The tooth is sick at pregnancy - what to do or make? Safe methods of treatment
Pregnancy is a new and exciting state for any woman. That's why I want everything to go smoothly and without problems. Nevertheless, many women are faced with the fact that the tooth hurts during pregnancy. What to do? This is a rather difficult question, because many methods of treatment are contraindicated for prospective mothers.
Why do pregnant women have a toothache?
The most common dental problems in pregnant women are the following:
- Caries - destruction of bone tissue, as a result of which a cavity is formed inside the tooth. Its characteristic symptoms are short-term acute pain caused by ingestion of food, fluid, and air.
- Pulpitis is an inflammatory process in a nerve bundle. It is characterized by periodic attacks of severe pain. If you do not start treatment in time, then there is a risk of infection of neighboring tissues.
- Periodontitis is a neglected form of pulpitis. Not only the nerve, but also adjacent tissues, is affected. It is possible not only for toothache, but also for fever.
Thus, there are many reasons why the tooth hurts during pregnancy. What to do, can only tell the doctor who will determine the cause, taking into account the features of the processes that take place in the body of the future mother.
It should also be borne in mind that inflammation in the oral cavity is often caused by changes in the circulatory system. It is also important to pay attention to the lack of calcium. And if a woman has problems with chronic teeth, then urban dentistry will become one of the most visited medical institutions. This should not be feared, because the health of teeth is more important than fears and prejudices.
Are teeth treated during pregnancy?
If you have a toothache during your pregnancy, do not go for a reason among the representatives of older generations who discourage you from going to the dentist. Of course, the stress associated with this is not useful either for the mother or her future baby, but discomfort in the oral cavity does not contribute to a normal emotional background. In addition, ignoring the pain can lead to severe inflammation, which is accompanied by an increase in body temperature.
Of course, problems such as incorrect bite or the installation of prostheses can wait until delivery. Also, it is not recommended to perform procedures related to bleaching. All other issues require an immediate solution, because, having missed the moment, you can only aggravate the condition of your teeth.
Can I remove the tooth during pregnancy?
Unfortunately, in some situations, treatment with conservative methods becomes impossible. But is it possible to remove the tooth during pregnancy? Experts consider this intervention undesirable, because this is a serious enough stress that will not benefit either mom or her future child. But there are exceptional cases when the extraction of the tooth during pregnancy becomes an objective necessity:
- acute pain that does not stop after conservative treatment;
- formation of cysts or tumors in the root region;
- mechanical trauma of bone tissue;
- inflammatory process (since antibiotics are contraindicated for pregnant women, it remains only to remove the tooth in order to avoid the spread of infection).
All these rules apply to the entire oral cavity, except for such a site as the wisdom tooth. At pregnancy it categorically can not be deleted, in fact practically always this procedure is accompanied by a strong inflammation, suppression of which is impossible without the use of antibiotics.
Anesthesia during removal
The removal of the tooth during pregnancy frightens expectant mothers not only by the traumatic nature of the process itself, but also by the possible negative consequences from the use of anesthesia. But it is worth noting that these concerns were relevant about 20 years ago, when drugs with strong penetrating properties were used. Modern same analgesics have exclusively local action and do not overcome the placental barrier.
The optimal drug for pregnant women is "Ultrakain." He copes well with his main task (complete anesthesia), concentrating at the puncture site. It will in no way affect the condition of the fetus. Also make sure that the dentist does not use medications with adrenaline. The latter can cause a sharp increase in blood pressure, which is undesirable for a future mother.
X-ray: can I do?
Not only future mothers, but also some dentists are afraid to do a tooth X-ray during pregnancy. Any irradiation is dangerous for a person, and in the case of a developing embryo, the risks increase several times. Nevertheless, such a survey is sometimes just necessary to determine the degree of damage to the tooth. Yes, and modern dentistry has stepped so far that the risks are minimized.
The x-ray of the tooth during pregnancy is not as dangerous as it might seem. Only a small area of the oral cavity is exposed to irradiation. In this case, the body of the woman is additionally protected by special material. The time of exposure of the beam to the body is very short, and therefore there should be no cause for concern. For comparison, a similar dose of radiation you get for two hours watching TV. Nevertheless, before you go to X-ray, make sure that the clinic has modern equipment.
When can I treat my teeth?
Many women are wondering on what term of pregnancy you can treat your teeth. Of course, if it is an urgent case, when there is a risk of spreading the inflammatory process, then medical care must be provided immediately. The increased temperature can affect the fetus much worse than the stress of treatment and possible side effects from the administration of pain medications.
If it is a question of planned treatment, it is better to postpone it for the second trimester. At this time, the fetus is already well secured in the uterus, and the placenta has already been formed to protect the future baby from possible negative effects.
If we talk about the first trimester, the fetus is still too vulnerable. In addition, the placenta is not yet able to protect it from the effects of aggressive painkillers. The third trimester is dangerous because the severe stress caused by the removal or treatment of the tooth can lead to the onset of premature birth.
