Bad teeth and pregnancy. What happens to teeth during pregnancy, how to save them and strengthen during a "interesting situation"? What procedures better postpone

Future moms often suffer a toggie pain, believing that the campaign to the dentist can harm the baby. But this is most often unfounded prejudices.

What happens to gums and teeth during pregnancy?

During the nesting of the baby in the future mother, the hormonal background is significantly changed, especially the estrogen level, which causes various changes in the body. These changes include both the increased sensitivity of the teeth, the deterioration of blood circulation in the gums.

Also during pregnancy, immunity is reduced, which leads to a higher risk of developing bacterial infections.

Due to strong toxicosis from the body, a lot of useful substances are excreted, including calcium and phosphorus. It is also believed that the level of these substances falls during the active formation of the skeleton of the baby. Such a phenomenon also does not carry anything good for the teeth of a future mother. In the norm of saliva, it has in its composition and calcium, and phosphorus, which it is constantly washes to the dental enamel, protecting it from the appearance of caries. Due to the reduction in the level of calcium and phosphorus, the risk of caries is increasing.

Does your teeth problems affect the health of her child?

Launched problems with teeth affect the state of the body of the future mom as a whole, which can also be displayed on the health of the baby. After all, that the baby is healthy, the mother's organism should be strong and strong.

In addition, if not to treat caries, it can go to the pulpitis - infectious damage to root nerve. Because of the pulpitis, the infection can get into the circulatory system and, accordingly, harvest, therefore, the baby.

Visits to the dentist when safe? What procedures are allowed?

It will be best if you get rid of all problems with your teeth at the stage of pregnancy planning to eliminate the treatment at the dentist during the baby tooling.

But if this failed to do this, then it is best to treat my teeth during second trimester. In the first trimester, the crumbs are only formed, the foundations of all systems are laid, so the external interventions in the mother's body are undesirable. And in the third trimester there are too many factors that can cause premature labor, therefore, without the urgent need for a dentist, it is better not to go.

During pregnancy, you can put a seal, treat caries, various inflammatory processes in the gums and other problems with teeth.

Required refrainfrom whitening teeth, as various chemicals are used for this, and it should not be used without the need to resort to surgical removal of teeth, dental nerves.

Anesthesia and X-ray is better to avoid. But if they are extremely necessary, the stomach during X-ray is covered with a special apron, and for anesthesia they use substances that will not harm the baby.

The main thing is to turn to an experienced dentist who knows what methods are allowed to treat pregnant women.

Caring for teeth during pregnancy

When pregnant, it is worth consulting with a dentist so that he picked up for you the appropriate toothpaste.

The toothbrush is better to choose the average stiffness, it is also desirable to change it more often.

Of course, you must not forget to brush your teeth in the morning and in the evening.

Try to reduce the use of sweets, coffee, sweet soda.

We have a teeth after eating at least ordinary water to clean them from food residues. Use dental thread.

Teeth during pregnancy need special care, no wonder the people speak, give birth to a child for his mother means the loss of one tooth.

Pregnancy and teeth

Bad teeth and pregnancy concepts are not compatible, and there is a number of reasons for this.

Caries when entering the child actively progresses
- Reducing the immunity of the mother leads to a light occurrence of deep caries complications
- A collapable tooth is a source of infection in the parent organism, which can cause obstetric complications, child infection

Consequently, the teeth must be made in full order even before pregnancy, at the planning stage, and repeatedly visit the dentist during the todge of the baby. If you are not preparing for pregnancy, visit the dentist will be definitely proposed by your observing gynecologist at the time of the first appearance in the female consultation, along with all other analyzes and surveys.

But even if you did everything during, you may have dental problems while you wear a child. Teeth deteriorate, crumble in many pregnant women, regardless of whether they were preparing to conceive or not, why does this happen? How does pregnancy affect your teeth?

Starting from the second trimester, the need for calcium increases several times, because the baby's bone system begins to form. To build bone tissue, he needs a huge amount of calcium, but sometimes take it there is no place, especially if the future mother does not like dairy products, fish and refused to drink vitamins for pregnant women. Calcium begins to wash out the bones of the mother, and, of course, from her teeth too. Pains in the bones, back, often associated with this process, and the teeth respond to the loss of calcium with the demineralization of the enamel, a thin very durable surface layer of the toothbrush. That is why the sensitivity of the teeth during pregnancy increases almost all women.

But thin enamel becomes vulnerable and for destruction. They swing and fall out old seals, because the microbes are easier now to penetrate them, the teeth are crumbling, the crowns appear in the folds of the crowns. Pain in the teeth during pregnancy can overtake you unexpectedly and at any time, but more often it happens in the second half of pregnancy, when calcium deficiency is obvious, and the disease had enough time to shake even the most durable your seals. Based on this sad picture, the question arises, how to keep your teeth during pregnancy and is it possible?

Yes, possibly:

Preventive visits to the dentist
- fully healing teeth before pregnancy
- Proper care
- Full nutrition and taking vitamins

Usually these simple measures are enough to protect the white-faced smile.

Cleaning teeth during pregnancy conversation is special. The fact is that you not only become fine enamel, often become sensitive and even bleeding gums.

Cleaning teeth and pregnancy

Choose a toothbrush of medium stiffness, change it at least once every 2 months on a new one
- You should not use the pastes with a high content of Fluoride, its excess hurts the baby. It is better not to regret money and buy a specialized paste for pregnant women in a pharmacy. Yes, it will be a bit more expensive than ordinary pastes, but, these pastes have an increased calcium content and are designed specifically for vulnerable teeth of pregnant women. We recommend such pasta as 9 months-progestrent, splat-biocallations, the organizing board, paradontax and many others. All these pastes are therapeutic and before use, it is worth consulted by the dentist, you still go to him already on the earlier period.
- Brush your teeth 2 times a day, after breakfast and after dinner, after each meal, rinse your mouth with water or at least tea.

If you notice that your teeth are spoiled, remember that during pregnancy they are destroyed at times faster, which means you need to turn to the dentist immediately as you noticed that something is wrong.

Treatment of teeth during pregnancy

Treatment of teeth during pregnancy is associated even with some myths, which established among pregnant women. For example, many people think that it is impossible to snapshots, anesthesia, it is impossible to eat tooth, etc., and are afraid to appeal if the tooth hurts, and suddenly the child will harm?

Believe me if you have a tooth hurt during pregnancy, pulling away the time, you just harm yourself (it will collapse) and the child (risk of infections). Or maybe you have no problems at all, and it's just an enhanced enamel sensitivity or wisdom tooth grow (and it happens).

Today, the treatment of teeth during pregnancy is carried out in almost full, as well as not pregnant, not only some things are made, for example, whitening and prosthetics of teeth, and everything else can, you need and safely.

Yes, once they were afraid to make an excess shot, because the devices were doping and created a huge radiation load. Could, like a child, put arsenic and send home for a week, to suffer from pain until the nerve dies. But not right now.

The X-ray of the tooth during pregnancy is performed on the equipment, which irradiates literally 3 cm of your body, specifically above the tooth, while your baby is complete. This means the possibility of solving even the most complex dental problems.

The patient tooth during pregnancy is not a reason to remove it or treat wild ways. Anesthesia in the treatment of teeth during pregnancy is carried out by minimal doses of potent modern non-toxic anesthetics, which do not affect the fetus. If necessary, safe anesthesia is possible on any time. Pains do not definitely hurt you.

Thanks to modern equipment, the removal of dead tissues from the carious cavity, clearing channels and their further sealing are carried out as much as possible, moreover, even a pregnant woman's tooth is trying to keep alive for so long as it is only possible. So treat your teeth during pregnancy does not hurt, not scary and not dangerous.

In relation to the removal of teeth. There are situations where the tooth is easier to delete than to treat, for example, if it is a destroyed tooth of wisdom. We also do not need to be afraid, you can remove the teeth during pregnancy, and if necessary, then under anesthesia too. And best of all, of course, just try to prevent the destruction of the teeth.

Optimal dental inspection deadlines for prophylactic purposes:

Registration in women's consultation
- 20-24 weeks
- 32-34 weeks

Teeth after pregnancy

Your baby appeared on the light, you're happy and it seems that everything ended. No matter how. For six months after pregnancy, the teeth can continue to remain vulnerable and weak, especially if you are breastfeeding. So, all prevention measures must be continued to follow. Take care of yourself.

Pregnancy is a physiological state characterized by, among other things, hormonal changes in the body of a woman who can lead to problems with teeth and gums. Each of the three trimesters of pregnancy has its own characteristics, but the possibilities of modern therapeutic dentistry can eliminate any of these problems in each period.

Pregnancy is characterized by a strong hormonal shock, which involves a rather complicated hormone set. In addition, strong vascular changes occur during pregnancy, in particular, in the mucous membranes of the oral cavity, tooalveolar ligaments (periodontal).

Hormonal and Immunological Changes

Physiological changes appearing in a pregnant woman occur as a result of the endocrine activities of the placenta, the allocation of estrogen and progesterone.

The secretion of these hormones increases during pregnancy up to 10 times for progesterone and up to 30 times for estrogen.

Some hormones associated with pregnancy, for example, progesterone, have immunosuppressive properties (depression of immunity). Also at a high level of sex hormones, polymorphoid chemotactism, phagocytosis and antibody response are affected. Therefore, the risk of any infection during pregnancy increases significantly.

Changes in the oral environment

During pregnancy, quantitative and qualitative changes of the saliva women occur. During the first three months of pregnancy, salivation increases (so far this phenomenon has not found an explanation). In the following months, this phenomenon of hypersion disappears.

The pH of the saliva varies in the direction of increasing the acidity (from 6.7 to 6.2) and such a decrease in the pH lowers the protective function of saliva. In addition, the presence of hormones are observed in saliva, which contribute to the increase in the number of microorganisms in saliva, the increase in bacterial infection, the formation of dental plaque and dental plaques.

Pathology of the oral cavity during pregnancy

The effect of pregnancy hormones on the oral mucosa is proved experimentally and clinically.

• Gum inflammation (gingivitis)- This is an inflammatory process, which is often observed during pregnancy, exacerbating in the formation of dental plates and dental plaques caused by an increase in the content in the saliva of estrogen and progesterone.
• Tumor gums (Nadesnevik)pregnant women are a benign tumor. The etiology of its occurrence is still not clear, although injuries, poor oral hygiene and hormonal changes play the role of injury. The tumor spontaneously disappears after delivery.
• Caries. During pregnancy, either the development of carious cavities is often observed. It has been established that the caries during pregnancy is provoked not only by the deterioration of the oral cavity, but also changes in a hormonal background, a change in the pH of the saliva (the acidity of which rises during pregnancy). At the frequency of caries of pregnant women can also affect the use of carbohydrate food.
• Diffuse Toothpick. Often, pregnant women complain about non-coalized, diffuse pain in the teeth. It is probably due to changes in blood circulation inside the pulp of the teeth, which causes reducing the nerve fibers with the fixed walls of the pulp chamber. Such pain is not related to the caries of the teeth. If the pain suddenly appears on healthy teeth, it usually disappears after 1-2 weeks (while caries does not disappear spontaneously).
• Hypersensitivity of teeth. It has been established that pregnancy contributes to changes in the sensitivity of the teeth, reaching the degree of hypersensitivity.
• Teeth erosion - demineralization, Loss of substance of solid teeth tissues under the influence of chemicals. During pregnancy, erosion is observed mainly at the level of the neck of the front teeth of the upper jaw. Teeth erosion are caused by increased acidity or gastric juice, especially with vomiting during the toxicosis of pregnant women. If erosion occurs, short pain appear, as a rule, after eating, which spontaneously disappear after delivery.

