Pregnancy is a new and exciting state for any woman. That is why I want everything to go smoothly and without problems. However, many women experience a tooth ache during pregnancy. What to do? This is a rather complicated question, because many treatment methods are contraindicated for expectant mothers.
Why do pregnant teeth hurt?
The most common dental problems in pregnant women are the following:
- Caries is the 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 the nerve bundle. It is characterized by periodic bouts of sharp pain. If you do not start treatment in a timely manner, then there is a risk of infection of adjacent tissues.
- Periodontitis is a common form of pulpitis. It is not only the nerve that is struck, but also the adjacent tissues. Not only toothache is possible here, but also a rise in temperature.
Thus, there are many reasons why a tooth aches during pregnancy. What can be done, only a doctor can say, who will determine the cause, taking into account the peculiarities of the processes taking place in the body of the future mother.
It should also be borne in mind that inflammations in the oral cavity are quite 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 teeth of a chronic nature, then urban dentistry will be one of the most visited medical institutions. This should not be afraid, because the health of teeth is more important than fear and prejudice.
Are teeth being treated during pregnancy?
If you have a toothache during pregnancy, in no case do not go in the wake of the older generations who dissuade you from a visit to the dentist. Of course, the stress associated with this is not beneficial either for the mother or for her future baby, but oral discomfort does not contribute to a normal emotional background. In addition, ignoring pain can lead to severe inflammation, which is accompanied by fever.
Of course, problems such as the wrong bite or the installation of prostheses can wait until the birth. It is also not recommended to carry out procedures associated with 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 a tooth during pregnancy?
Unfortunately, in some situations, treatment with conservative methods becomes impossible. But is it possible to remove a tooth during pregnancy? Experts consider such intervention undesirable, because it is quite a serious stress that will not benefit either the mother or her unborn child. But there are exceptional cases when tooth extraction during pregnancy becomes an objective necessity:
- acute pain that does not stop after conservative treatment;
- the formation of cysts or tumors in the root area;
- mechanical trauma to the bone tissue;
- inflammatory process (since antibiotics are contraindicated for pregnant women, all that remains is to extract a tooth in order to avoid the spread of infection).
All these rules apply to the entire oral cavity, except for such a part as the wisdom tooth. During pregnancy, it is absolutely impossible to remove it, because almost always this procedure is accompanied by severe inflammation, the suppression of which is impossible without the use of antibiotics.
Pain relief during removal
Tooth extraction during pregnancy scares the future mothers not only by the traumatic nature of the process itself, but also by the possible negative consequences of 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 analgesics have only local action and do not overcome the placental barrier.
The best drug for pregnant women will be Ultracain. It copes well with its main task (complete anesthesia), concentrating at the puncture site. It will not affect the condition of the fetus in any way. Also make sure that the dentist does not use drugs with adrenaline. The latter can cause a sharp increase in blood pressure, which is undesirable for the expectant mother.
X-ray: can I do?
Not only future mothers, but also some dentists are afraid to do an x-ray of a tooth during pregnancy. Any exposure is dangerous to humans, and in the case of a developing embryo, the risks increase several times. Nevertheless, such an examination is sometimes simply necessary to determine the degree of damage to the tooth. Yes, and modern dentistry stepped so far that the risks are minimized.
X-ray of the tooth during pregnancy is not as dangerous as it may seem. Only a small portion of the oral cavity is exposed to radiation. In this case, the woman’s body is additionally protected by a 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 dosage of radiation you get for two hours of watching TV. Nevertheless, before you go on an x-ray, make sure that modern equipment is installed in the clinic.
When can be treated teeth
Many women wonder about how long they can get their teeth treated. Of course, if we are talking about an emergency case, when there is a risk of the inflammatory process spreading, then medical assistance should be provided immediately. Increased temperature can affect the fetus much worse than the stress of treatment and possible side effects from the introduction of painkillers.
If we are talking about a planned treatment, it is better to postpone it for the second trimester. At this time, the fetus is already quite well fixed in the uterus, and the placenta has already 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 a tooth can lead to the onset of preterm labor.