Urban dentistry or a private doctor, of course, can help with toothache. But why should a pregnant woman subject herself to unnecessary stress if it is possible to eliminate the unpleasant feelings on her own?
First of all, if you have a toothache, clean the mouth thoroughly. It is possible that the unpleasant sensations are caused by the ingress of food pieces into the carious cavity. For additional disinfection and analgesia, rinse the mouth with a strong saline solution.
With unbearable pain, you may have to take an analgesic. Here, your gynecologist and dentist will come to your aid. For pregnant women, taking medication is a very delicate topic, because any medication can affect the development of the fetus. Most likely, you will be advised of paracetamol or something based on it. Nevertheless, even such harmless tablets can not be abused.
Salvage from periodontitis is regular soda or saline rinses. Concentration - half a teaspoon per glass of warm water. You can also use "Furacilin" or manganese. These drugs have a pronounced anti-inflammatory effect, which gradually leads to a reduction in pain.
Good chamomile rinses, as well as decoctions of herbs such as sage and plantain. By the way, the latter can be simply chewed, and also inserted into the ear in the form of a tourniquet. Perhaps, on each window sill grows miraculous aloe (century). If you apply it to the inflamed gingiva, then there is a chance to greatly alleviate the condition.
A common mistake is the application of a warming compress. This is not just inefficient, but also extremely dangerous (especially when it comes to inflammation or infection). Also, you should understand that by removing the pain, you do not eliminate the cause itself, and therefore it will not hurt to go to the doctor. Of course, in large cities there is even a special dentistry for pregnant women (Moscow, St. Petersburg and others). Nevertheless, this does not mean that any other dentist does not know how to help the future mother.
It is rather unpleasant when the tooth hurts during pregnancy. What can I do to prevent this from happening? Naturally, do not forget about prevention.
Ideally, a woman should undergo a full examination at the dentist at the planning stage of pregnancy. The doctor will eliminate carious cavities and prescribe the treatment of gums. In this case, you can be completely calm for the condition of your teeth.
It is extremely important to provide the body with all the necessary microelements and minerals, and in particular - calcium. The fact that the developing fetus takes resources from the mother's body, and therefore they must constantly replenish. Here you will be helped by a full meal, as well as special vitamin and mineral complexes.
Particular attention is paid to oral hygiene. The question of regular replacement of the toothbrush in pregnant women is even more acute. It is also desirable to have two pastes. One of them should contain antibacterial components, and the second - plant extracts.
Can pregnant women go to the dentist? Even necessary! For the entire period you need to visit the doctor at least twice to check the condition of the oral cavity. Small problems can be fixed immediately. If you are afraid, then it will be possible to do it after the birth. Also, the dentist can prescribe special procedures that will protect your teeth from destruction and normalize the condition of the gums.
What analgesics are allowed for pregnant women?
It is important to understand that taking medications during pregnancy is a very sensitive issue. But sometimes it's just necessary. So, if you have a toothache, and visit to a doctor in the near future is not possible, you can use the following analgesics:
- "Paracetamol" is characterized by high efficiency while it is harmless to the fetus.
- "Aspirin" will help alleviate some unpleasant sensations, but you can only take it in the second trimester with the permission of your doctor.
- "Analgin" in many characteristics is similar to "Aspirin", but it is much stronger, and therefore its use is allowed only in exceptional cases.
- "Nurofen" is acceptable not only in the second, but also in the first trimester for emergency relief of acute pain.
- It is acceptable to make compresses from the contents of the ampoule "Novokaina" (try not to swallow it).
All medications need to be washed down with plenty of fluids. If, after taking 1-2 tablets, the pain has not passed or returned again, consult a doctor, because the abuse of analgesics during pregnancy is highly undesirable.
Many women are faced with the fact that the tooth hurts during pregnancy. What to do, the dentist can prompt. It is important to understand that the causes of pain are very trivial - caries, pulpitis, periodontitis and others. But in future mothers the problem is aggravated also by the fact that the hormonal background is extremely unstable, and practically all the nutrients attract the fruit to themselves. That is why it is recommended to conduct preventive examinations before conception, as well as during the period of gestation (at least two times).
Of course, the treatment or removal of the tooth is a great stress for both the mother and the fetus. In addition, anxiety can cause pain medications. That is why many women prefer to postpone treatment. The problem is better to decide in the second trimester or after the birth. Nevertheless, severe pain or inflammation requires immediate intervention. Moreover, modern painkillers can not cross the placental barrier, but concentrate in the area of injection.
Before calling a doctor, try to cope with the pain of folk methods. The most effective means is a concentrated salt or soda solution. Rinsings with "Furacilin" or manganese also help. High efficiency is characterized by chamomile, plantain, sage and aloe. But as for warm and hot compresses, they are absolutely contraindicated, because they can only intensify the inflammation. Even if home methods helped to blunt the pain, do not neglect a visit to dentistry to rule out the possibility of complications.