Treatment of teeth and oral cavity in pregnant women

There is no pregnant contraindications for the treatment of teeth. On the contrary, if the treatment does not conduct, it may be in the valve to adversely affect the health of both moms and baby.

However, in the treatment of pregnant women, a dentist must observe some precautions, namely, pay attention to the following factors:

• stressful situations in treatment;
• the use of ionizing (X-ray) radiation;
• anesthesia;
• sealing materials;
• used medicines;
• the presence of other pathologies in the body;
• choosing a moment to start treatment.

Stress

Anxiety and stress in dental intervention in pregnant women can reduce the attentive attitude and patience of the doctor. It is important that the dentist's doctor explain in detail the future mother, which manipulation it will carry out that it is absolutely harmless to her future child.

Ionizing radiation (x-ray)

It is believed that X-ray dental examination is almost harmless to pregnant women. However, it is recommended to follow the following rules:

• short irradiation time;
• protection of belly and chest pregnant special apron (means of individual protection);
• the number of X-ray shots must be minimized.

All these precautions reduce the risk of irradiation of the child. However, it is still better to avoid x-ray examinations in the first trimester of pregnancy, except in cases where it is absolutely necessary.

Anesthesia

Local anesthesia used in dentistry is not contraindicated by a pregnant woman. As for the drugs used, it is necessary to take into account that:

• the toxicity of painkillers increases by lowering proteinhemia (the presence of proteins in the blood plasma) of a pregnant woman;
• local hyperemia (overflow higher than the blood vessels of the blood system vessels) when the anesthetic is cooled by an element of the medium, which favors the cationic form of anesthetic molecule to the detriment of the main form (namely the main form acts on the nerve of the tooth, therefore the degree of anesthesia in pregnant women can be lowered);
• all drugs have molecular weights about 250-330, and any molecular weight molecules below 600 are delayed by the placenta;
• the toxic dose of an anesthetic substance is 400 mg, which is significantly higher than the therapeutic doses used; However, it is desirable to use the least toxic, the least fat-soluble drugs and to the greatest extent associated with proteins. The fat solventness of the drug used determines its influence on the development of the embryo. Communication with proteins increases molecular weight and makes the impossibility of penetrating the drug through the placenta.

Therefore, it is better to avoid the use of such drugs for anesthesia, like sublocaine, lidocaine and mepivacine. Preferably, the use of articia (Alfakain, ultrakain, primakain, seppetnessa, bucanese, deltasine, kilifesin).

Sealing materials

No research showed that the materials used for conservative dental treatment (composites, glassyonemonic cements, etc.) or their components can penetrate the placenta or act as cell poisons. But it is necessary to avoid using any materials containing mercury.

Medications

If the dentist set the presence of an infection in the oral cavity (teeth, gums), it is likely to be resorted to additional drug therapy. During pregnancy, it is necessary to avoid the use of certain antibiotics, some anti-inflammatory drugs and some painkillers.

Antibiotics

It is best to use antibiotics of a penicillin row. Sometimes you can sometimes use the first generation cephalosporins and erythromycin, since their harmlessness was established. It is impossible to use tetracyclines, because, besides that they lead to dishromy (staining) of teeth in a newborn, they are also responsible for the turbidity of the lens (cataract) and congenital anomalies of newborns limbs. Tetracycline can also cause fatty dystrophy of liver cells and pancreonenecosis in a pregnant woman.

Anti-inflammatory drugs

The dentist can assign anticipable therapy, however, the use of these drugs in pregnant women still need to be avoided, with both steroid and non-steroids. Steroid drugs can cause a delay in germinal growth, as well as to have an effect on the formation of lung tissue and tissues of some brain sections. Such preparations can be used only in the event of a threat of life, for example, with anaphylactic shock.

Non-steroidal anti-inflammatory drugs can be responsible for the premature closure of the arterial channel, which may entail the problems with the heart in a newborn. Such drugs are prohibited for use in the 2nd and 3rd trimesters of pregnancy.

Painty drugs

The most recommended painful preparation is paracetamol. It is not toxic and teratogenic (contributing to the emergence of deformities at the unfortunate child). The use of acetylsalicylic acid (aspirin) must be prohibited. It has been proven that aspirin promotes the formation of the sky blesses, the intrauterine death of the child and the delay of its growth. Dextreopropoxyphen is contraindicated in the first trimester due to the likely respiratory depression. It is impossible to use codein-containing drugs, as they can cause congenital ugliness, heart anomalies.

When should a pregnant woman be examined at a dentist?

The woman must, above all, to register from the gynecologist to know exactly the term of pregnancy and the general condition of their body. Pregnancy is divided into three main periods (trimester) during which the risks differ.

1-3 months

During the first trimester, the risk of the origin of deformities in the development of the fetus is maximized, the likelihood of spontaneous miscarriage (up to 75% of the miscarriage occurs in the 1st trimester). At this time, dental intervention (endodontics and dental removal) is necessary only in urgent cases in order to avoid stress, pain and risk of infection. In addition, during this period, women are frequent toxicosis, irritability, increased salivation, which prevents normal treatment at the dentist.

4-7 months

This is the best time to treat the dentist, because The period of organogenesis (the development of the child's bodies) is completed. During this period, it is desirable to eliminate all pathologies associated with the teeth and the oral cavity, accompanied by pain or inflammation.

8-9 months

In the last months of pregnancy, the woman is already constrained by his fullness, its movements are limited, close to the period of childbirth. In this period, it is necessary to contact the dentist only in emergency cases, and the visit to the doctor should not be long and must be held in a half-time position.

Therapy of the Patology of the Oral Oral Pendant

Tumor gums (Nadesnevik)

The tumor disappears immediately after delivery. Surgical intervention is necessary only if the tumor interferes with the process of chewing food. The dentist may only give recommendations on the oral hygiene.

Primary lesions of periodontal

In the case of inflammation of the gums associated with pregnancy, it is primarily necessary to remove the dental plaque, dental plaques and stones. After removal of the plaque, the rinse of the mouth of a 0.12% chlorhexidine solution is prescribed. In cases of lesions of periodontal, only minimal processing of affected areas is carried out. The main therapy is transferred for a term after delivery.

Caries and lesions of teeth tissues

For the prevention of caries, it is necessary to remove dental sediments, hermetically restoration of defects with glassyonery cements or liquid composites. To secure the effect of teeth are covered with chlorhexidine varnish. It is possible to cover the teeth with fluorlate, which will help to avoid the appearance of new foci of caries and will prevent the appearance of teeth hypersensitivity. The full processing of carious cavities permanent sealing materials is better transferred for a period after delivery.

In the case of pulpitis, the room of calcium hydroxide into the channel will temporarily calm pain and will have an antibacterial effect. Full channel processing is performed only in the second trimester or after delivery.

Erosion teeth

In the event of the appearance of erosions of teeth tissues, rinse with a solution of drinking soda (especially after vomiting), it is not recommended to brush teeth with a rigid brush. Compliance with the diet and the exclusion from the diet of acidic products (lemons, oranges, coasters from vinegar, oil and salt).

The observation and treatment of pregnant women at the dentist is not very different from that for ordinary patients. Only some precautions are needed. Especially careful should be in the first trimester of pregnancy, when dental intervention is allowed only in critical cases. All other treatment must be transferred to the second trimester. In the third trimester, treatment is shown only with special urgency.

One of the most controversial issues arising from many women is the treatment of teeth during pregnancy, which walks a huge number of myths and rumors. What of them should heed, and what better not to pay attention to?

Medical Tips and Recommendations will help to understand this problem situation and make the right decision - to go or not to the dentist during the kid tool. After all, the health and the most outstand mother, and her not yet born baby depends on it.

Depending on the heredity and health of the woman, during pregnancy, the teeth can suffer very much, and they can stay completely healthy throughout all 9 months.

The latter is possible if the parents planned the birth of a child and the oral cavity of the future mother was sanitized (i.e., treated) even before conception. Why is the fruit-growing fruit in a woman exerting such a powerful and in most cases a destructive effect on the teeth of pregnant? Doctors call several reasons:

1. The change in the hormonal background is reflected even on the composition and properties of saliva, which in this period contributes to the development of caries.
2. Dinen during pregnancy is supplied in a large amount of blood, which makes them loose and affordable for pathogenic bacteria. The result is inflammation in the oral cavity. Corollary - Gingivitis. Unpriced, it develops into periodontitis, the main sign of which is bleeding. All this ends in the end of the caries.
3. Due to women not to avoid nausea and vomiting. Massows have low acidity due to the abundance of hydrochloric acid. They lead to erosion, thinning of the enamel of teeth.
4. For the intrauterine formation of a children's skeleton, a lot of calcium is consumed. His child gets from the maternal bone system to which the teeth belong. If the woman during pregnancy lacks calcium, the teeth begin to collapse.

Pregnancy - stress for the female organism, which in its own way and differently affects all its systems and organs. The oral cavity is no exception. If there is no rehabilitation, appropriate treatment, proper care for it during this period, the teeth will begin to collapse, crumble and fall out, and dears - bleed.

And here the question arises: need treatment or not? To respond to it, it is useful for starting to find out how dental diseases affect the fruit.

Helpful advice. So that during pregnancy, the lack of calcium was felt, which leads to the destruction of the teeth, it is necessary to drink Calcium D-3 Nicomed (with the permission of the doctor) and include as many legumes, nuts, seeds, fruits, cereals, vegetables, greenery, berries as possible. Eggs, fish and dairy products.

Influence of health of teeth for pregnancy

In fact, a lot of women doubt: is it necessary to treat his teeth during pregnancy - is it possible to wait for the baby and visit the dentist after that? If you understand how closely the diseases of the teeth with the intrauterine development of the baby and its health, such a question will not arise. Here are just a few facts about this, proven laboratory.

1. According to recent studies, bacterium provoking caries, it often leads to premature childbirth or the birth of a fetus with a small body weight. It stimulates in the female body the production of cytokines - substances causing a reduction in the uterus.
2. Pulpitis and periodontitis (complications of caries) cause suction of pathogenic bacteria and toxins to blood, which can get to the fruit and infect it.
3. Toothproof pain - a psychotrarming factor for a pregnant woman who leads to the ejection of hormones into the body. All this negatively affects the intrauterine development of the child.
4. Infection from rotten tooth can get into the gastrointestinal tract and cause preeclampsia - late toxicosis.

These factors are quite enough in order to understand why it is necessary to treat teeth during pregnancy in the exacerbation of dental diseases. On the horse is the health of the yet born crumbs, which must be protected by any ways.

But where did the myth come from that the treatment of the oral cavity during this period is dangerous? He has supporters and opponents: to listen to both sides.

Stubborn statistics. Caries is diagnosed in 91.4% of women with favorable proxy. And in 94%, if it is complicated by toxicosis.

