ORAL AND DENTAL CARE DURING PREGNANCY

Impairment of the expectant mother's oral and dental health during pregnancy negatively affects the development of the baby.
Getting pregnant. Expectant mothers who are considering pregnancy and become pregnant should definitely have a dental check-up, learn what to do for their teeth and gum health during pregnancy, and have the necessary treatments done.

This is very important for the health of both the mother and the baby.

During pregnancy, when the body undergoes many physiological and psychological changes; As a result of hormonal effects, oral and dental health is negatively affected if good care is not taken. Nausea and vomiting increase the acid secretion in the mouth, causing erosion on the surface of the teeth and further cavities as a result of the hard tissues of the teeth being softened by the acids secreted by bacteria. It causes gum disease and subsequent risk of gum infection and caries.
Treatments that can be performed during pregnancy vary in each trimester. These are:

First trimester: In the first three months of pregnancy, the baby's organs are in the development phase. A bacteremia caused at this stage may negatively affect the baby's organ development, and unnecessary interventions may cause miscarriage. However, in cases where teeth that cause pain and/or may cause more damage if left untreated require urgent treatment, such as extraction or root canal treatment, one should go to the dentist without hesitation. In emergency situations such as tooth or gum infection, it should be taken into consideration that the existing infection may affect the baby's development more than the negative effects of dental treatment. The dentist will apply a treatment that does not harm the baby, in line with the recommendations of the gynecologist.

Second trimester: In the first three months of pregnancy, adequate tooth brushing and oral care cannot be performed due to nausea and vomiting. This situation affects the health of teeth and gums. It negatively affects the business. In order to reduce these negative effects in the second trimester and to protect the health of teeth and gums throughout the pregnancy, a simple dental cleaning should be performed. In addition, during this period, tooth extractions, fillings, root canal treatments, etc., which are not appropriate to be postponed until the end of pregnancy. It is the most suitable period for many treatments.

Third trimester: During this period, the baby has grown considerably in the womb and birth is approaching. The mother cannot sit comfortably in the chair and excessive stress may cause premature birth. Just like in the first trimester, the dentist will not intervene except for emergency treatments.

During pregnancy, gum disease called pregnancy gingivitis is most common in the gums due to the imbalance in estrogen and progesterone hormones. In the early stages of pregnancy, swelling and redness of the gums may be observed. This type of gum is very sensitive and bleeds easily. Pregnancy gingivitis usually starts in the 2nd month of pregnancy, reaches its highest level in the 8th month, and regresses after birth. Factors such as bacterial plaque or tartar, which occur in people who do not perform regular daily oral and dental care and cause gum infection, make pregnancy gingivitis worse. It can reach serious levels. Studies have reported that untreated pregnancy gingivitis of the mother leads to the birth of a low-weight baby. As with other dental treatments, scaling should be done especially in the second trimester of pregnancy.

Children, Laser tooth preparation before filling (decay removal), root canal treatment, gum treatments, curettage (deep gum cleaning) which can be applied to all situations and all age groups, including pregnant women and heart patients. >, Removal of soft tissue lesions, Canker sores and herpes treatments, Treatment of tooth sensitivities (closure of dentin canals), Surgical treatments (such as wisdom teeth, implants, oral and jaw surgeries) , Biostimulation (prevention of pain felt after surgery) treatments can generally be performed without the need for anesthesia. Laser is applied Since it provides 100% disinfection and sterilization with its strong bactericidal effect in the area, it eliminates the risks of re-infection and the onset of caries. The laser has no known side effects. Laser application is not only applied to cancerous tissues. Patients and employees must wear protective glasses during laser applications.

Local anesthesia during pregnancy during treatment. It can be applied because it reduces stress by preventing pain. However, care should be taken when choosing a local anesthetic agent during pregnancy.
Local anesthetics containing Octopressin may cause premature birth by causing contraction of the uterus. Therefore, such local anesthetic agents should not be preferred during pregnancy.


It is not recommended to take an x-ray as the baby's organ outlines develop in the first 3 months. There is no harm in taking x-rays in later periods. In this regard, you need to have a photoshoot after consulting your gynecologist. If an x-ray is absolutely necessary for emergency treatment, the expectant mother should be dressed in a special protective lead apron and a low dose should be administered.


Paracetamol type painkillers are generally used safely during pregnancy. Care should be taken when using painkillers and the recommendations of your gynecologist should be strictly followed. If antibiotic use is necessary, the use of antibiotics such as penicillin derivatives (amokicillin, etc.) has no harm for the baby. Tetracycline group antibiotics should not be used. If tetracycline is taken during pregnancy, it causes "tetracycline discoloration" on the baby's teeth.

Nutrition during pregnancy affects both the mother and the mother. It is also very important for the baby's general health and oral and dental health. During pregnancy, the baby's dental development begins in the 5th and 6th weeks.

During the entire pregnancy period for oral and dental health: Fruits and vegetables rich in vitamins A, C, D, phosphorus and calcium, Grain, milk and dairy products, meat, fish and eggs should be consumed in balance. If adequate oral and dental care is provided along with a good diet, no different teeth and gum problems will be encountered during pregnancy than in the normal period.

For this reason, daily oral and dental care should not be interrupted. Because there is a direct relationship between plaque accumulation, gum diseases and hormonal changes that occur during pregnancy. The increase in hormones during pregnancy causes the oral mucosa to become sensitive to external factors, especially bacterial plaque.

Plaque accumulation should be prevented by providing effective dental care by brushing twice a day and flossing once.

 

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