Dental Treatment During Pregnancy
Gynecologists and dentists recommend addressing all dental concerns while planning a pregnancy.
What are the dangers of dental and gum disease during pregnancy?
Microorganisms that multiply in the oral cavity during caries and gingivitis can spread throughout the body and lead to:
➫ intrauterine infections
➫ exacerbation of inflammatory diseases of the upper respiratory tract
➫ digestive disorders
➫ weakened general immunity
➫ increased risk of toxicosis and other pregnancy complications
➫ bad breath, plaque, dry mucous membranes, and cracks.
Can dental treatment be performed during pregnancy?
If you are not consistent, tooth decay accelerates (a significant portion of minerals is spent on fetal development), which can damage adjacent teeth and cause infection for the newborn. The properties of the mucous membrane and saliva also change (increased thickness, decreased cleansing effect), and remineralization weakens.
The answer is clear: treatment. You need to choose the right timing, clinic, specialist, and materials.
The specialists at Elix Clinic treat pregnant patients with the utmost care and use only safe methods.
What to consider when treating teeth during pregnancy.
Not every dentist will treat a pregnant patient, but an experienced dentist knows what determines the safety and success of treatment.
In which trimester is dental treatment appropriate?
First trimester (6-12 weeks)
➫ Treatment is contraindicated – all fetal organs and systems are developing, and the hematoplacental barrier has not yet formed. Any intervention can contribute to the spread of infections and the development of birth defects.
➫ X-rays are especially prohibited. ➫ Exceptions are situations involving severe pain, which require minimal intervention to alleviate the condition.
➫ Be sure to inform your dentist about pregnancy, allergies, and concomitant medical conditions.
2nd trimester (13–27 weeks)
This is the ideal time to address dental concerns.
➫ Preventive measures, treatment of caries/periodontitis lesions (e.g., professional cleanings, sanitation)
➫ Treatment of gingivitis (gum inflammation) with bleeding associated with hormonal changes
➫ Treatment of caries with safe, modern materials that do not penetrate the placental barrier
➫ Tooth extraction (if indicated) using the most gentle method possible.
3rd trimester (from 28 weeks)
Return to the most gentle regimen.
➫ Increases the risk of premature birth
➫ Sitting in a chair for long periods causes discomfort
➫ Increases stress on the cardiovascular system (weakness, drop/increase in blood pressure, risk of fainting).
Can X-rays be taken during pregnancy?
X-rays should be avoided. If this is not possible, modern equipment (e.g., a radiovisiograph) with controlled and focused radiation should be used.
➫ The radiation dose is 10-15 times lower than with conventional X-rays.
➫ Lead protective shields for the mother and fetus are mandatory.
Is anesthesia possible?
The absence of anesthesia is very stressful for both the mother and the fetus. The optimal solution is to choose a safe and effective anesthetic.
➫ The latest generation of articaine (with a low adrenaline content) acts locally and does not cross the placental barrier. ➫ Anesthetics with high concentrations of adrenaline are strictly contraindicated. Be sure to remind your doctor of your condition.
What dental procedures are contraindicated during pregnancy?
➫ Teeth whitening is not recommended during pregnancy and breastfeeding.
➫ Implants and complex surgeries should be postponed until after childbirth, as they require medications that are incompatible with pregnancy, and implants require additional measures.
➫ Complex tooth extractions and "stressful" procedures should also be postponed until later, unless absolutely necessary.
Prevention during pregnancy.
1. Treat any decayed teeth and periodontal disease before pregnancy.
2. Care: Brush your teeth twice a day with a quality toothpaste, floss, and use mouthwash to prevent gum disease. You can use gels that restore enamel remineralization, reduce sensitivity, and stop the early stages of cavities.
3. Eat a balanced diet, and if necessary, take vitamin and mineral supplements only as recommended by your gynecologist monitoring your pregnancy and a dentist you trust.
4. Get preventative checkups every trimester. Professional oral hygiene is usually twice a year.
Choosing a good dentist is just as important as choosing a gynecologist. Trusting a specialist ensures that any procedure is easy and comfortable, which has a positive impact on the health of both mother and child.
Frequently Asked Questions...
Can dental treatment be performed during pregnancy?
➫ Yes, but the trimester must be considered. Treatment is not recommended in the first trimester, the second is safest, and only minimally necessary interventions are performed in the third.
Which trimester is the safest for dental treatment?
➫ The best time is the second trimester (13-27 weeks). Professional cleanings, cavities, gum disease treatment, and even tooth extractions can be performed during this period.
Can X-rays be taken during pregnancy?
➫ It is advisable to avoid them. If they are unavoidable, a radiovisiograph with minimal radiation should be used, always with a lead protective cover.
Can anesthesia be administered during pregnancy?
➫ Yes, but only with safe anesthetics. For example, articaine, with its low adrenaline content, does not cross the placental barrier. Drugs containing high concentrations of adrenaline are strictly contraindicated.
What dental procedures are contraindicated during pregnancy?
➫ Teeth whitening, implants, and complex surgical procedures are best postponed until after childbirth.
What are the dangers of untreated tooth decay during pregnancy?
➫ It can cause infections, gum inflammation, weakened immunity, and even pose a risk to the fetus.
Can a tooth be removed during pregnancy?
➫ If a tooth is no longer salvageable and is causing pain or infection, it is best to have it removed in the second trimester, the safest period.
Can teeth whitening be done during pregnancy?
➫ No. Teeth whitening is prohibited during both pregnancy and breastfeeding.
How to care for your teeth during pregnancy?
➫ Brush your teeth twice a day with a high-quality toothpaste, floss, and rinse. You can also use gels that strengthen enamel and reduce sensitivity.
Is it important to have dental treatment before pregnancy?
➫ Yes. The best option is to treat all dental caries and gingivitis before planning a pregnancy to avoid complications.
