It’s an old wives’ tale that visiting the dentist during pregnancy has potential risks for the unborn babies and the moms-to-be. The reality is quite the opposite- good dental hygiene is part of everyone’s general well-being. The mouth is an entry point to the blood vessels and the digestive system, making oral health an indicator of one’s overall health.
Yet, many pregnant women have concerns regarding dental care during pregnancy and whether it is safe. Completely understandable- moms want to make sure they are doing everything right to keep their babies healthy, and there is a lot of misinformation available. To address these common questions, we’ve created a standard article that answers everything you, as a future mom, might be concerned about. Read on to learn more.
Universally, dentists recommend that pregnant women continue their regular dental exams and cleanings as necessary. Hormonal changes during pregnancy can be the cause of your gums swelling and becoming easily irritated. Therefore, these preventive appointments are crucial to prevent potential gum disease and infections. Note however that dental problems may aid in causing preterm birth, so it is essential to remain vigilant.
In addition to regular exams and cleanings, it is also important to get any other necessary dental procedure such as getting crowns or fillings during pregnancy. These treatments can help prevent infections. However, timing is critical. It is recommended to get all these procedures done by the second trimester of pregnancy. In the third trimester, it becomes uncomfortable lying in a dentist’s chair for long periods. Once you have reached the third trimester, it is advised to postpone non-urgent treatments until after the baby is born, unless you need them. In the event of emergencies, such as tooth extractions or root canals, dental work may be necessary even during pregnancy.
However, if you are contemplating cosmetic dental procedures such as teeth whitening, wait until after giving birth. Otherwise, these procedures may expose the baby to minor risks.
The research on the effects of dental medications during pregnancy is quite conflicting. Lidocaine, which is the most commonly used in dental procedures, does cross the placenta. However, it remains unclear whether it has any adverse effects on the baby. In case serious dental work is needed, it should be done under the administration of anesthesia, as little as possible. However, there should be sufficient anesthesia to keep you comfortable. If you experience any pain during the procedure, you can always ask for more numbing. Being comfortable is important because your stress can also affect the baby. Moreover, the dental procedure often goes better when you’re not in pain.
Another medication commonly prescribed in dental procedures is antibiotics. Medications such as clindamycin, amoxicillin, and penicillin, are considered safe when followed the prescribed directions.
Hormone changes and specific medications can increase the risk of periodontal disease and dry mouth in pregnant women. That is why we recommend that patients brush and floss their teeth twice a day during pregnancy. Though that might sound like a lot, it can help prevent cavities coming from consuming sweet cravings and minimize the risk of gum erosion. Additionally, vomiting related to severe morning sickness can lead to erosion of the teeth. And, though rare, pregnancy hormones can cause benign growths in the mouth that are not necessarily dangerous but can be bothersome.
Furthermore, a baby’s teeth begin to develop between the third and sixth months of pregnancy. Therefore, pregnant women must monitor their diets to promote healthy teeth in their babies. Some pregnant patients may experience difficulty brushing their teeth due to a strong gag reflex. In such cases, using a smaller toothbrush or using different flavors of toothpaste might make brushing more manageable.
Dental treatment during each trimester of pregnancy is safe. However, the second trimester is the safest period for receiving dental treatment. The dental procedure can be performed during the third trimester, but some patients might have a hard time laying back for an extended period.
For the most part, there is usually no medical need to postpone most common dental treatments until after pregnancy. Some experts suggest a connection between periodontal disease and poor pregnancy outcomes, including preterm birth and preeclampsia. Some healthcare providers will advise women on waiting until after the first trimester for dental care to minimize the risk of miscarriage. In our opinion, we do not recommend delaying necessary treatment and we do not think that there is an increased risk for miscarriage with dental care.
When talking about major dental work or elective orthodontics, patients may wish to consider postponing until after delivery. This is our general advice for most medical procedures. If the procedure is necessary for your well-being, have it. However, if it is elective or can be delayed, waiting is the safest choice.
Local anesthetics, including bupivacaine, lidocaine, and mepivacaine, are safe for use during pregnancy. If your dental provider sees the need for stronger anesthetics, it is advised to first discuss it with your obstetrician or gynecologist, or certified nurse midwife.
Modern digital radiography has significantly minimize radiation concerns. X-rays for the diagnosis of dental diseases during pregnancy carry very little risk to the developing fetus- particularly when considering the infections and pain that can develop if they go untreated. However, it is crucial to tell your dentist about your pregnancy before undergoing X-rays so that the staff can provide a special garment or device to shield your pelvis and abdomen from radiation exposure.
As soon as possible- even if you are 100% certain yet. Share your due date and how far along you are with your dental team, so they can plan appropriate care and look closely for any oral health issues related to pregnancy.
During your dental visit, inform your dentist about any medications you are currently taking. If your pregnancy has been classified as high-risk by your dentist or doctor, they may recommend postponing certain dental treatments.