Treat or not treated: for and against

Will ask yourself if you can treat your teeth during pregnancy and is it dangerous for a child? Weigh all "for" and "against" before making a final decision.

Per

Doctors (gynecologists and dentists) argue that it is possible to treat teeth during pregnancy and is simply necessary if any problems arose with them. Arguments:

1. The patient of the tooth is the source of many bacteria and infections, which after the birth of the baby can attack his small and defenseless organism, as it will be in constant contact with his mother.
2. The woman herself, not taking care of the teeth, can be a victim of the same infections, which will require treatment with antibiotics, extremely not desirable during pregnancy.
3. After the birth of a child, mom once will run in the doctors, so it will be better to treat his teeth during pregnancy.
4. The effect of unpriced teeth on the intrauterine development of the fetus is the most negative: it can be infected, to suffer from the experiences of the mother about the dental pain, its body weight may depend on this.
5. In the arsenal of the dentist there are medicines for the treatment of teeth, completely harmless to the fetus, so it is not necessary to be afraid of their dangerous impact on the child.

Vs

But where did opponents come from, arguing that the campaign to the dentist hurts not yet born baby? This is how they explain why the teeth cannot be treated during pregnancy.

1. Treatment of teeth in the early periods of pregnancy with the use of anesthesia can lead to a violation of the formation of tissues by the embryo.
2. Due to the reduced immunity, there is a risk of developing complications after the treatment of the tooth.
3. The pain threshold in this period decreases, so treatment of teeth during pregnancy is a much more unpleasant procedure.

A woman must necessarily understand and represent than dangerous tooth treatment during pregnancy, to warn the dentist on time. In this regard, he will choose the safest drug for anesthesia and will advise whether the tooth requires an immediate treatment, or can wait until the postpartum period.

You need to know! As anesthetics for pregnant women in dentistry, Lidocaine is allowed, but MEPIOVACIN is undesirable. As analgesics, you can drink to eliminate Paracetamol and Ibuprofen's dental pain, but the latter is categorically prohibited in late terms. Safe antibiotics for the treatment of bonded inflammation - Penicillin, cephalosporin, clindamycin, metronidazole.

Treatment of trimesters

For each pregnancy period, doctors advise different approaches to the treatment of teeth, which you need to know all women awaiting the child. On what period, even the most innocuous anesthesia was applied, the health and development of the baby could depend on.

I trimester

1. During the "mitotic" period of I trimester (from the moment of conception until the 17th day), the embryo has a high sensitivity to toxins. Despite the fact that the fertilized egg is protected by a dense shell, the treatment of teeth on this period is not recommended.
2. "Organoleptic" period in 1 trimester is even more dangerous. There is a formation of organs and tissues by the embryo. Treatment of teeth with anesthetic at this stage can lead to a violation of this important process, which will lead to deviations in the further development of the fetus.
3. Treatment of teeth in the early periods of pregnancy is not recommended for caries and chronic pulpitis and periodontitis.
4. An exception is urgent interventions: the exacerbation of pulpitis and periodontitis, which proceed with pronounced pain syndrome and fraught with purulent inflammation.

II trimester

1. The risk of negative influence of the treatment of teeth on the child in 2 trimester decreases.
2. In each case, the doctor must take into account the toxic effect of medicines used in dentistry: anesthesia, antibacterial and other drugs.
3. At this stage it is advisable to carry out the prevention of teeth diseases - professional hygiene.
4. The first teeth are treated primarily, the state of which can deteriorate sharply in the third trimester.
5. If there is no risk, the teeth treatment is transferred to the postpartum period.
6. Any decision on the treatment of teeth at this stage is taking exclusively by the doctor.

III trimester

1. The last weeks of pregnancy are characterized by a woman with increasing anxiety, fatigue, rapid heartbeat. If you add to this suffering from dental pain, an unfavorable picture may be able to form: you can give birth ahead of the birthdays (about the consequences of early birth can be read). Therefore, treatment is required.
2. On the other hand, in the 3 trimester, the uterus becomes particularly sensitive to any external influences, which can also provoke premature genera. This applies to the treatment or removal of teeth with anesthesia.

Now you know when you can treat your teeth during pregnancy: II Trimester is the most suitable term for a hike in dentistry. Depending on the disease, the doctor will decide which therapy to carry out: prophylactic or surgical, nerve removal or ordinary sealing, with anesthesia or without.

Helpful information. I trimester covers the period from conception for 12 week inclusive, II - from 13 to 28 weeks, III - from 29 to 41.

Treatment of diseases

Dental diseases are not so much, but it is they who define the therapeutic course during pregnancy - how exactly the treatment of teeth is carried out depending on the damage.

Caries

1. Treatment of caries of teeth is carried out without anesthesia.
2. There are no restrictions for the seal: the choice is performed by pregnant.

Pulpitis

1. Treatment of pulpitis is carried out only with an instrument of anesthetic.
2. Modern anesthetics such as "kilomebies" and "ultrakin" are used, which do not penetrate the placental barrier and are completely safe for the fetus.
3. They are minimal to the concentration of vasoconducting funds, in some they are completely absent.
4. An x-ray tooth may be required, which should not be afraid. From one picture, the fruit will not suffer. Moreover, in modern devices, the dose of irradiation is very low.

Periodontitis

1. Does not always require anesthesia.
2. But X-ray in most cases will need to be done.

Removal

1. Surgical treatment of teeth during pregnancy with anesthesia is necessarily.
2. It requires a clear fulfillment of all the recommendations of the doctor in the postoperative period: not rinse the oral cavity, do not heat it.
3. The exception is "teeth of wisdom." Their removal requires additional manipulations and postoperative use of antibiotics for treatment. So this procedure is better to postpone the postpartum period.

Prosthetics

1. There are no contraindications during pregnancy. The procedures of the orthopedic dentist are safe and painless.
2. A business is an implantation that will require high costs from the already weakened organism. The adhesion of implants is also occurring under the action of drugs, which do not affect the fetus favorable.

Gingivitis

1. The most common dental disease during pregnancy, which requires compulsory treatment.
2. Treatment with light shape of the gingivitis is reduced to antiseptic processing of adhesion, rinsing, professional cleaning of teeth, appliqués by anti-inflammatory drugs.
3. After childbirth, the symptoms of light gingivitis with the appropriate and timely treatment pass without a trace.
4. In severe forms, surgical intervention is carried out.

If problems with teeth have discovered during pregnancy, to delay with treatment in no case is not recommended. Even if this is I or III trimesters, it is necessary to visit the dentist to receive professional advice and follow all its recommendations. And especially - for the use of folk remedies for eliminating dental pain.

Medical libez. Gingivitis - inflammation of the dysen without defeat teeth. In the absence of treatment, it develops into periodontitis - inflammation of the tissues surrounding the tooth.

Folk remedies

Indeed, tortured the dental pain is far from each. And if you still consider the decrease in the painful threshold during pregnancy, it is almost impossible to make these torments. And then what should I do if before visiting the dentist you need to wait? Unfortunate rinsing and grazing of medicinal herbs can always come to revenue. Since they do not fall inside (in the blood and in the gastrointestinal tract), their influence on the development of the fetus is minimally, and the treatment of teeth of traditional medicine can become a pregnant woman with a real salvation.

• Sage

1 dining room. Dry or fresh sage brew steep boiling water (200 ml), leave for about an hour. Treatment is rinsing.

• Salt and soda

In equal amounts (1 teasp.) Dissolute the cook or sea salt with food soda in a glass of warm water. For rinsing.

• Carnation

Warm clove powder attached to the guys well helps from their bleeding.

• Garlic, bow, salt

Grind garlic and onions in mashed potatoes. Mix 1 tea lies. That other, sprinkle a pinch of salt. Insert the patient tooth in the hollow for 15 minutes, cover with a car.

• Aloe, Kalanchoe

Squeeze juice from the fleshy leaves of aloe or calangean. For the treatment, wet them the amazed tooth or gigs several times a day.

For the successful use of all these folk remedies from dental pain, two factors should be taken into account. First, there should be no allergies on their components. Secondly, it will not be superfluous to consult a gynecologist or a dentist about their use in such an interesting position as an additional treatment of teeth. Well, in order to never face the problem of dental pain, you need to be able to properly care for the oral cavity.

There is an opinion. Some doctors believe that Sage, like essential oils, provoke uterine spasms, so they cannot be used to treat teeth during pregnancy. On the other hand, the rinsing by these influences is so insignificant in the amount of active substances falling into the blood that the miscarriage or premature birth from such therapy is hardly worth it.

We have already found out how much pregnancy affects the oral cavity. Therefore, it is so important to maintain it clean throughout all 9 months. Proper teeth care is the best prevention of dental diseases, excluding painful treatment and dangerous anesthesia.

1. It is better to purchase a 5th generation brush with a multi-level arrangement of microcustic, artificial veins. The protrusions allow you to penetrate into hard-to-reach interdental gaps where the raid is accumulated, promoting teeth demineralization. The brush must be medium rigidity or soft.
2. Toothbrush changes every 2-3 months, i.e. 3-5 times during pregnancy.
3. It should be kept in perfect purity: each time the cleaning is washed under the water jet and stored in a glass of bristle up for its full burden.
4. To remove dental taxes, it is recommended to use flossis - special threads.
5. There are special toothpastes for pregnant women - it is better to use them (for example, "Pregnadent"). Did not find such - look for those that are safe for the body: they should not contain sodium lauryl sulfate, triclosan, fluorine, abrasive substances. Well, if there will be "hypoallergenically" on the tube.
6. It is impossible to clean your teeth immediately after vomiting, which is a frequent companion of pregnant women during the toxicosis. Enamel, which at such moments is exposed to hydrochloric acid, is quickly engaged.
7. After each meal, it is desirable to use rinsers for the mouth.
8. On the health of the teeth, a woman needs to think before pregnancy. It will take the treatment of all patients with teeth, you need to start receiving a complex of vitamins with a mandatory content of calcium. Try to eat right, add a diet more cheese, cottage cheese, nuts.
9. During the tooling of the child, it is necessary to visit the dentist, even if the teeth do not bother, at the beginning and in the middle of pregnancy, and then immediately before childbirth.
10. The future of the father is also needed to rely on the birth of the baby.

Careful oral hygiene significantly reduces the risk of caries and other dental diseases. And then the question will not arise, to go for treatment or refuse, it is harmful or not. But in any case, about possible complications after problems with teeth during pregnancy you need to know.

Innovative developments. Why during pregnancy it is better to use the toothbrusters of the fifth generation? The bristles on it are removed from the surface of the teeth 3.5 times more than the clutch and bacteria than ordinary brushes. And then the treatment of teeth do not need - only prevention will be needed.

Complications and consequences

Complications are fraught with refusal of teeth treatment during pregnancy. Unwanted consequences may also occur if the rules of dental therapy have been violated. For example, it was appointed in early terms with appropriate contraindications or prescribed drugs, adversely affect the fruit.

During pregnancy

1. Immunity during pregnancy becomes vulnerable, so the infection emanating from a sick tooth, which was previously limited by the oral cavity, risks to become generalized and go to sepsis.
2. Source infection of the fetus due to non-caries.
3. If the teeth are treated during pregnancy with anesthesia in the first trimester, this is fraught with deviations in the intrauterine development of the fetus (read also :).
4. Preeclampsia - late toxicosis.
5. Premature childbirth.

