Recently, Xiaomeng, a expectant mother who was pregnant for more than 4 months, had trouble.I just survived the pregnancy of the first three months. I thought I could eat some good. I did not expect that the gums at the wisdom teeth in the past two days were swollen and painful.Xiao Mengben wanted to go to the hospital to see his teeth, but colleagues told her that she could neither take medicine nor extraction during pregnancy, and she could only endure toothache.Xiao Meng was anxious and anxious, and didn’t know what to do.
So, what should I do if oral problems occur during pregnancy?Can I only endure the pain by myself?Below, I listen to Wang Xue, the pharmacist of Beijing Jishoutan Hospital, to tell you.
Women during pregnancy are prone to oral diseases during pregnancy due to factors such as hormone levels, eating habits, and lifestyles.Common pregnancy -induced oral diseases include caries, acute pulpitis, or peripheral inflammation infection, gingivitis during pregnancy, and tumor -like hyperplasia may occur in some parts, which shows that the gums are mushroom -shaped in shape and touch it.It is more susceptible to bleeding and is called pregnancy gum tumor.
Oral health during pregnancy has double significance, which is not only related to the health of the pregnant woman itself, but also is closely related to the growth and development of the fetus.The pain and discomfort caused by oral diseases during pregnancy will affect the eating of pregnant women and cause nutritional imbalance. In severe cases, oral inflammation will spread to the whole body and cause premature birth or difficulty or even fetal malformations.
Therefore, the oral health care of expectant mothers especially emphasizes oral health examinations before pregnancy and oral health maintenance during pregnancy.
During the pregnancy stage, it is recommended to go to the hospital for oral health diagnosis and treatment 6 months in advance, check and treat the teeth with hidden dangers of pain, including dental cleansing, filling dental caries, root canal treatment of toothitis and root.Roots and wisdom teeth with abnormal germination positions.
Oral care during pregnancy
During pregnancy, the hormone level of expectant mothers will change greatly. If the brushing is not in place, gingival inflammation during pregnancy is likely to occur.Do not treat it in time, which may develop periodontal disease, loose teeth, and severe teeth will occur.
Therefore, you need to pay special attention to changes in gums during pregnancy, and expectant mothers should often perform simple self -oral examinations.If you have toothache, bleeding or gum swelling during pregnancy, please seek medical treatment as soon as possible.At the same time, check the regular dental hospitals or clinics on a regular basis, and timely treatment is found to avoid delays, aggravate the condition, and then affect the health of the baby in the abdomen.
One thing that needs to be emphasized is: watching teeth during pregnancy is safe!Do not tolerate toothache, and do not need to have too much psychological burden.
However, in the early pregnancy (1-12 weeks), the organs of the fetus are in the developmental stage, which is more sensitive to environmental stimuli, and external stimulus will increase the risk of deformity.
In the second half of the third half of the pregnancy (after 28 weeks), the uterus is more sensitive to changes in the external environment, and stimulation will increase the risk of premature birth.Therefore, if it is not an emergency, it is recommended to choose the most suitable to see the teeth in the middle of the pregnancy (16-28 weeks).
Materials for replenishment are silver mercury alloy (commonly known as silver powder), resin materials, glass ion resin, etc.They are different in the degree of wear resistance and color.
According to a statement issued by the World Dental Association and the World Health Organization in 1995, in the ingredients of dental repair materials, including silver mercury, it will cause local side effects or allergic reactions.Without special circumstances in the body, expectant mothers can replenish teeth in the middle of pregnancy.
Can oral treatment during pregnancy be used?
Based on the characteristics of pharmaceutical dynamics during pregnancy, medication during pregnancy should follow the following principles:
Try not to take medicine in early pregnancy, avoid the use of drugs that affect dental development in the middle and late stages.
According to the different degrees of influence on the fetus, the drug with a low pass rate of the placenta barrier can be avoided when the drug can be avoided when the medication can be used alone. It is best not to use a composite preparation to avoid increasing adverse reactions.
Try to choose drugs with relatively safe grades and sufficient clinical evidence, due to the short clinical application time of new drugs, and lack of reliable basis for fetal safety.
According to the characteristics of changes in drug dynamics during pregnancy, try to monitor the concentration of blood drugs if necessary.
For pregnancy, reference to the current drug classification standards of the US FDA. When pregnant women need to use drugs that affect the fetus, the profit and disadvantage should be fully weighing.If the drugs that cause teratogenic or possible teratogenic during pregnancy should be taken into consideration whether the pregnancy should be terminated according to the pregnancy time, medication, etc.
