How to treat teeth during pregnancy in trimesters – explains the dentist

Health Tips

Which trimester is the most favorable

Each trimester of pregnancy is characterized by its own characteristics of the development of the fetus, which determines the possibility of dental procedures. In the first trimester, the organs and tissues of the fetus are formed. During this period, the embryo has a very fine and sensitive organization. Therefore, it is recommended to avoid drugs and interventions that may be dangerous for embryogenesis.

In the second trimester, the organ system unites. Nature has created this period quite resistant to various factors and negative influences, so it is considered the most favorable for dental treatment.

The third trimester is the final one, it is accompanied by active growth and development of the fetus. The organ system has already been formed, and the child is able to perceive the world around him through his senses, to feel the stress experienced by his mother. In addition, the placenta actively passes medicines. When planning any intervention, the specialist must take into account the condition of the fetus, the stages of its development and be as accurate as possible in determining indications. Let’s talk about which procedures are allowed, and which should be treated with care.

Professional oral hygiene

It is carried out by a conservative method using modern equipment and does not create a stressful situation for the mother. Does not require invasive interventions, including anesthesia. It is a procedure close to cosmetic, so it can be carried out in any trimester. Moreover, during pregnancy, it is important to pay special attention to this procedure and carry it out not once every six months, but every 3-4 months. This will keep your teeth and gums healthy.

Dental treatment

Treatment and extraction is always accompanied by three main manipulations: anesthesia, x-rays, processing of hard tissues of the tooth using a high-speed handpiece with cooling. During pregnancy, these manipulations must be treated with special attention.

Ideally, dental treatment should be completed at the stage of pregnancy planning, but rarely does anyone approach the matter with such thoroughness. Therefore, expectant mothers often have a need for certain dental procedures, emergency or planned. Indications for emergency treatment are severe pain and inflammation, accompanied by complications from the dental system and the whole body. Inflammation can spread and lead to serious consequences, so if you have a toothache, you should see a doctor as soon as possible. Emergency intervention is carried out regardless of the trimester. The specialist weighs the risks and determines the treatment tactics in each case.

Targets include problems that pose a risk to dental health. For example, actively developing caries. From the stages of pregnancy described above, it is clear that the second trimester is the most favorable for treatment.

Anesthesia during pregnancy

It will not be possible to do without anesthesia, but in the treatment during pregnancy, a special group of drugs based on mepivacaine with a reduced content or lack of adrenaline is used. It has a local local anesthetic effect, but very quickly disintegrates in the mother’s body and does not penetrate the placenta to the fetus.

X-ray pictures

New technologies provide safe X-ray examinations in the second trimester of pregnancy. Modern digital devices have a minimum dose of radiation and act locally. That is, only in the area of ​​\u200b\u200bone tooth, so the radiation does not spread to the whole body. And if the patient is covered with a special lead apron, the effect of radiation on the fetus is reduced to almost zero.

Treatment of hard tissues of the tooth

The third stress factor for the child and for the mother is the sound of the drill. Modern dental units are almost silent. Cooling turbine handpieces allow the procedure to be carried out without creating a stressful situation for the mother and fetus.

Orthodontic treatment

Its purpose is to correct the position of the closing of the teeth, and pregnancy in this case is not a contraindication. Current technology does not provide a rationale for increased risks to oral health and fetal health. The only thing that orthodontists do not recommend is to install braces, that is, to start orthodontic treatment in the third trimester. Nevertheless, this is the last period of formation, and it is not advisable to start such a serious therapy. You can start immediately after childbirth, when there are no contraindications.

Let’s summarize. Ideally, treatment should be done before pregnancy, and during that time, just maintain oral hygiene with professional cleaning once every 3-4 months. The second trimester is the most favorable for treatment. Modern dental materials and technologies make it possible to make the treatment as safe as possible for the fetus. Emergency intervention for severe inflammation or pain is carried out at any time during pregnancy. Orthodontic treatment is not contraindicated and can be started in the first and second trimester. In the third trimester, theoretically, too, but it is not advisable to do this due to the proximity of childbirth.


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