After the birth of the child

1. Little body of a newborn body.
2. A child can be born nervous and capricious, because his mom during pregnancy suffered such a psychotrarming factor as pain, which in the absence of teeth treatment will only increase.
3. If you do not heal your teeth during pregnancy, after the birth of the baby you can inadvertently infect it. His source is sick teeth. The way of infection is your kiss, licked for him with a dummy. These bacteria can even get into breast milk. The result is serious infants.

Treatment of teeth during pregnancy is not only necessary, but also the necessary event. However, it is carried out competently, with the involvement of specialists. Danger and harmful to the child and for mom are dental diseases, and not therapy itself. Doctors will never prescribe drugs or procedures that will negatively affect the intrauterine development of the fetus. Trust them - and no infections will be able to overcome you and your baby.

A rather common phenomenon is caries during pregnancy. What is dangerous during this period and can it be treated in such a delicate position of a woman? Contracted opinions and frequent fears lead to the fact that the destruction of the teeth pulls other complications for the body of the mother and the future child.

When should you consult a doctor what it can do and how to help, what medications to use? All this will be discussed in this article. After all, if you notice the destruction of the tooth in time and make the necessary manipulations, you can not only keep the health of the oral cavity and a beautiful smile, but also to promote a healthy course of pregnancy.

Causes of occurrence

Why in the process of having a child in women often begin to collapse teeth and the caries appear? Doctors highlight a number of factors that can affect this process:

• due to hormonal changes in the body of a woman, there is a violation of the composition of saliva, as a result of which its protective properties decrease and bacteria are more active on the oral cavity;
• insufficient hygiene when cleaning the teeth is given less time and attention due to various difficulties, especially during the period of toxicosis;
• unbalanced food, in which the female organism misses the necessary trace elements to form healthy teeth;
• passion for sweet, acidic or flour products accelerates the destruction of enamel;
• frequent snacks worsen the acid-alkaline balance in the mouth;
• pumping masses are especially strongly damaged by the structure of solid tissues, energized its chemical composition;
• a significant reduction in calcium and fluorine in the body of a pregnant woman, since their main amount consumed with food goes on the formation of the embryo;
• rare visits to the dentist when the initial stages of disease are skipped.

Many future mothers are afraid that the teeth treatment during this period is dangerous for the child and therefore avoid visiting the clinic with any symptoms. They believe that it is better to suffer pain than to use the services of a specialist. In fact, such an avoidance of dental procedures threatens serious consequences for mom and fetus.

What is dangerous caries during pregnancy?

This disease is caused by a special Actinomyces Naeslundii bacterium. If it is presented in the mouth, it often falls into the stomach and the blood flow of a woman often and as a result causes an increased tone of the uterus, the opening of the cervical canal and the destruction of fruit shells.

Therefore, any type of caries (ordinary or sera) is able to cause premature birth or lead to miscarriage in the early stages, if you cannot eliminate the cause of the disease and not prevent the active destructive activities of these microorganisms in the mouth.

How affects woman and fruit?

In the presence of infectious foci on the teeth, the bacteria apply throughout the body, fall into the bloodstream and contribute to various inonisters. From such pathogenic exposure to the fetus, there is a lag in development, individual congenital diseases, the child can be born with a low weight or some anomalies.

Also, periodontal fabrics or pulp are infected with extensive caries, which will lead to, and other diseases. And this, in turn, manifests itself with such symptoms:

• increasing body temperature;
• disturbed operation of the digestive system;
• the appearance or aggravation of toxicosis.

Separately, you need to say about the toothache. Its gradual increasing will worsen the general psycho-emotional state of a woman, which is also negatively displayed during the course of pregnancy and forming the fetus. And the need to adopt anesthetic will badly affect the development of the embryo.

Those women who had caries during pregnancy and they did not apply to the doctor know that much easier to cure him in the early stages than to allow various serious violations in their or children's body. Therefore, one should not avoid visiting the dentist only on the grounds that you are pregnant.

Can X-ray and anesthesia be used?

Modern medicine offers various ways of anesthesia, both local and general. True, during pregnancy, it is recommended to use only injections in the gum or other means with the local effect. For this, the most secure remains, the sepantist, kilifesin, Skandoness. But they are allowed to use for women only from 14-15 weeks of pregnancy, when the placental protecting the fruit is already fully formed.

A special issue remains the harm of radiographic irradiation. Sometimes in the process of treating caries during pregnancy, it is difficult to do without it. But it is categorically prohibited to conduct such a survey. Exceptions constitute certain extreme cases. And at the same time they try to use other methods of diagnosis anyway.

Now there are special films with supersensitivity and special sensors that require much smaller hazardous radiation. In case of acute need to carry out the x-ray of the tooth during pregnancy, they are used together with a protective thief apron. But even this is forbidden to do in the first trimester.

Diagnostic and therapy methods

So what conclusion can be done? Do I need to treat caries when a woman is in a delicate position or better wait with it to childbirth? In each case, contact the doctor and keep the decision of this issue at its discretion. It is important to take into account the history of the patient, its condition, pregnancy, various health problems, in particular, with oral cavity and much more.

The most important factor remains time:

1. The first trimester is distinguished by a special danger from any external influences. It is separated for the period of fertilization and after it. But in each of these time segments, any dental manipulation is desirable to exclude, as well as the reception of medical preparations or the use of anesthesia. The fruit is particularly sensitive to toxins, stress and from any excessive influence may violate the processes of formation of all organs and systems. In addition, this period is distinguished by the uncomfortable state of a woman when it suffers from vomiting urges, nausea, heartburn and can faint from excessive experiences. It is believed that on such a term, the treatment of only extreme sharp states is permissible (pulpitis, periodontitis).
2. The second trimester is distinguished by a calmer course of pregnancy. In this case, the fruit is gaining weight and grows in size, but is well protected from any external influences with a reliable placenta. This period is favorable for dental treatment. In some cases, the doctor can transfer some manipulations on the postpartum period if the problem does not threaten the development of complications.
3. The third trimester also becomes dangerous in the physician plan. At the 25th week, the fruit begins to grow intensively and put pressure on the lower sex venu, which makes the woman take only convenient postures. Long-term seating in the dental chair can cause an increase in blood pressure, rapid heartbeat and even faint. Extra emotional experiences and the influence of medical drugs are able to cause an increased tone of the uterus and lead to premature births, which is also undesirable. Therefore, during this period, only the treatment of sharp states that cannot be postponed is carried out. But the woman should take a more convenient position on the left side in the doctor's chair to withstand interference without unnecessary unpleasant consequences.

How to remove toothache?

With any symptoms of the beginning pathological process, you need to visit the doctor as soon as possible. But if it is impossible to do it immediately, then it is necessary to take pain sensations in a delicate position in safe ways. For this, folk recipes are offered:

• rinse the mouth of a soda or saline;
• use with the same goals of ragners of therapeutic herbs -, St. Justice, etc.;
• apply to the wrist chopped garlic wrapped in gauze;
• can be held in the mouth near the patient's teeth a piece of bass;
• aloe sheet is also able to eliminate pain symptom for a while;
• plantain and its juice has a similar effect.

In the second trimester of pregnancy, we assume the reception of painkillers, but in a moderate dosage and non-blocking period. Among safe drugs, the rehabilitation of the oral cavity is noted and all dental diseases to treat all dental diseases.

Carefully at least twice a day, and after each meal to make rinsing.

For maximum pathological prevention, clean the interdental space with additional means -, toothpicks, etc.

After vomit, urges should not immediately take a toothbrush. It is enough to rinse the mouth and only after half an hour to perform hygienic surface treatment.

Try to stick to the correct balanced nutrition, so that all the necessary vitamins and microelements come with food that can fill the needs of the fetus and the female body.

In time attend the dentist. After all, the detected caries at the initial stage, when it looks like a white spot, is quite easy to treat and does not require any serious and dangerous interventions for the fetus.

Pregnancy is a very reverent and exciting state in the life of a woman, but it is associated with an increased risk of many diseases. Teeth are among others, sometimes teeth consider even a marker (indicator) of the health of a pregnant woman. So, we will tell you how pregnancy affects your teeth, whether to treat teeth while to wear and is safe to do it pregnant, as well as you will receive recommendations for the prevention and measure of self-help.

How does pregnancy affect the teeth?

During pregnancy, the condition of the teeth definitely worsens and is due to the effects of two factors at once:

1. Hormonal restructuring.

Starting with the early time of pregnancy, the body gradually moves to another hormonal background. To preserve pregnancy, natural immunosuppression (immunity suppression) is necessary, this mechanism allows the organism of the mother to "accept" with the presence of the fetus (the fetus is an alien independent organism, because half the chromosome it got from his father). Natural immunosuppression during pregnancy provides progesterone, a hormone, the content of which with the beginning of the toal increases significantly. In addition to the positive effect, the decrease in immunity contributes to much more rapid progression of caries and gum diseases. This concerns both teeth and gum diseases that existed before pregnancy and did not show themselves and newly acquired.

2. Increased consumption of minerals.

Increased consumption of minerals, primarily calcium and phosphorus, due to the needs of a growing fetus. Calcium requires a kid to build a muscular system, formation of organs of vision and hearing. With an insufficient flow of calcium from the outside, the concentration of ionized calcium in the blood of the mother decreases and it begins to wash it from the bone system, including from the teeth (to a lesser extent). However, the teeth are a very sensitive object and the loss of even a small amount of calcium salts weakened and felt enamel. If calcium replenishment does not occur, then the teeth become extremely vulnerable to infection (remember about immunosuppression).

There are factors predisposing to teeth disease during pregnancy:

Pronounced toxicosis in the first half of pregnancy. The vomiting of pregnant women provokes the deterioration of the teeth at the expense of two mechanisms: damage to the enamel of the teeth with acidic contents of the stomach with frequent vomit and heartburn, and the violation of the general exchange, which occurs when the food and the absence of appetite occurs due to nausea.

Late vomiting of pregnant women. Late (after 22 full weeks) vomiting of pregnant women itself indicates a violation of the exchange and possible intoxication of the body, and also prevents rational nutrition (dairy products, as a rule, cause nausea attacks).

Pregnant anemia. The more pronounced anemia of the pregnant woman, the worse the supply of tissues and organs with mineral substances.

Chronic diseases of the digestive tract in history. If a woman suffered before pregnancy, a chronic gastritis, a peptic disease, a dyskinesia of a gallbladder, cholecist, pancreatitis, then during pregnancy, it is possible to deteriorate the flow of these states. The cause of deterioration is highly content of progesterone, which reduces the tone of all smooth muscle organs, but if it is good to the uterus, then the decrease in the tone of the esophagus, the stomach, the gallbladder leads to a violation of their work, heartburn, nausea, belching. The periodic scraps of acidic content of the stomach into the oral cavity leads to damage to the enamel of the teeth and opens the gate for infection.

Commitment of irrational diet to pregnancy and during it. This includes vegans (refusal of all animal products, including indirect, such as honey and other beekeeping products), strict raw materials (such a power method often leads to hyperacid states, and the gums are damaged), nutrition with a strong calorie restriction and protein.