Local anesthetic Protaine, Tintaine, and bencaine used in oral therapy are all C -type drugs, and they need to be cautious when used.However, due to the small dose of local anesthesia applications, and most of the drugs can be decomposed in the anesthesia area, enter the blood circulation and pass through the placenta, which has a very small impact on the fetus, so there is no need to have too much concern.
Oral anesthesia is the most commonly used for gaber of Lidaine to be grades B, which will not cause fetal malformation within the normal dose range.Adrenaline used to reduce bleeding during surgery and extend the anesthesia time is added as Class C. However, it is generally believed that 2%Lidoine+adrenaline is relatively safe during pregnancy.
When women are used to treat gingival inflammation according to the needs of women during pregnancy, they need to be treated with penicillin or cephalosporin drugs with a grade B -level B -level galfenic drugs in accordance with the doctor’s advice. These two types of drugs are relatively safe during pregnancy.
However, no matter when to see the dentist, you must explain your pregnancy and due date.It should be reminded that after 20 weeks of pregnant women’s supine, it will affect the blood circulation of the whole body. Therefore, if it takes a long time treatment, it is recommended to sit up and rest during the period of time.During the treatment process, try to relax as much as possible. Excessive tension is not conducive to the treatment effect, and it is not conducive to the baby’s health.
Basic oral hygiene care
Use fluoride toothpaste, brush your teeth at least twice a day, at least three minutes each time. Pregnant women can keep it for five minutes.
Use dental floss every day. If you can brush your teeth and use your dental floss after each meal, it is even better!If you brush your teeth nausea and vomit, try to change the small head brush and taste a little bit of toothpaste, which will feel much better.
For expectant mothers who are troubled by pregnancy, it is recommended to use soda to rinse her mouth after each vomiting, which can effectively remove the stomach acid left in the mouth and reduce its corrosion of the teeth.In addition, it is recommended that pregnant women use non -prescribed mouthwash and mouthwash before going to bed.
Pregnant mothers who love to eat sweets must be eaten in moderation during pregnancy, because sweets are also acidic foods, and it is easy to increase the acidic material ratio of the oral cavity and increase the probability of tooth decay.
Use of xylitol
Studies have shown that xylitol can inhibit the growth of caries that cause dental caries in the mouth, stimulate saliva secretion, and reduce the formation of plaque, which is very helpful for pregnant women to prevent dental caries.It is recommended that prospective mothers chew glycol gum after meals.
The first tooth of the diet fetus develops from the 9th week of pregnancy.A healthy diet contains dairy products, which has great benefits for the development of the fetus’s teeth, gums, and bones.Pregnant women need to consume sufficient protein, calcium and vitamins.
Therefore, fresh vegetables and fruits, whole grain foods, dairy products (milk, yogurt, cheese, etc.), fish eggs, beans, and nuts are great choices.At the same time, reduce sweet intake.
Other small suggestions to drink plenty of water; try to eat less meals in order to reduce the early pregnancy reaction; do not smoke, but also refuse to suck second -hand smoke!
Postpartum mother should be more careful when brushing her teeth
You can also look at the teeth during breastfeeding.However, the situation needs to be explained in advance, and the doctor will determine the treatment plan according to your situation.
At the same time, oral hygiene care needs to be strengthened after childbirth.Traditional concepts believe that mothers cannot brush their teeth, and they will easily fall into "confinement disease". In fact, this concept is not scientific.Not only should they brush their teeth like ordinary people after childbirth, but they should also be brushed more carefully.Because the number of eating frequently in the confinement, there are many sweets, and not brushing their teeth well, causing a large amount of plaque to stay on the surface of the teeth and gums, and it is prone to dental caries and gingivitis.
It is recommended that the maternal insist on brushing the teeth twice a day and use the dental floss to remove the tooth gap spots that cannot be removed by the brushing; when brushing the teeth, it is recommended to use a soft hair toothbrush, brush the teeth in a seamSoft, not chewing, easy to digest food, reduce the burden on the gums, and avoid damage to the gums; rinse your mouth in time after eating, reduce or reduce the occurrence and development of oral diseases.Remember not to use mouthwash instead of brushing.
Source: Wang Xue, Department of Pharmacy, Jishui Tan Hospital, Beijing