Can teeth be pulled out during pregnancy?

Tooth pain can begin at the most unforeseen moments of our lives, as well as during pregnancy. It's no secret that the physiological characteristics of the expectant mother are characterized by special vulnerability and sometimes you have to deal with the need to cure or remove a tooth in order to get rid of the pain experienced.

The need to remove a tooth while waiting for a child is not the most pleasant procedure, but due to factors independent of the woman, it becomes the only right option in the circumstances. I would like to clarify that this procedure for a patient in such a delicate position requires a personalized and cautious approach regarding her emotional state. For the most part, it is the psychological state associated with panic, a fear of removing a tooth, painkillers, and x-rays - most often they cause much more harm to the future mother than a tooth that causes pain.

The ideal option is to visit the dentist at a time when the child is only planned. However, the discomfort caused by pain does not need to be endured - this will affect the mother and the child himself. Therefore, you still have to visit the dentist.

Bearing a child is not a reason not to treat or remove teeth, but the dentist should be warned about the patient’s pregnancy. This will allow him to choose the most suitable drugs. The duty of the doctor is to conduct an examination of the oral cavity, talk about compliance with measures to prevent carious damage to teeth and hygiene procedures. When the need arose, he writes out a direction to the surgeon to remove the aching tooth.

The specifics of this procedure at different trimesters

If you can tolerate, experts highly recommend waiting for the second trimester, given that the pregnant woman feels comfortable, since the effects of toxicosis have receded, an increase in the size of the abdomen is just ahead. In an extreme situation that can cause a purulent infection, a woman undergoes surgery to remove diseased teeth without hesitation, as this is indicated by indications.

1 trimester
It is worth noting that the first weeks after the conception process are of the greatest importance, given that the egg is transformed into an embryo, in which the vital elements of the body gradually develop. It is quite natural that the fear of visiting the dentist, the use of appropriate analgesics and the need for x-rays carry certain risks for the fetus. At the same time, it should be borne in mind that intolerable pain, purulent infection are more dangerous than this operation with teeth during this period. Everything else, unbearable pain can lead to contractions of the uterine walls, provoke hypertonicity. At the same time, doctors advise trying to postpone the procedure in question for the third month of pregnancy.

2 trimester
So, the period from the fourth to the sixth month. At this stage, the fetus is formed with the phased development of important organs. Dental procedures that affect the psychological mood of the pregnant woman do not pose any danger to the fetus, which allows us to call this period more successful for visiting the dentist's office. But it is not recommended to whiten and replace the teeth.Specialists recommend the second trimester in order to get rid of tooth problems, which affects the psychological state of the pregnant woman, as well as a child who feels all the fears of the expectant mother.

Third trimester
Doctors are extremely reluctant to treat patients in the final stages, which has a logical background and many years of experience working with women bearing a child. A grown stomach, uncomfortable feelings with a long stay in the same position in a chair in the dentist's office, psychological discomfort - can accelerate the approach of childbirth due to the occurrence of hypertonicity.

Such situations are not uncommon during a woman carrying a child, when there is an exacerbation of pain in the wisdom teeth, causing particular discomfort (fever, increased pain in the gums, which affects the general condition). In a normal situation, a specialist would proceed with the removal, but it is worth remembering that the elimination of these teeth (“eights”) provokes the development of inflammatory processes that require consistent drug therapy, which is not useful while the child is waiting. Of course, if possible, it is better to postpone the procedure, but constant and acute pain or a long inflammatory process can do much more harm than stress from the removal and use of painkillers.

So should pregnant women remove teeth?

This issue does not lose its relevance among women expecting a baby. Pregnancy is a period during which the female body has an increased vulnerability, which leads to impaired calcium metabolism and subsequent enamel deformation, which is a serious indication for treatment, and sometimes tooth extraction procedures. Of course, staying in the dentist's chair is a real stress, exacerbated by the mental characteristics of the future mother. But constant pain is more unpleasantly manifested in the physical and emotional state of the patient and the child in the womb. In this case, the presence of a constant focus of infection, which can include any lesion of one degree or another, can be attributed to a negative factor.