Eternal nutrition (excess flour, fast food abuse, consumption of carbonated beverages, etc.) also do not contribute to both health in general and teeth health in particular. Such nutrition is poorly fiber, but rich in simple sugars, which serve as abundant food for the cavity bacteria.

Do you need to treat your teeth during pregnancy?

Here the answer is unequivocal - you need!

During pregnancy, there were already problems that had previously occurred, as well as the risk of a newly emerged caries. In the ideal version, the woman comes to pregnancy is planned and the reservation of all foci of infection is being held before conception (mouth cavity, throat and almonds, nasal sinuses, gastrointestinal tract, urinary system, reproductive system and bronchopulmonary machine). But it happens not always.

Therefore, when you will be credited to the female consultation, then one of the first directions you get to the dentist for a preventive inspection and, if necessary, treatment.

Optimal dental inspection deadlines for prophylactic purposes:

Registration in women's consultation (within 12 weeks)
- 20-24 weeks
- 32-34 weeks.

The minimum survey volume is twice for pregnancy: when registered and in the third trimester.

The trimester shows the treatment of teeth only by emergency testimony (active caries, acute dental pain), this is due to the undesirable use of anesthesiological manual.

II Trimester is the ideal time for therapeutic activities. The period from 14 to 26 week is considered the safest for treatment. Perhaps the provision of almost all types of dental care. It is not recommended to start prosthetics, as the dental fabrics are rather fragile, and the gums are loosened, there is a possibility of insolvency of implants and increased the risk of infection.

Also does not hurt the hygienic cleaning of teeth, fluorination and other types of enamel protection. But from the removal of the tartar, it is better to refrain, this procedure is strongly affected by enamel, and its restoration during the period of gestation will be slow, the risk of sealing caries increases.

In the presence of readings, you can perform sealing, depug and sealing channels.

The removal of the tooth is made at extreme indications, but not contraindicated. The restriction may arise due to the choice of anesthesia, the benefit ratio for the mother and risk for the fetus is taken into account.

If necessary, it is possible to install braces, but only after consulting the orthopedic dentist.

In the third trimester, all the listed types of dental care are also allowed.

Anesthesia in the treatment of teeth. Can I not?

Difficulties in the provision of dental care arise in the first and third trimester, this is due to the restriction in the use of local painkillers. Most of the drugs contain adrenaline, which reduces the toxicity of anesthetic, but creates a sharp, although the short-term spasm of the vessels. In the first trimester, it is also dangerous because of the possible increase in the tone of the uterus, and in the third trimester, the spasm of all vessels can lead to an irrigation of blood pressure from the mother, which indirectly affects the state of the fetus.

The provision of local anesthesiological benefits in the second trimester is considered the safest and recommended.

Currently, pregnant women are used by artician hydrochloride based drugs (ultrakin, kilifesin, alphakain, brillocaine) without adrenaline. The use of these anesthetics is safe, they do not penetrate the hematoplazent barrier to the kid and do not cause spasm of the vessels.

Is it possible to make a x-ray tooth during pregnancy?

If possible, any radiation impact should be avoided during pregnancy. But sometimes without this examination it is impossible to determine the degree of lesion, and therefore the amount of assistance provided. Now there are x-rays - devices with minimal radial load, as well as special dental tomographs. The study is performed according to the testimony, starting from the second trimester.

If you add to the dental clinic on the early period of pregnancy not in the direction of women's consultation, then always inform the dentist about his position.

What threatens unbearable teeth during pregnancy?

1. The untreated tooth will continue to collapse, and if you postpone treatment for the period "after childbirth", it is possible that it will be much more difficult to treat or at all will be shown to remove the tooth.

2. A unbearable tooth is a focus of infection. As you know, the most evil and active bacterial flora is in the oral cavity. The mouth cavity is in contact with a multitude of contaminants from the outside (contaminated food, inhalation of weighing and dust, household infectious agents, such as habit, bite the nails or handle tip, wipe the finger by saliva when turning pages and so on).

In the mouth, the medium is ideal for the temperature and humidity for bacteria, as well as abundant blood supply. Infectious agents can penetrate the bloodstream, which means to the child through the system "mother - placenta - fruit." Chronic circulation of bacteria threatens by many adverse consequences: intrauterine fetal infection, chronic fetal hypoxia, raising the risk of preeclampsia from the mother.

Prevention of dental destruction during pregnancy:

1) Balanced diet.

Rational food implies full-fledged food in a sufficient amount, the most appropriate benefit of the mother and child. Preference is given to non-large varieties of meat, any fish, dairy products, croups, vegetables, fruits and greens.

If we are talking about a diet that prevents the destruction of the teeth, then first of all we are interested in food rich in Calcium. Contrary to popular belief, cottage cheese is not a rich calcium product, the content of this mineral in the cottage is the same as in kefir or broccoli.

Calcium rich foods:

cheese (in the first place is parmesan cheese), sesame, canned sardines, almonds, greens (parsley, salad and basil), cabbage, beans and chocolate. Dairy products contain calcium in small quantities (the most rich in calcium product is a skimmed milk), but in an easily-friendly form, so it should not be neglected.

Comprehensive calcium suction Red and black currant, sorrel, spinach and gooseberry, due to the high content of fruit acids. In conjunction with these calcium acids, insoluble compounds, which will not be beneficial, and simply lead from the body. Also make it difficult to absorb calcium coffee, tea and cola due to the presence of caffeine and tannin.

2) hygiene.

The oral hygiene is the basis of the health of the teeth. Currently, different ways of care are available, it is only necessary to lazy regularly (2 times a day to use them).

Toothbrush must be soft or medium stiffness, it should be changed at least 1 time in 3 months.

The cleaning of the teeth is made according to an easy algorithm.

Before cleaning the mouth, you must rinse to remove that bacterial mass that accumulated overnight. The brush before use should be washed with soap or scold with hot water. This rule is rarely observed, but think about how many bacteria we are settled and multiplied on the brush per night, especially since the wet and warm atmosphere of the bathroom is very promoted.

It is necessary to clean your teeth for three or more minutes. Why exactly three minutes? The fact is that you should make approximately 300-400 cleaning movements, and it takes about 3 minutes. Direct cleaning is performed by three techniques: "sweeping" and "releasing" movements from top to bottom to clean the front and rear surface of the teeth, movement back - ahead to clean the chewing surface and circular polishing movements in conclusion.

After that, it is necessary to clean the inner side of the cheeks and the surface of the language. Use for this the root side of the toothbrush with a ribbed surface. If there is a toxicosis, it is not too actively pressing into the tongue, especially in the root area, it provokes vomiting.

After cleaning the mouth you need to rinse with warm water and wash the brush. The brush should stand in a cup head up to dry.

For intermediate hygiene, use a tooth thread (floss), an irrigator and rinsers for the oral cavity.

Dental floss

Floss must be very careful to apply if the problem of bleeding gums occurs. The thread purify gaps between the teeth, which are hardly achieved by a brush.

The irrigator is a device that gently flushes pollution from the gaps between the teeth with a jet of water under a slight pressure.

Irrigator

During toxicosis, when timeally bothers vomiting, it is necessary to take care of the health of the teeth separately. After each vomiting, wechit the mouth with warm water, a weak solution of soda (1/2 - 1 teaspoon on a glass of warm water, if it does not provoke vomiting), and then use rinsers for the oral cavity.

3) Reception of vitamins and mineral complexes.

Taking into account the vitamin - mineral poverty of our modern diet, all pregnant women show the reception of special complexes, starting with early deadlines (Femibion \u200b\u200bNatalka I, Elevit Prontash). Combined with a enriched diet, as a rule, this is enough.

But if necessary, it is shown the appointment of additional calcium preparations (calcium D3-Nicomed, Calckene Advance). Reception of drugs is carried out under the control of the doctor, the duration is determined individually.

Timely care and appeal to the doctor - the dentist will save you from a variety of problems and will save the beauty of the smile. Watch yourself and be healthy!

Doctor obstetrician gynecologist Petrova A.V.

From this article you will learn:

• is it possible to treat a pulpit during pregnancy,
• in which periods it is necessary to treat periodontitis during pregnancy,
• in what time frames cannot be treated with teeth during pregnancy,
• whether the treatment of teeth is allowed when breastfeeding.

The article is written by a dentist with more than 19 years.

Treatment of caries during pregnancy -

So, is it possible to the treatment of teeth during pregnancy ... Treatment of teeth during pregnancy is possible in strictly defined periods. With these periods, we will introduce you lower.

Anamnesis examination and harvest –
At the very beginning of communication with a pregnant woman, the doctor who appeals to the dental clinic should turn to the examination of the patient and the collection of anamnesis, as well as understand the tactics of possible dental treatment, depending on the period of pregnancy, in order to minimize the risk of adverse effects on the fetus.

The doctor must carefully collect medical history (the history of previous pregnancies associated with pregnancy diseases such as diabetes, hypertension, preeclampsia, eclampsia ...). Sometimes to assess the risk of developing complications of dental treatment requires a consultation with an obstetrician-gynecologist, which has a patient.

Radiography in pregnant women –
During pregnancy, radiological studies are prohibited in which X-rays pass through the fruit or in close proximity to it. Now in dentistry, highly sensitive films and sensors are actively used, which require 8-10 times less X-ray radiation than ordinary traditional films. In addition, there are special means of protection (lead apron).

Those. In some urgent cases, radiography in pregnant women are possible, but still undesirable. It is categorically contraindicated only in a 1M trimester of pregnancy.

Treatment of caries during pregnancy: tactics

1. First trimester of pregnancy -

Here you can allocate two periods -

• The most unfavorable period for dental treatment is the period from the moment of fertilization and before the implantation of a fertilized egg (about 17 days). This period is characterized by a significant sensitivity of the embryo for drugs, toxins, stress ... in the treatment of high probability of spontaneous abortion.
• On the 18th day begins the laying of organs and tissues in the embryo. The clinical features of this period are nausea, vomiting, increased salivation, heartburn, increased vomit reflex, frequent fainting.
  During this period, the treatment of teeth in pregnant women is undesirable, because Treatment can lead to a violation of the laying of organs and tissues in the fetus.

conclusions –
Treatment of teeth during pregnancy in the 1st trimester can not be carried out! An exception can only be made for urgent interventions, on the background of sharp pain or purulent inflammation. Treatment of pulpita during pregnancy, acute periodontitis, as well as exacerbations of chronic periodontitis just can serve as an example of urgent interventions, because These diseases proceed with severe pain syndrome and the development of purulent inflammation.

However, the treatment of caries, chronic pulpitis or chronic periodontitis, i.e. Diseases that are not accompanied by sharp symptoms of inflammation - it is better to spend on other periods.

2. The second trimester of pregnancy -

The second period is called "fruit" because At this time, the fruit is growing hard. The risk of undesirable influence of the treatment of teeth on the fruit in this trimester decreases, but here it is necessary to take into account the toxic effects of drugs used in dentistry (anesthesia, antibacterial and other drugs).

conclusions –
During this period, it is necessary to carry out prevention of dental diseases (professional hygiene), as well as to treat those teeth that have a high risk of exacerbation in the third trimester. If there is no such risk, it is desirable to transfer treatment to the postpartum period. The decision should take a dentist.