Numerous people do not have any dental discomfort during pregnancy. However, the changes that occur in the body while you’re carrying a baby can modify the risk factors for certain dental conditions that affect the teeth and gums.
Some individuals might develop pregnancy gingivitis, a condition that causes swollen, tender gums that may bleed a little when brushing or flossing. Higher hormonal levels in the body during pregnancy can affect the way gums respond to plaque, the sticky film that builds up on teeth, particularly between dental cleanings. Seeing as gingivitis can lead to more severe forms of gum disease, your dentist will suggest ways to treat any symptoms you are experiencing. You might need more frequent dental cleanings or the use of an antimicrobial mouth rinse.
During pregnancy, the cavity risks can rise, as well. If you are eating a higher amount of carbohydrates than usual, this provides extra fuel for the bacteria responsible for tooth decay. Morning sickness can also increase the levels of acids in the mouth, which can cause damage to the shiny, protective coating on your teeth, otherwise known as enamel. Your dentist may suggest rinsing your mouth with a mixture of a teaspoon of baking soda and water to cleanse away excess acids.
Now, more than ever, it is crucial to brush your teeth regularly twice daily, for at least two minutes, each time. Ideally, morning and night are best. Additionally, you should floss your teeth at least once a day to remove any food particles between your teeth and drink plenty of plain water in between meals.
While you are expecting, you might find it more challenging to maintain your regular dental routine, even more so if you feel tired or busy. You may also experience a more sensitive gag reflex or tender gums, that can make brushing a little more uncomfortable.
If you need extra motivation, do remember that your baby’s health depends entirely on you. Poor health habits during pregnancy have been connected to various complications such as premature delivery, preeclampsia, and gestational diabetes. By eating a balanced diet, staying hydrated, and taking extra good care of your teeth and oral hygiene, you can take care of yourself and your child.
Pregnancy tumors, also known as pyogenic granulomas or pregnancy epulides, are overgrowths of tissue that can occur on the gums, usually during the second trimester. These growths are not cancerous, they are simply swellings that often appear between the teeth.
Pregnancy tumors typically easily bleed and have a reddish, raw-like appearance mimicking raspberries. They tend to disappear after the baby is born, but if you are worried and concerned, talk with your dentist about ways to address them.
Tooth extractions can be performed safely during pregnancy. If you require a tooth extraction while pregnant, it is recommended to schedule it during the second trimester or after giving birth. During the first trimester, your baby’s vital organs are developing, and it is advisable to minimize potential risks, including the use of medicines and antibiotics. The third trimester is also safe for tooth extractions, but it might be uncomfortable lying on your back for long periods.
Pregnancy can carry an extra risk of dental caries (tooth decay) due to morning sickness and the increased acidity in the mouth, which can result in enamel erosion and tooth decay. Furthermore, cravings for sugary snacks and decreased attention to oral health can further engrave the issue.
It is completely understandable to feel concerned about getting dental fillings during pregnancy. However, both obstetricians and gynecologists agree that treating cavities is safe at any time during pregnancy. Scheduling dental fillings during the second trimester is mostly recommended because it is when the risk of nausea has passed.
Dental amalgams, referred to as “silver fillings”, contain mercury, meaning they can pose a minimal risk to the baby. If you require amalgam fillings, do make sure to discuss them and their risks with your dentist. He or she will advise on a temporary filling or filling using a completely different amalgam. Do pay attention to everything your dentist has to say when it comes to safe teeth fillings for you and your baby, during pregnancy.
Despite the risks, it is generally safer to treat dental problems during pregnancy rather than wait. The risks of leaving an infection or untreated dental issue can be significant to the mother and the child. Let your dentist know you are pregnant and entrust him or her with recommendations for the safest treatments.
During pregnancy and after giving birth, your teeth and gums go through changes, similar to other parts of your body. Following up with your dentist after giving birth is always a good idea. At this time, any treatments that may have been postponed during pregnancy can be done, and your dentist can assess the health of your teeth and gums.
It is recommended to schedule a follow-up visit with your dentist once you have recovered and feel comfortable, following the birth of your child. For your child’s dental health, it is advised to take them for their first dental visit as soon as their first tooth comes through, but no later than their first birthday.
It is important to note that issues that arise from dental care can present difficulties in your pregnancy. During your pregnancy, you will most likely consult with a variety of specialists, to ensure the well-being of both you and your baby. A dentist should be part of these specialists, as an extension of your health care team, because, while there may be some precautions specific to dental care during pregnancy, most dental services and procedures can still be safely performed.
Good preventative care and follow-up care are crucial in maintaining a healthy mouth. By involving your dentist in the conversion- early and often- you can prevent or address any oral care issue that would have shown up otherwise. If you are seeking professional and up-to-date advice and care from a team of dentists who prioritize your well-being and that of your baby, do not hesitate to call City dental clinic.
