Cautions During Pregnancy

Cautions during pregnancy

Many mums-to-be wonder whether it’s a good idea to visit the dentist during pregnancy.

Before becoming pregnant, patients usually see their dentist to address any dental problems, given the limitations of radiological examinations during pregnancy.

From the outset, it should be established that it is not normal for expectant mothers not to visit the dentist at all during pregnancy if they experience problems.

Tooth decay or even tooth loss is not normal during pregnancy.

In general, it is best to avoid dental treatments during pregnancy, especially invasive ones and those that can be delayed until after the birth.

However, in the event of a dental emergency, patients may present themselves for treatment and the treatment should be carried out as soon as possible, as a dental infection can spread throughout the body.

A dental condition that is a medical emergency, left untreated, can do more damage to the whole body than dental surgery can.

The fetus progresses differently over the weeks, so the periods of development also present different degrees of risk.

  • First two trimesters – the first trimester is when the fetus’ organs develop.

This period is delicate for both the mother and the unborn child, so attempts are made to postpone interventions as far as possible.

In the second trimester organogenesis is completed so that dental treatments can be carried out safely.

In the first trimester, there may be a risk of miscarriage of the fetus and also of diffusion of dental substances throughout the body, with adverse consequences for the development of the fetus.

Most anesthetics used in dentistry contain adrenaline which reduces bleeding, enhances the effect of the anesthetic and reduces pain.

Studies show that if not injected directly into the vessel, the anesthetic has no teratogenic effects on the fetus.

As for dental X-rays, it is recommended that they be delayed until the second trimester, although in emergencies they can be performed in the first trimester, with protection of the mother’s abdomen.

Thanks to advances in technology and equipment, X-ray equipment delivers a much lower dose of radiation than in the past.

  • The third trimester is again a preferred period for delaying dental treatments, especially those that are not a medical emergency.

At this stage the stress and anxiety felt by the mother is increased and miscarriage may occur.

However, emergency situations are treated, as postponing them can cause more discomfort.

The most common complication that can occur in expectant mothers is pregnancy gingivitis, due to an increase in estrogen hormones. However, with good hygiene, pregnancy gingivitis may be absent or very mild.

Signs of this pathology are inflammation of the gums which increase in volume and become red, change in consistency from hard to soft and bleeding during chewing or even spontaneously.

The prevention of this condition is achieved by a hygiene protocol strictly followed by the patient.

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