3. Third trimester of pregnancy -

As the mass of the fetus increases (especially at the position on the back), the pressure of the fetus on the aorta and the lower venu is increasing, which leads to a decrease in cardiac output. This may be accompanied by a rapid heartbeat, a sharp decline in pressure and even loss of consciousness. It is important to take into account because In the treatment of teeth, patients are in a semi-lying position.

In the late periods of the third trimester, the sensitivity of the uterus increases to external influences, which can lead to premature birth. Also in this period, pregnant women experiencing increasing fatigue, anxiety, which can also complicate the conduct of therapeutic measures.

conclusions –
It is advisable to conduct only urgent interventions. At the same time, the position of the pregnant in the dental chair should be "a little on the left side" at an angle of 15 degrees. In this position, the pressure of the fetus on the aorta and the lower hollow vein will be less.

Treatment of teeth with breastfeeding -

The treatment of the teeth of a nursing mother is not just possible, but necessary. Treatment of teeth during lactation can be temporarily contraindicated only with a certain psychological state associated with severe stress and fatigue. However, if the child is on breastfeeding, it is necessary to still observe certain precautions related to the child's hit through breast milk of various drugs, for example used for anesthesia.

Treatment of teeth during menstruation -

There are no special contraindications on such days to the treatment of teeth. However, if the menstruation is accompanied by an increased nervousness, pronounced weakness, as well as a severe psycho-emotional state, then it is better to transfer teeth treatment for more favorable days.

Caries in pregnant women: causes

It is common among women that the rapid destruction of teeth during pregnancy is due to the fact that during pregnancy the need of the fetus in calcium and phosphorus increases. And there is a myth that during pregnancy can soften or fall into teeth.

However, today there is not a single study that would confirm these conclusions. On the contrary, hundreds of studies show that calcium in the enamel of teeth in pregnant women is in a stable form, and an increase in calcium need is compensated by the mother's body, not due to its flushing from the teeth, and by increasing its absorption from the gastrointestinal and reduce its secretion with the urine and then .

Observations show that the strengthening of the dental destruction during pregnancy at the expense of caries is associated with most pregnant women with a significant deterioration in the oral hygiene, as well as a change in their food preferences - Consumption of a large amount of carbohydrates and acids, which just stimulate the development of cariesogenic microflora and launch the processes of formation of caries. The lack of oral hygiene under these conditions and leads to the fact that the teeth begin to collapse "as if" faster,
than usual.

Prevention of caries in pregnant women -

As prevention of caries, pregnant women can be recommended:

• Food -
  Frequent snaps between the main meals, sweet drinks are very harmful. Each time there is a snacking and cleaning your teeth - you supply carieseogenic microorganisms in the mouth cavity with power, which enhances their destructive properties.

The effect of caries for pregnancy -

What is dangerous caries during pregnancy? Is it worth doing the treatment of teeth during pregnancy or better not to risk?

The effect of caries on the fruit –
The effect of caries on the fruit is proven in research. In the study conducted by American scientists, a clear relationship was revealed between the number of Actinomyces Naeslundii (this is a bacterium, which has a pronounced cariesogenic effect) and premature childbirth and the birth of the fetus with a small mass of the body. It is assumed that these bacteria are also stimulated in the body of a pregnant woman to develop anticipable cytokines (substances that cause contraction of the uterus and the extension of the cervical canal). The more the cervical canal is expanding, the greater the destruction of the fetus shells and premature birth.

By the end of the period of the diaper and the sliders, it is scary to look into your mouth. Anxiety brings not only the lack of brilliance of teeth, but also their outstanding fragility. The constant presence in the mouth of the tooth crumb causes irritation. It is not necessary to talk about the absorption of fruits in general, only in a grated form - the teeth will not tolerate the loads. We add to this increased bleeding and salivament.

In order for the child to be born healthy and beautiful, and the future mother retained a dazzling attractive smile, it is necessary to listen to the advice of specialists.

Forgotten caries

Everyone advises to plan a pregnancy, but in some situations it is quite difficult. Pregnancy does not always occur when it wants. In some situations, the appearance of a happy star has to wait for years. Preparation can delay so much that it is not difficult about pregnancy forget. And about the random "pilot bird" generally does not have to speak. In general, the first thing you need to make a pregnant woman, returning from the gynecologist, it is to make an appointment to the dentist. The feeling of complete health often happens. Attentive examination of the dentition will definitely reveal a pair of holes.

The caries are based on three main problems: enamel damage, the use of a large number of sweets and microflora in the mouth.

During pregnancy, all three causes are hypertrophy. Frequent vomiting in the first trimester can lead to "acidification" saliva. Elevated appetite contributes to the use of more easily handed carbohydrates (sugar, chocolate, etc.).

In an acidic medium and in the presence of carbohydrates, microflora quickly develops. A vicious circle is formed. Microorganisms, splitting sugar, contribute to even greater acidification of saliva and destroy enamel. Considering the causes of caries, it becomes clear how important prevention is important.

Treatment of caries during pregnancy is not contraindicated, rather, on the contrary. All sorts of, even small holes in the teeth should be heal. Remember that a small hole can be the entrance to a large cave.

There are no restrictions on the sealing material. Moreover, it is better to use fluorine-containing sealing material (for curing which a special lamp is used).

Surface caries, as a rule, does not require mandatory anesthesia. But if the usual caries will complicate the development of the pulpitte, then do not do without anesthetic. The doctor will select the safest drug.

I feel that feeling teeth

During pregnancy, it is especially important to eat right.

However, if the hot and cold dishes cause strong mischievous pains, the appetite disappears, they suffer in this case at least two (mother and fruit).

The problem of increased sensitivity of the teeth is connected with the thinning of the enamel, which, like a shell, covers the dentent, enveloping vessels and actually sources of pain - nerves. The appearance of pain - push, forcing me to contact Dentistist. There may be several reasons for thinning enamel. One of them, the most frequent, becomes the loss of calcium enamel, as a result of insufficient intake with food and increased intake by the body. Another reason is the early toxicosis, which has already been mentioned above. Another reason that is not related to pregnancy, but having a place - the wrong choice of toothpaste.

Especially for the owners of teeth with increased sensitivity, a toothpaste of the "Sensitive" type has been developed.

According to dentists, the most common cause of improving the sensitivity of the teeth is improper cleaning.

To teach proper cleaning of the teeth, you must contact the dental center. Training is made individually for one session. The cost of this procedure is about 300 rubles. As a rule, the dentist invites pregnant to re-control cleaning. To appreciate whether the patient copes with the task or not.

The sensitivity of the teeth can be provoked by the tricky caries when the hole in the tooth is at its base, next to the gum. Then the solution to the problem is only a seal in a problem location. If the sensitivity of the teeth does not decrease, despite all the accompanying efforts, the Sensigel will help, in its composition special substances that reduce the sensitivity of the teeth. The cost of the drug is 180-190 rubles. The dental office has pharmacological agents to reduce the sensitivity of teeth, having a prolonged effect (up to 6 months), but the cost of the procedure is much more expensive.

Bleeding gums

If you suddenly noticed that during the cleaning of the teeth on the brush, traces of blood remain, and with a further rinse of the mouth of the mouth, the foam from the toothpaste acquires a pink color - this means that you have increased bleeding gums. Increased bleeding is a bell that is not all right.

Healthy teeth are not necessarily healthy gums. Increased bleeding gums during pregnancy - not uncommon. It can be due to hormonal restructuring in the body of a woman. To solve this problem, you need to consult a doctor. In this case, the diagnosis sounds like this: "Gingivitis of pregnant".

To prevent this unpleasant disease, it is necessary to remove the dental flare and remove the dental stone in the patent region. In the dental office, these procedures are performed using different techniques. One of them is the so-called "Air Flow" is carried out without using boron and without a tip. Under pressure comes a jet of air, water and powder. Thus, a flare and partly - dental stone. This procedure is also called gentle bleaching, as the teeth returns natural shine and whiteness, and the structure of the enamel does not deteriorate.

Another way to prevent gingivitis allows you to completely remove massive overlapping of the tooth stone. It requires ultrasound use. The procedure for polishing the teeth and coating with a special fluorologist is completed. As "Air Flow" and the other methodology will require significant material costs. The cost is approximately the same - 80-90 rubles for the tooth.

As a rule, the gum inflammation is caused by the "harmful" microflora oral cavity.

A number of dental pastes, including extracts of medicinal plants, has an antiseptic effect. Additions of chamomile, calendula, sage remove the inflammatory process and strengthen gums. To enhance the effect, paste is supplied with a complex of vitamins.

If all the same gingivitis developed, then after removing the dental plaque and the stone, the dentist is likely to offer the use of a special gel for the gums, you can read about it in more detail in the "RF cavity review for pregnant women."

The gel is used in addition to the toothpaste, not instead. If the manifestations of gingivitis are strongly pronounced, then gums are applied anti-inflammatory dressings. The course is 3-10 sessions. They contribute to the rapid subsoil of the inflammatory process and reduce the bleeding.

It is worth checking the toothbrush, sometimes the reasons for the increased bleeding of the gums are quite banal - too tough bristles.

Increased bleeding may be a symptom of more formidable disease - periodontitis. Periodonts are soft fabrics surrounding the tooth. Their inflammation is periodontitis. It proceeds hard enough and can end the loss of healthy teeth.

I don't want to eat, and saliva flow

During pregnancy, salivation is often noted. This type of toxicosis does not pose a threat with moderate severity. Sometimes salivation is a consequence of indomitable vomiting. When it acquires a grand scale, soluation can reach 1 l per day.

In this case, the appetite is broken, the patient will lose weight, well-being deteriorated, the room is required to the hospital. In order to avoid significant fluid loss, treatment must be carried out. Moreover, in pronounced salivation, the skin maceration arises around the mouth, which can become an entrance gate for infection.

Kitty properties have some toothpastes: "Lock", "Oracle in" and others. To prevent irritation on the skin of the face, bold cream is applied. X-ray

Investigation of teeth during pregnancy contraindicated?

No wonder everyone advise to heal their teeth before pregnancy. After all, after its occurrence, dental treatment may be difficult. It should be related, which refers to problem teeth, for which a simple seal is not a way out. Sometimes to provide qualified assistance, you must first make a snapshot of the tooth, and then, depending on the situation, treat or delete. In the first and last trimesters of pregnancy, X-ray examination is not recommended. However, in the second trimester of pregnancy, the ban on the X-ray of the tooth is removed.

If suddenly a problem tooth gave itself to know about himself in the "Incable term", and the doctor insists in the picture, it is not necessary to worry about this. Since before take a picture, the laboratory assigns you a lead apron, which will fight from the insignificant dose of X-rays, which in this situation are necessary.

In order to avoid trouble, I better inform the dentist about the existing pregnancy. There is a more sparing research method - Computer Visiography. In this case, the toe image enters the computer screen, the X-ray ray is more focused, and the dose is about 10 times less than in the manufacture of a conventional X-ray.