Urban dentistry or a private doctor, of course, can help with toothache. But why should a pregnant woman expose herself to unnecessary stress if it is quite possible to eliminate the discomfort on her own?
First of all, if you have a toothache, clean your mouth thoroughly. It is possible that the discomfort caused by the ingestion of food pieces into the carious cavity. For additional disinfection and anesthesia, rinse your mouth with strong saline.
For unbearable pain, you may have to take an analgesic. Here, both your gynecologist and a dentist will help you. For pregnant women, 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.
Salvation from periodontitis is a regular soda or salt rinse. Concentration – half a teaspoon per cup of warm water. Furacilin or manganese can also be used. These funds have a pronounced anti-inflammatory effect, which gradually leads to a decrease in pain.
Chamomile rinses work well, 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 rope. Perhaps on every window sill grows miraculous aloe (agave). If you attach it to the inflamed gums, then there is a chance to greatly alleviate the condition.
A common mistake is to apply a warming compress. This is not only ineffective, but also extremely dangerous (especially when it comes to inflammation or infection). Also, you should understand that, having removed the pain, you will not eliminate the very reason, and therefore it would 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). However, this does not mean that any other dentist does not know how to help the expectant mother.
It is rather unpleasant when a tooth hurts during pregnancy. What to do to prevent this from happening? Naturally, do not forget about prevention.
Ideally, a woman should undergo a full examination by the dentist at the planning stage of pregnancy. The doctor will eliminate the cavities and prescribe gum treatment. In this case, you can be completely calm about the condition of your teeth.
It is extremely important to provide the body with all the necessary trace elements and minerals, and in particular – calcium. The fact is that the developing fetus takes resources from the mother’s body, and therefore they must be constantly replenished. Here you will be helped by good nutrition, as well as special vitamin and mineral complexes.
Special attention is paid to oral hygiene. The issue of regular replacement of a toothbrush in pregnant women is even more acute. It is also desirable to get two pasta. One of them should contain antibacterial components, and the second – plant extracts.
Can pregnant women go to the dentist? Even need! For the entire period, you must visit the doctor at least twice to check the condition of the oral cavity. Small problems can be fixed immediately. If you are afraid, it can be done after birth. Also, the dentist may 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 medicines during pregnancy is a very sensitive topic. But sometimes it is just necessary. So, if you have a toothache, and a visit to the 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 somewhat to ease the discomfort, but it can only be taken in the second trimester with the permission of the attending physician.
- Analgin is similar in many characteristics to Aspirin, but acts much stronger, and therefore its use is permitted only in exceptional cases.
- Nurofen is permissible to take not only in the second, but also in the first trimester for emergency relief of acute pain.
- It is permissible to make compresses from the contents of the ampoule Novocain (try not to swallow it).
All medications need to drink plenty of fluids. At the same time, if after taking 1-2 tablets the pain did not go away or returned again, consult a doctor, because the abuse of analgesics during pregnancy is extremely undesirable.
Many women experience a tooth ache during pregnancy. What to do, tell a dentist. It is important to understand that the causes of pain are very trivial – caries, pulpitis, periodontitis and others. But for future mothers, the problem is exacerbated by the fact that hormones are extremely unstable, and almost all the nutrients attract the fetus. That is why it is recommended to conduct preventive examinations before conception, as well as during the period of carrying a child (at least two times).
Of course, the treatment or removal of a tooth is a great stress for both the mother and the fetus. In addition, pain can cause anxiety drugs. That is why many women prefer to postpone treatment. It is better to solve the problem in the second trimester or after delivery. However, severe pain or inflammation requires immediate attention. Moreover, modern painkillers can not overcome the placental barrier, and are concentrated in the injection area.
Before you go to the doctor, try to cope with the pain of traditional methods. The most effective remedy is concentrated salt or soda solution. Rinsing with Furacilin or Manganese also helps. Chamomile, plantain, sage and aloe are highly effective. But as for the warm and hot compresses, they are absolutely contraindicated, because they can only increase the inflammation. Even if home methods have helped to dull the pain, do not neglect the visit to the dentist, to eliminate the possibility of complications.