When should dental treatment be performed during pregnancy?

When should dental treatment be performed during pregnancy?

Oral health plays a role that affects all body systems at every stage of life. However, there is a time for women when healthy teeth and gums are important for themselves and for the babies they are about to hold. Scientific studies reveal that the general health of pregnant women with gum disease is negatively affected.

Acıbadem Altunizade Hospital Oral Health Clinic, Gingival Specialist Dr. Melek Altan Koran; It draws attention to the fact that the risks of premature birth and low birth weight babies and preeclampsia, known as ‘pregnancy poisoning’ in the public, can increase with gum disease . Seeing that gum disease has negative effects on general health, it is necessary to take into account the diseases that will develop due to dental caries, said Dr. Melek Altan Köran: “The most important factor affecting the health oral health during pregnancy is oral health. mother’s hygiene. In cases where care is ideal, gum and dental problems will be avoided. In addition, it is important that the diet during pregnancy is as healthy as possible and that foods and drinks that can cause cavities are avoided.

Dry mouth can increase cavities

The public mistakenly believes that teeth decay and lose teeth during pregnancy. Stating that the belief that the baby gets the calcium it needs from the mother’s bones and teeth is wrong, Dr. Melek Altan Köran says the following about dental caries during pregnancy:

“There is no withdrawal of calcium from the teeth during pregnancy. However, there are some reasons for the increase in caries. There may be an increase in caries due to dry mouth that can be seen during pregnancy or the mother’s inability to brush her teeth to prevent bleeding due to gum disease.At the same time, vomiting and increased acidity in the mouth, which can be observed especially at the beginning of pregnancy, can also contribute to this process.

Routine oral care protects the gums

“Pregnancy gingivitis” is one of the main gum problems that women can experience during pregnancy. Explaining that susceptibility to gum disease increases due to increased hormone levels, suppression of the mother’s immune system and changes in oral flora, Dr Melek Altan Köran said: “In the ‘ gingivitis of pregnancy’ observed in this period, a more severe reaction of the gums against the which is the main cause of gum disease, is observed. gingivitis of pregnancy; It is a disease of the gums which is manifested by redness, swelling , bleeding and gingival enlargement of the gums.This problem can be prevented by maintaining good oral hygiene.In a mother with gingivitis, cleaning the teeth and establishing oral care routines will usually be sufficient to the treatment.

The ideal period of treatment is between the 3rd and 6th month.

So how do you plan dental care during pregnancy? What procedures, how and in what period of pregnancy can be performed in mandatory cases? Noting that the general approach is to leave treatments that can be postponed until after birth, Dr. Melek Altan Köran answers these questions as follows:

“There may be certain restrictions on treatments to protect the health of mother and baby. However, if necessary, the oral health of the mother can be protected by appropriate interventions. The most suitable period for dental treatment during pregnancy is the period between the 3rd and 6th month of pregnancy. During this period, fillings, root canals and dental extractions can be performed under local anesthesia. Cleaning the surface of the teeth, which may be necessary for the treatment of gum disease that can be observed during pregnancy, can be carried out at any time during pregnancy. Antibiotic treatment can be applied to support dental treatments when necessary, taking into account the health of the baby and the mother. In such a case, the dentist chooses antibiotics that are in the safe group for the baby and can be effective in treatment. X-rays to be taken to detect an oral health-related situation can also be taken using protective equipment such as lead aprons to protect mother and baby. However, for both applications, unnecessary applications should be avoided, especially during the first trimester of pregnancy.

Even blowing the child’s food is a cause of contamination

Emphasizing that the dental health of the mother during pregnancy does not directly affect the dental health of the baby, Dr Melek Altan Köran said: “However, after birth, bacteria that cause cavities in mothers can be passed on to the baby. child during the teething period. of the child. He draws attention to an important point with his words: “Behaviors that can cause direct contamination should be avoided, such as blowing on the spoon to be given to the child or tasting the temperature and taste of the food in the spoon.


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