Pregnancy and dentist: what to do

Pregnancy and dentist: what to do

pregnancy is not a reason to postpone routine dental care or treatment of acute and necessary conditions: we discover why

Pregnancy represents the most delicate and important moment of change for a woman, who can manifest and discover many new symptoms and conditions.
It is often believed that during these nine months it is not possible to perform routine or emergency dental treatment.
Today I want to tell you instead that we can and indeed, there are procedures that should not be avoided in pregnancy.

Pregnant women with periodontal disease and gum infections have been shown to be more likely to develop adverse pregnancy manifestations: premature birth, underweight, fetal developmental delay and a woman's preeclampsia.

Furthermore it is certain that the bacteria responsible for dental caries are transmitted from mother to child even when the teeth have not yet sprung.
Taking care of the oral cavity therefore becomes essential and the Ministry of Health declares that

"Pregnancy is not a reason to postpone routine dental care or treatment of acute and necessary conditions".

Let's see in detail what these procedures are:

  • professional oral hygiene: to counteract bacterial accumulation that can lead to aggravation of previous periodontal conditions or the formation of gravidic gingivitis, it is necessary to undergo an oral hygiene session preferably in the second trimester
  • in the case of gestational diabetes or pre-existing diabetes, a check-up by the dentist and oral hygiene session are required
  • in the case of gestational hypertension or pre-existing hypertension it is necessary to inform the dentist during the check-up and to consult a gynecologist or obstetrician before proceeding with any treatment
  • the use of topical anesthetics based on lidocaine is considered safe, such as the use of some anesthetics to be injected. It is the responsibility of the dentist to know which anesthetics are actually necessary and safe for the expectant mother
  • dental radiographs are considered safe if detected in compliance with the X-ray protection standards, in particular thanks to the use of the protection of the area from the neck to the hips
  • it is possible to take antibiotics in an emergency, on the prescription of the dentist who will be able to indicate the right drug: it is not possible to take all types of antibiotic
  • it is possible to perform dental fillings in an emergency in case of caries
  • it is possible to carry out dental extractions in an emergency
  • The ideal time to perform the therapies is between the 14th and 20th week, but in case of emergency it is possible to act also in the third trimester.
    The suggestion is, when possible, to go to the dentist or dental hygienist before gestation, to assess oral health conditions and take preventive action where necessary.
    In pregnancy it is important not to underestimate the symptoms of the oral cavity and to turn on an alarm bell in case of bleeding, halitosis and gum swelling.

    Tatiana G. Rizzati
    DENTAL HYGIENIC AND BLOGGER

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