Healthy teeth at the father and mother - the key to the health of the teeth in the child

Already on the fifth-sixth week of pregnancy, the primitives of the child's teeth are formed. If the mother has to this period of pregnancy "bad" mouth, then the process of mineralization of the fetal teeth of the fetus is disturbed, which will lead to problems in a child, both with dairy and constant teeth.

For the normal growth of bones and fabrics of the future child, in addition to other minerals, a sufficient amount of calcium and fluorine is needed. A well-balanced diet rich in vitamins A, C, D, minerals, plus nutritional supplements or vitamins for pregnant women will completely commemorate the cost of the body and will promote good overall health and normal development of the kid's teeth. Food additives and vitamin socket complexes are individually selected by a gynecologist.

Calcium richest products: milk and dairy products, sheet cabbage, broccoli, spinach, young turnip. The most well calcium is absorbed from fish products.

The disadvantage of calcium may indicate the convulsions and destruction of the mother's teeth. If the symptoms appeared, you should consult a doctor. Alone to take calcium preparations should not be necessary, since it will lead it to the disorders of the bone skeleton in the fetus.

However, not only the quality of the baby's teeth depends on the state of the teeth of the milf. Half all problems with teeth in babies from the Father. No matter how follows her mouth pregnant, she, communicating with her husband, kissing him, transfers the "harmful" microflora into his mouth. Husband should treat all the teeth after, and better before he finds out about the pregnancy of his wife.

Probably there is no parent, who did not hug and kissed his barely appeared on the light of Chado. Each kiss is a swarm of microorganisms, and not always harmless.

Whether he is a father, grandfather or grandmother, everyone considers her duty to ride and breathe on the kid. Before letting the whole relative to the baby, a prudent mom should first send their households to the dentist.

Microbes and prevention

Future mothers are simply obliged to follow their mouth. Strong microbial infection of teeth and gums of the future mother can serve a very sad service. Violation of hygiene contributes to the unimpeded penetration of bacteria from the mouth of the mother into the body of her infant. To prevent unpleasant consequences, it is necessary:

Brush your teeth after each food intake for 2-3 minutes, since the effect of antibacterial and mineral components of the toothpaste is carried out when the paste is in the mouth of at least this time.

• Use additional yields of oral hygiene (gels, rinsers, breathing fresheners).
• Change the toothbrush every 3 months.
• Conduct professional cleaning of teeth at least 1 time in 4 months, and after delivery - 1 time in 6 months.

Most favorable time for teeth treatment During pregnancy:

1st visit - on the 6-9th week of pregnancy,
2nd visit - on the 16-18th week,
3rd - on the 26th week,
4th, last, - before childbirth for the 36-38th week of pregnancy.

Before pregnancy and after delivery, optimal special terms are not installed.

"Toothdroke" after childbirth?

I hope that child was born not in torment? In order for the child to grow rapidly and develop, nature supplied a woman with a power source for a baby - milk. The constant production of the nutritional product is possible only with the regular arrival of the required vitamins. If the teeth withstood the load with pregnancy, it does not mean that the feeding process will be unnoticed. It happens that during feeding the teeth simply "melting" in front of the eyes. What's happening?

Apparently, the lack of calcium (or fluorine) is noted in the body. In order to prevent possible destruction, it is necessary to ensure sufficient receipt of minerals, taking into account the flow rate of milk. On the day of the dairy glands produced near the milk liter (or even more).

Prosthetics of teeth and pregnancy

This problem is especially relevant at late pregnancy. After 30 years it is difficult to find a woman who did not lose at least one tooth. And if there is no teeth or they require removal, then the question of prosthetics arises. Who has already received his "bridge" or "implant", he knows how much time, forces and money goes to this process (in any case, a good half of pregnancy can pass).

Is it possible to engage in prosthetics of teeth during pregnancy? Yes, you can. When using modern materials with prosthetics, you can meet 2 weeks. This process will require 2-3 visits. If pregnancy happened after the start of the prosthetics process, it is necessary to complete it, since on the background of hormonal rearrangements in the body it is possible to share, changing the position and tilt of the teeth, which will further complicate prosthetics.

There can be no speech about implantation, as this is a surgical operation, it is difficult and possibly the emergence of complications.

Rotten tooth! Delete or wait?

Elena K.: "I had a very bad teeth before pregnancy, some demanded a removal, but there was not enough time and courage to the dental. Now, when I got pregnant, I'm afraid to stay completely without teeth. How best to do?"

In connection with the environment, not everyone can boast healthy and white teeth, especially with an average and lowest. So if pregnancy threatens to deprive you of the last teeth, you must urgently take action. All rotten, destroyed teeth not subject to recovery, delete. First, thereby avoiding the source of contagion will be eliminated, secondly, patients teeth have a property exacerbated to childbirth. And then give birth, you may have to in the office of the dentist with acute toothache.

Thanks to the creation of new anesthetics that are not passing through a hemato-placental barrier, the removal will not be a special problem. New Preparations "Killyzin" and "Ultrakin DS" will provide quick and reliable anesthesia.

The most quiet time to remove the teeth is the 3-6th month of pregnancy.

Ordinary Toothbrush or Eleptic?

In the first half of pregnancy, the toothbrush of the medium stiffness is suitable. To the third trimester, the brush is better to choose soft, as it will avoid bleeding the gums. Of course, if only there is no tendency to form a solid dental plaque.

If you are accustomed to using an electrical toothbrush, then for a period of pregnancy it is better to postpone and use only occasionally. Undoubtedly, the electric miracle better removes the dental flare. However, it has a greater injury action on gums than a regular toothbrush, and after all, the gums are perhaps one of the most vulnerable places in the mouth of a pregnant woman.

If you really want to thoroughly clean your teeth, provide this procedure to a professional. Cleaning the teeth in the office of the dentist will cost about 1000 rubles.

Folk Methods

For fans of traditional medicine, it is possible to offer the addition of the chamomile, calendula, sage, and other medicinal plants into the addition of the previously listed rinse. An independent production of the type "egg shell plus lemon" and other compositions is undesirable, since the effect is doubtful, but harm may be solid.

Update: October 2018

During the tooling of the fetus, almost every woman faces the problem of "bad" teeth. The state of the teeth is deteriorating even in those women who did not have dental trouble before pregnancy. What is this related to the treatment of teeth during pregnancy? How to protect your teeth when carrying a child and does the health of the teeth affect the course and development of pregnancy?

How does pregnancy affect the state of the teeth?

It was during the period of gestation that the condition of the teeth deteriorates sharply. And it is connected, by no means, not with the famous postulate: "The child takes calcium from the teeth to build its skeleton", which is incorrectly incorrect, and with a powerful hormonal perestroika, which begins with the moment of conception.

Elevated leads to increased blood supply to not only the uterus, but also by other organs, as well as the gums. As a result, the tissue gums softened and become loose, which facilitates the penetration of microbes into gums and teeth and contributes to the development of gingivitis, stomatitis and the exacerbation of caries.

Gingivitis without timely treatment easily goes into paradontitis, which is dangerous not only to the loss of tooth or teeth, but also the loss of pregnancy. In addition, hormonal changes affect the amount of saliva and its acidity. During the pregnancy, there is an increased salivation and a shift of the pH of saliva towards acidity, which contributes to the thinning of the dental enamel and the reproduction of the microbes. As a result, the caries is developing rapidly and progresses.

Also, the state of the oral cavity and teeth in particular also affects the toxicosis. Nausea and vomiting also play a role in the shear of the pH of saliva, lead to loss of minerals (fluorine, calcium, phosphorus, magnesium), which causes dentive demineralization (enamel thinning) and the progression of caries.

An important meaning also plays changes in the taste during pregnancy, consumption in a large number of simple carbohydrates, which quickly split into the oral cavity, serves as a catalyst for reproduction of bacteria and the propagation of caries (both deep teeth and the neighboring teeth).

The change in the composition and pH of saliva, as well as the weakening of immunity during the period of gestation, also affects the formation of a dental plaque. If not to propagate the diseases of the oral cavity during the tooling of the fetus, leave the dental flare, it is quickly transformed into the dental, which is also fraught with a loss of the tooth. In addition, the dental flare is one of the predisposing factors for the development of gingivitis.

What affects the health of the teeth?

However, not all pregnant women have teeth sharply deteriorate. Someone loses several teeth for 9 months, and someone retains a healthy and snow-white smile before and after childbirth. What is it connected with? Dentists In addition to the mandatory hormonal restructuring, which occurs during the end of the fetus, there are also a number of predisposing factors that provoke diseases of the oral cavity and teeth:

Genetic predisposition

Heredity takes not the last place in the state of the teeth. If the parents of the future mother have problems with teeth began at a young age, most likely she does not avoid dental pathology during pregnancy.

Failure to comply with the rules of the oral hygiene

During the period of the fetus, the woman should especially carefully monitor and care for the oral cavity. This is not only double cleaning of teeth, but also regular (at least 3 times per pregnancy) visiting the dentist, identifying the first signs of caries and its active treatment, the reception of vitamin and mineral complexes shown by pregnant women and compliance with the rules of healthy nutrition.

The presence of chronic somatic pathology

Available chronic diseases of the digestive tract (enteritis, gastritis, colitis), endocrine pathology (diabetes mellitus, thyroid disease), bone and articular pathology (arthritis and arthrosis, osteoporosis) lead to, it is not absorbed by the body in the necessary dosage, which aggravates the state of the teeth, contributes to their demineralization and development of dental diseases.

Bad habits

No matter how regrettable it is to talk about it, but not all pregnant people can abandon bad habits for the sake of the future kid. Smoking affects the acidity and composition of saliva, which and so during pregnancy has undergone changes not for the better, and the admission of alcohol disrupts the absorption of the minerals necessary for the health of the teeth. Also, do not forget about the habit of turning nuts or strong caramels, which is traumatic not only for fragile teeth of a pregnant woman, but also for an ordinary person.

Permanent stress

During stress in blood in large quantities, a hormone is ejected - cortisol, which reduces the already weakened immunity in the future mother. The reduced immunity "plays on the hand" of pathogenic bacteria, including those living and in the oral cavity, which contributes to the flourishing of teeth diseases. And pregnant women, as you know, emotionally labils, any seemingly a trifle for them turns into a serious stressful situation, as a result of which worsens both the state of health in general and the state of the teeth in particular.

Are pregnancy and teeth treatment compatible?

Many women still do not know whether their teeth are treated during pregnancy or not. Yes, the teeth during the gestation not only can be, but also need to be treated, especially if the woman did not take care of their health. Carious teeth, gum disease and oral cavity are sources of chronic infection, in particular staphylococcus, which is very dangerous for the future child.

Almost every third woman having a chronic focus of infection in the body during pregnancy is infected with the fruit, and patients with teeth play a far from the last role in this situation. Pathological bacteria from carious or destroyed teeth along with food fall into the gastrointestinal tract, from where they penetrate the bloodstream and distributed throughout the body.

Not only is the pathology of the oral cavity can lead to the development of sepsis, but it will definitely affect the course of pregnancy, the growth and development of the fetus. Caries and other diseases of the teeth predispose the emergence of gestosis, cause infection of the fruit shells, water and fetus, which is especially dangerous in the first trimester, when the placenta is not yet formed and pathogenic microorganisms easily penetrate the fetus. This can provoke a threat to interrupt, and even spontaneous abortion.

