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Prince William and Kate Middleton are expecting the birth of their second child in April 2015
Until now, many future mothers refuse to treat their teeth during pregnancy – for fear of harming the baby.
But Marina Kolesnichenko, the dentist, the chief physician of Beauty Line, will tell you why you shouldn’t tolerate a toothache – because modern dentistry is ready to offer pregnant and lactating women everything for a comfortable and safe treatment.
Diagnosis: terrible x-ray
Diagnosis on conventional, classic X-ray machines is really not recommended in the first and last trimesters. In the first, the organs of the future baby are laid, and in the third, it is intensively formed, developed and growing. To pass such examinations is possible only in the second trimester.
But if we are talking about the most modern X-ray machines (for example, from Finland), then they have an extremely low level of radiation, so they have no contraindications for use during pregnancy. It is important to pay attention to the equipment of the clinic, in which the pregnant woman turns.
Previously, really expectant mothers were treated teeth without anesthesia – because at the disposal of the doctors were only means with adrenaline, which narrows the blood vessels, increases blood pressure and tone the uterus, which can lead to abortion.
However, dentists have modern anesthetics without adrenaline – they include mepivacaine instead. It reduces the risk of harm to pregnant patients, but remains an effective anesthetic, so it is used in pregnancy management programs in dentistry.
Tooth extraction and prosthetics
If the tooth is destroyed so much that the doctor recommends the removal, then you do not need to wait until the end of the pregnancy. Such a tooth is a source of chronic infection that falls into the organisms of both mother and child. Infection can cause periostitis or osteomyelitis, especially when immunity is weakened during pregnancy. With the use of modern anesthetics, it is fairly safe.
After removal for the future mother, the doctor will make removable dentures that will preserve both the chewing function and the aesthetic appearance of the smile. There is no need to refuse prosthetics – the teeth may shift to an empty space, which will greatly complicate the work of a doctor when, after pregnancy, the patient wants to restore the tooth.
The installation of implants is strictly contraindicated during pregnancy and during breastfeeding.
During implantation, additional therapy with antibiotics, anti-inflammatory or other prophylactic drugs is needed.
Side effects of such drugs can cause various complications in the future. Because the expectant mother is best to postpone this procedure until the end of breastfeeding and use a temporary option – removable dentures.
Pregnant gingivitis is an increase in the papillae of the gums. If it manifests itself to a small extent, then there is no need to worry: the doctor will carry out simple treatment, and then the main thing is to thoroughly carry out dental hygiene. After pregnancy, the gum condition stabilizes.
But if chronic periodontitis is observed in a pregnant patient, the dentist will work closely with the gynecologist leading the pregnancy. For example, a number of drugs that prevent the threat of termination of pregnancy, can cause gingival hypertrophy. Then the periodontist gets down to business – and helps the woman to maintain gum health.
Correction of bite with braces takes a long time, and it so happens that pregnancy occurs before the end of treatment. Do I need to remove braces if a woman is expecting a child? There is no need for this. Sometimes, future mothers fear that the state of their teeth will deteriorate during pregnancy, and they will not bear the load with braces. However, if the patient is carefully and intensively engaged in the care of teeth, the risks are greatly reduced. The main thing is to visit your orthodontist a little more often and to do professional hygiene, since the amount of plaque on the teeth may increase during pregnancy.