is not visible to the eye, but has the ability to shine through human tissues.
The radiation that a pregnant woman receives during a dental examination will be equivalent to two hours in the sun.
It is worth remembering that ignoring this additional research method can cause the formation of a large number of dental errors, as a result, the quality of the treatment will decrease significantly and can cause several complications, including the loss of a tooth.
During the treatment of a pregnant woman, dentists will try to reduce the amount of images to a minimum, or will use alternative research methods, such as viziografiyu, which is allowed for use in pregnant women. But, unfortunately, not all dental clinics, especially those in the state, have this type of equipment in their arsenal.