In the later dates, sick teeth can cause premature births, the birth of a weakened low-fat child with diseases of digestive and respiratory systems, skin and reduced immunity.

In addition, carious teeth in a woman are dangerous for the baby and after the end of pregnancy (childbirth), as the close contact of the mother and the child will not be avoided (breastfeeding, kisses and other things).

Optimal deadlines for teeth treatment

Ideally, to reserve the teeth, as well as chronic gynecological and somatic diseases, follows at the stage of pregnancy planning. The woman should take the upcoming pregnancy seriously, because any focus of chronic infection in the body is a potential threat to the fetus. But, as a rule, either pregnancy happens unexpectedly, or the future mother neglects the examination during its planning.

It does not matter how much the teeth are in a woman, in addition, in addition to the delivery of various analyzes, they will appoint a dentist's consultation already under registration for pregnancy. Repeated prophylactic inspection of the dentist is assigned before leaving for maternity leave, that is, 30 weeks, and the last time you seem to the doctor at 36 weeks. But if a woman has problems with teeth and the cavity of the mouth, then more frequent visits to the dentist cannot be avoided.

Treatment of teeth during pregnancy

First trimester

The first trimester lasts from the moment of fertilization and implantation of the egg to 14 weeks. This is the most responsible stage of pregnancy, because at this time there is a bookmark of all organs and kid systems. The placenta, as is known, finishes its formation 16 weeks, so the treatment of teeth at the specified time frame is not desirable, since the protective function of the placenta is not yet fully expressed and the embryo is vulnerable to drugs.

In addition, the first trimester accounts for the maximum number of critical deadlines in the threat of abortion abortion (visiting the dentist is always stress not only for pregnant women, but also for an ordinary person). But the exception is the situation when teeth hurt in the early terms. In this case, emergency procedures are carried out (the removal of the "nerve" or the tooth itself) after consulting with the attending obstetrician and, taking into account the risk of exposure to the germin.

Second trimester

The second trimester (14-6 weeks) is considered to be the most favorable period for teeth therapy. The laying of the organs has already occurred, the placenta formed and is actively functioning, the psycho-emotional state of pregnant is fairly stable. At this time, it is recommended to carry out all the necessary prophylactic procedures and as necessary therapeutic (tooth extraction, sealing).

Third trimester

Dentists do not advise to undergo teeth treatment in the third trimester. First, the uterus is already so increased in size that in a horizontal position on the dental chair squeezes the lower hollow vein and aorta, which worsens the uterine-placental blood flow, and, in addition, sharply reduces blood pressure and provokes the development of acute vascular failure (fainting) . In addition, the uterus in the last periods of gestation very sensitively reacts to the external stimuli, which can end up with premature births, and the physical strength and psycho-emotional state of pregnant women are significantly exhausted.

Acute Toothpick

It is difficult to find a person who at least once in his life experienced acute dental pain. Especially the situation is not excluded when the tooth is hurt during pregnancy - what to do in this case? First of all, it is necessary to contact the dentist (come to the reception or to the extreme case to call). To reassure the toothache, if there is no opportunity to immediately visit the doctor, some folk remedies will help, after removing annoying factors (stop eating, carefully brush your teeth):

Rinsing

Ringed mouth should be warm (not hot) water with the addition of soda or sea salt, or decoction of therapeutic plants (, mint, chamomile, oak bark, the flowers of the Zverboard - what is at hand). Stripping is more effective than more and longer it is carried out (every 30 - 60 minutes).

Applying tampons

Attached to the gum cotton swab, impregnated, fir, carnations or "impose a mask" from propolis on a painful segment of the gums.

Appliques with onions and garlic, with lard

Attach to the patient with the teuba and the gums of Cashitz from finely chopped onion and garlic (antiseptic action) mixed with salt. Appliques from Sala - applied to the gum from the cheek side a small piece of unsalted pork sala.

If the people's methods did not bring relief, it is possible to use (preferably after consulting a doctor) by some drugs:

• paracetamol (safe during pregnancy) - take no more than 4 tables / day;
• - Safaszmolitik, effectively stops toothaches, 2 tablets no more than 3 p / day;
• spasmalgon - eliminates only low-rise pain, receiving 1 to the table no more than 3 times a day;
• nooofen (active substance) - has an anti-inflammatory and anesthetic effect, take 0.2 - 0.6 grams. Three times a day.

Future mothers should remember that no matter how strong the tootted pain is not allowed to warm the painful area (fraught with a flux), alcohol and aspirin, and, moreover, applying acetylsalicylic acid tablet to the gums ("aspirin" burns).

Sealing of teeth in pregnant women

Future mothers are very concerned about the question: "Is it possible to fill your teeth during the waiting period of the child?" The answer is unequivocal - if there is such a need, it means that the seal must be installed, since the tooth "with a hollow" during pregnancy can completely collapse and after childbirth it turns out that there is nothing to fill. If the caries teeth are superficial or medium, then its treatment will be put in one visit to the dentist, which does not even require anneasiating.

If there is a deep caries, the doctor with the help of bormers mechanically eliminates (abuse) dead and destroyed sites and will first establish a scintionic paste, which will kill the nerve, that is, it will cause necrosis and dissolving the pulp, then put the temporary seal.

A few days later, the temporary seal is revealed and a depulpation is performed with the subsequent installation of a constant seal. During pregnancy, it is allowed to use all kinds of seals, including the light-cured. Treatment of deep caries is very painful and carried out under anesthesia.

Anesthesia teeth in pregnant women

The fear of visiting the dentist for many is associated with the fear of pain during the treatment of procedures. The anesthesia of the teeth during pregnancy is completely allowed and even recommended. Fear and pain not only deliver a lot of unpleasant minutes, but also can cause uterine hypertonus. Anesthesia is carried out before drilling the tooth, removing pulp or other manipulations on the pulp and before extraction of the tooth.

In the treatment of pregnant women, only local anesthesia is used (even ordinary patients carrying out general anesthesia is not desirable in mind the high risk of complications). Currently, local anesthetics are used by dentists, which do not penetrate the placental barrier and have a reduced concentration of vasoconducting substances (and in some they are not at all). For anesthesia, pregnant women use ultrakin and kilifesin. Before the anesthetic injection, the gums are processed by novocaine from the spray (saliva should be slipped).

It is important to remember that women who are preparing to become Mama must warn the dentist about their pregnancy and the term.

Detection of teeth in pregnant women

If it is impossible to save the tooth, then the question arises about it. The removal of the tooth during pregnancy is postponed by 2 trimester, but if there is an emergency situation, the tooth extraction is carried out at any time. Removal is carried out under local anesthesia and after radiography. To avoid possible complications, it is important to comply with the doctor's recommendations after the extraction of the tooth and in no case warm the wound surface.

Special attention deserves the removal of the tooth of wisdom. In pregnant women, this operation is undesirable, as it is technically more complex and is often accompanied by complications (increasing temperature, inflammation, which requires the appointment of antibiotics). Therefore, if possible, the removal of wisdom teeth is postponed to the postpartum period.

X-ray teeth

Probably not only future and real mothers know about the dangers of X-ray radiation for the fetus, therefore radiography, if possible, try to exclude (except for emergency situations) during pregnancy. But when treating treatment, the dentist may have the need to carry the tooth x-ray, including during pregnancy (before extraction of the tooth or sealing of dental channels). If it is possible to postpone the treatment of the tooth on the second trimester, it is desirable not to carry out x-ray in early pregnancy.

But, in fact, the tooth X-ray is not so dangerous than the possible consequences of a not cured tooth for the future kid. Especially since the irradiation is point, directed only to the maxillofacial surface, and the neck, the chest and the belly of women are reliably protected from irradiation with a lead apron. To date, many dental clinics are equipped with special apparatus - radioviographers, with the help of which the exposure time, and, accordingly, the radiation dose is reduced in tens of times (radio ciography is optimal for examination of pregnant and children).

Prosthetics of teeth

During the period of the birthday of the baby, many women appear free time, and, accordingly, the question arises: "Is it possible to" do "the teeth during pregnancy?"

The prosthetics of the teeth at this life stage does not have contraindications performed by the orthoper's dentist procedures do not cause concern and are absolutely safe for the fetus. The only one, from what should be refrained during the period of gestation, so from the implantation of the teeth. The adhesion of the tooth requires the cost of a large amount of energy, which is necessary for the growth and development of the child. In addition, drugs are often prescribed for better implants, overwhelming immunity, which is absolutely contraindicated pregnant.

Oral care

It is important to carry out the correct care for the oral cavity during pregnancy:

• It is necessary to clean your teeth at least 2 times a day, but preferably after each meal.
• To remove plates and pieces of food from hard-to-reach places, use dental thread (floss).
• Toothbrush choose with soft or medium stiffness of bristles of different lengths.
• The cleaning of the teeth should last at least 3 - 5 minutes, and capture all the surfaces (front and parallery, chewing), and the movement of the brush in the horizontal and vertical side.
• Do not forget about the surface of the language.
• It is better to choose a toothbrush with an elastic-cutting head, and change it to 2, maximum, in 3 months.

For pregnant women produced special toothpastes that are sold in pharmacies. Suitable pastes for future mothers:

• Pregnadent 9 months;
• Green bionics;
• Flat organizer;
• Bioctiones.

When buying, another paste should carefully examine its composition. In the dental paste for future mothers should not be contained:

• sodium lauryl sulfate and sodium loresulfate (causes irritation of the mucous membrane and cumulating in the body)
• triklozan (antibacterial action, destroyed not only for dangerous, but also useful bacteria)
• fluorine and fluoride are useful by and large, but in high concentrations are toxic, therefore their content should be no longer 0.1 - 0.6% to other substances
• abrasive substances, such as silica dioxide and calcium carbonate in high concentrations, except for the dental plaque and enamel, so the degree of abrasiveness should not exceed 25 units.
• it is not necessary to use whitening toothpaste (for smokers), and you should also give preference to pastas with the mark "hypoallergenic".

Rinsers - as an addition to the cleaning of the teeth, rinsing with dental elixirs or household means (infusion of soul rods, hunter and mint).

Chewing gum - If the nausea and vomiting is worried at the beginning of pregnancy, to neutralize saliva acidity, it is recommended to use chewing gums with xylitol or without sugar. After each attack of vomiting you should rinse the mouth with a warm soda solution and, if possible, brush your teeth.

Proper nutrition - It is advisable to exclude sweet and confectionery from the diet, sweet carbonated drinks and store fruit juices, replacing them with fresh fruits and mineral water. The diet should prevail products with high calcium content (milk, cottage cheese, kefir, eggs, cheese, nuts), vitamin D and phosphorus (cod liver, sea fish, seafood).

You should not neglect the reception of vitamin-mineral complexes, which include calcium (protevit, elevit). But from the additional reception of calcium drugs, it is necessary to refrain (its excess causes premature aging of the placenta and the early ossification of the fetal head seams).

With the prophylactic purpose of the development of gum diseases, massage should be carried out (a finger with a small amount of toothpaste is massaged gums every day for 5 to 7 minutes).

The future dad should also treat all the teeth before the birth of a child, because then there will be close contact with the newborn (hugging, kissing, swading, playing).