We can talk about the presence of a wide range of drugs that have passed all the necessary tests and can be used during treatment of a pregnant woman. The special composition of certain drugs allows them to be absorbed only in the oral cavity, without penetrating the bloodstream, and therefore they do not harm the child. In case of severe pain and confirmation of the indications for tooth extraction, refer to competent specialists, taking into account the specifics of treatment of patients who are expecting a child, so that the pain medication is correctly selected.

What to do after coming home?

After completing this procedure, various side effects may appear (inflammation of the well, swelling, blood, bruise, pus, or a flash of pain). To prevent such factors, it is important to follow these guidelines:

1. After a certain time - about twenty minutes, you should pull the cotton wool out of the hole formed in the tooth. Do not allow a cotton swab to stay for a longer time, as it is an infectious focus.
2. To prevent the appearance of swelling, ice wrapped in a towel attached to the cheek where the hole is located should be used. Hold for three to four minutes, and then take a five-minute break and apply a new ice pack. It is advisable to repeat four to six times.
3. At the beginning of gum bleeding, it is necessary to leave a piece of a sterile bandage in the hole for ten minutes, and also measure blood pressure, since when it increases, it is a bleeding provocateur. If necessary, take the appropriate drug.

After an experienced tooth extraction operation (three hours), it is prohibited:

1. Eat any food (the alternative is ordinary room temperature water).
2. Any water procedures should be postponed for several hours.
3. Excessive physical activity is ruled out, because now rest is needed for an organism that has survived stress.
4. Do not touch the hole of the hole with the tongue and any objects, so as not to cause inflammation.
5. It is not recommended to open your mouth too much and raise your voice (if there are seams).
6. Rinsing your mouth is also prohibited.

To accelerate recovery and prevent subsequent inflammation, it is necessary to absorb a little potassium permanganate, chlorhexidine, as well as herbal infusion (chamomile, sage) into the oral cavity, keeping it in the oral cavity.

To prevent severe side effects, the specialist must be guided in his work by the following principles:

1. It is correct to carry out a dental operation to remove teeth, and only after the permission of the attending physician of the patient who is expecting a child, taking into account the nuances in each trimester.
2. Isolate the expectant mother from stressful circumstances that may arise (minimum waiting time in line, the use of appropriate painkillers and, if possible, not delay the procedure, treat her with psychological understanding).
3. It should not be forgotten that resorting to the use of x-rays to obtain images and drawing up a treatment plan is possible only in case of emergency.
4. Introduce the minimum amount of anesthetics to ease the pain of the patient.
5. Conduct an appropriate test - whether the patient can tolerate painkillers to exclude anaphylactic reaction and subsequent complications that may occur.

In order to disinfect the oral space at the end of an operation to remove the teeth of a pregnant patient, it is necessary to prescribe drugs with low toxicity (a woman’s doctor should be consulted).

Prevention of dental problems while a child is waiting

During registration at the female clinic, the dentist is also included in the register of doctors who must be admitted, which will allow the patient to find out how badly the pregnancy can affect the condition of her teeth. If there is a need for treatment or removal, it is necessary to undergo these procedures at the end of the fourteenth week of pregnancy.

Do not forget to ask a specialist how to properly care for your teeth and gums in such a crucial period. It is worth noting that the conception of a child affects the acid-base balance, there is a lack of such an important trace element as calcium. You can also talk about the reproduction of pathogenic microflora. With illiterate dental care, tooth decay appears, and an aggravation of the situation leads to tooth loss. It is also impossible not to mention that a carious tooth can cause the development of diseases of the gastrointestinal tract, which will affect the health of the fetus.

Prevention in the last months of pregnancy is food with all the necessary trace elements that will help to maintain health, both for ourselves and the unborn baby.

During pregnancy, many women suffer from gum disease, the treatment of which must be dealt with on time, and also help to maintain good oral hygiene. Otherwise, we can talk about the development of periodontitis, which will complicate the situation and give rise to a new visit to the dentist’s office.

Video: is it possible to remove teeth during pregnancy