Going to the dentist before pregnancy will help you a lot to care for your mouth during pregnancy, a simple cleaning of the mouth will greatly reduce the appearance of pregnancy gingivitis.
That said, it is not necessary that you get overwhelmed if you are pregnant and have not yet gone to the dentist, most likely your obstetrician will suggest it once you spend the first three months and you will still be in time to start treatment in case of that is necessary.
“You can make fillings, mouth cleanings, root scraping when the bacterial infection has already formed sub gingival pockets, placement of prostheses … We try to avoid complex surgeries, implants and whitening, so as not to irritate the gum and thus not increase tooth sensitivity If the patient requires endodontic, many times we will carry out the emergency treatment and leave the seal of the ducts after delivery.”
During the first trimester you try to minimize any intervention, since it is when you are forming your baby’s organs and it is better that you are not exposed to any type of medication.
In the third quarter we also try to avoid treatments that are not essential. And if they have to be done, they are carried out asking the mother to lie on the left side to avoid the inferior vena cava syndrome, which occurs when on the back, the uterus hinders the venous return, being able to compromise the correct oxygenation of the fetus.
DO NOT WORRY, YOU’RE IN GOOD HANDS
Thus, the specialist who treats you, in addition to consulting your obstetrician, will try to carry out the most invasive treatments (fillings when there are cavities, small surgeries, extractions …) in the second trimester, and whenever possible avoid exposure to medications and other teratogenicity factors. “For example.” “when there is an infection in the gum we perform the debridement and the necessary cures, being able to avoid antibiotics on many occasions and prescribing disinfectants in mouthwashes.”
Even so, it is not always possible to postpone the treatments. But in case you have to perform you can be calm, since neither the diagnostic techniques nor the treatment will affect your baby:
Radiographs. Techniques are used with very low doses of radiation (radiovisography) and a high-speed radiographic film is used so that the doses received are minimal. In addition, the abdomen and chest of the future mother are always protected with a lead apron.
Anesthetics. “We can use local anesthetics sparingly throughout pregnancy but avoid epinephrine in pregnant women with high blood pressure.”
Antibiotics. When there is an acute infection, antibiotic treatment is sometimes necessary. It is likely that your dentist decides to consult with the obstetrician before prescribing one, although penicillin’s (amoxicillin and ampicillin) and cephalosporin’s are considered safe.
Analgesics. The most recommended is paracetamol, since it acts on the central nervous system and minimally crosses the placental barrier.
With these oral care, do not doubt that you can wear your best smile during the nine months of pregnancy.