pregnancy and dental treatments
Pregnancy is an exceptional period during a woman’s life, with physiologic,
anatomic and hormonal changes that may influence how oral health care is provided.
In this article, we will discuss the frequently asked questions about dentistry during pregnancy, and general considerations within the care of pregnant patients.
FREQUENTLY ASKED QUESTIONS ABOUT PREGNANCY AND DENTAL TREATMENTS
Can a tooth be removed while pregnant?
If it can be removed, always if possible in the 3rd trimester and with Mepivacaine.
The extraction can always be postponed to the 3rd trimester with safe pharmacological treatment, amoxicillin, and paracetamol.
What are some of the oral / dental problems during pregnancy?
The main problem during pregnancy is undoubtedly gingivitis related to the activity of the hormone Progesterone. This hormone increases the inflammation of the gums that is increased by the presence of plaque.
ANESTHESIA IN PREGNANCY
It is the most common chemical that is injected into the mouth and passes into the bloodstream.
The most common dental local anesthesia is Lidocaine and Mepivacaine . They also carry preservatives, parabens, and epinephrine, (Adrenaline).
Epinephrine produces vasoconstriction, with the aim of reducing bleeding and increasing the duration of the anesthetic effect.
From the outset and in general it is better to avoid the use of chemical products during the first 6 months.
Therefore it is better not to use anesthesia during this period.
In the 3rd trimester, anesthesia can be used preferably without Epinephrine, therefore the best is Mepivacaine, which does not have a vasoconstrictor.
In case of using out of necessity in the period prior to the third trimester, it is better to use Mepivacaine .
CONSERVATIVE DENTISTRY PRODUCTS
These materials are the most common in daily practice, within conservative dentistry.
Orthophosphoric Acid, dental adhesives, composite, resin cements or glass ionomer . These products are used for fillings, “fillings”, and reconstructions of teeth.
The cements used for gluing bolts, posts, crowns or bridges.
Sodium hypochlorite, gutta-percha and cements . These are used in the treatments of the tooth canals, “kill nerve”, to disinfect and fill them.
The materials for reconstruction and cementation do not have any contraindication since they do not come into contact with the bloodstream, nor do they emit toxic fumes.
Formerly the amalgam carried Mercury so it should not be used in pregnant women. Currently not used.
The same happens with endodontic materials, they do not cause any damage.
TREATMENT OF GINGIVITIS DURING PREGNANCY
Pregnant women should have at least one dental hygiene appointment in the clinic during pregnancy.
In conclusion, we will say that a check-up during pregnancy is highly advisable to prevent the appearance of gingivitis and other pathologies.
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