Pregnancy is a period of life that is followed by a variety of changes in the woman’s body, changes that also affect oral cavity.
There’s always a doubt about whether the dental intervention affects pregnancy. The changes that appear during this period not only affect you but also your baby. Therefore, increased health care, including oral health is more important during pregnancy than at any other time.
Pregnancy changes are attributed to a significant rise in hormone levels at this time.
Estrogen and progesterone are sex hormones that play an important role in physiological changes. During pregnancy, estrogen levels can reach 30 times higher, while progesterone 10 times compared to menstrual cycle time. This increase may affect major organs in the systems, including periodontal (dental support).
Increased hormone levels are followed by increased vascularization, gingival fluid volume, tendency to inflammation and gingiva irritation. Increased hormones can also affect dental plaque densities, which contain numerous bacteria that affect tooth decay and mouth disease.
Increasing the level of acid in this period also has a detrimental effect, because during acidity the acid covers the teeth, increases the risk of decay and causes dental erosion. Therefore pregnant women tend to show gingivitis and dental caries.
For this reason dental cleaning and periodic checkups at the dentist are indispensable.
Dental procedures such as: tooth filling, root canal recovery and prosthetic interventions should be undertaken in order to avoid any possible complications during the sensitive months of pregnancy.
The ideal time of intervention is the second trimester of pregnancy. While pregnancy has passed in the third trimester, then any non-urgent intervention is best to postpone the birth.
RECEPTION OF MEDICAMENTS DURING PREGNANCY
A large number of scientific studies and research today speak of the harmful effect of medicines used during dental procedures in pregnant women.
Most of the interventions are carried out under the influence of local anesthesia so that the patient feels as calm and cooperates with the doctor.
The amount of anesthetic applied should be as small as possible, but not to the extent that during pregnancy it is painful because the amount of stress that can be caused by pain is greater than the harm that can be done to the baby during anesthetic action.
In addition to the anesthetic in some of the procedures, the use of various antibiotics is also required.
In cases where their use is indispensable, it is assigned antibiotics to the Penicillin Group belonging to category B, based on the degree of safety of their use during pregnancy.
IMPACT OF PREGNANCY IN ORAL HEALTH
Gingivitis – followed by redness, increased size and gingivitis.
Periodontitis – a toothache device, when the infection except the gum includes the bone and the following with the mobilization of the tooth.
Dental caries – in pregnancy, the amount of acid in the oral cavity is high. It can penetrate the strong outer toothed envelope layer, and affect faster tooth decay.
Dental loss – High levels of progesterone and estrogen can affect tissue and tooth structures. As a result, movement and loss of teeth result.
SYMPTOMS OF ORAL HEALTH PROBLEMS
– Exorbitant ex-hour – bad smell from the mouth
– Inflammation of the gingiva which conveys pain and bleeding during tooth decay.
– Changes in oral mucous membranes
– Changing the color of the gingiva and increasing its size
– Tooth decay and toothache
IF DAMAGE IS DANGEROUS DURING PREGNANCY
Diagnostic auxiliary method is radiography.
In the pregnancy period, pregnant women are not allowed to undergo radiation of rays. In most of the interventions it is necessarily required X-rays, especially in emergency cases.
The Association of American Radiologists and the American Dentists Association emphasizes that a radiograph does not have sufficient amount of radiation that can cause serious developmental impairment to the baby.
Radiography during this period is considered safe if done with the appropriate protection such as the mother’s wrap with lead apron.
Some women avoided visiting the dentist during the first trimester. Given that this is the most important stage of baby development, there is no clear evidence that visits to the dentist during this period are detrimental to baby development. But to escape randomness, all non-emergency interventions during this period are postponed until the third trimester of pregnancy.
HOW TO PREVENT PROBLEMS IN ORAL CAVITY
– Keep good oral hygiene.
– Brush your teeth at least twice a day.
– Do not wash your teeth until 30 minutes after vomiting, so that it is time to get the enamel to “recover” after the attack from the acid.
– Use dental brushes for dental flossing every day.
– Visit the dentist every 6 months, or even more often during pregnancy.
– Have a healthy diet.