Today we are discussing Tooth Extraction during pregnancy? Most gynecologists recommend prophylaxis and treatment of the oral cavity before conception is planned. This is because during gestation a lot of calcium and other trace elements go to the child, leaving some possible deficiency in the mother. Therefore, she often has problems. And dental intervention is undesirable because of the need for anesthesia, x-rays, and some other manipulations. But in extreme cases, it is necessary to carry out the removal of wisdom teeth or incisors during pregnancy (the second name is extraction). In the article, we will consider the indications for this procedure and the features of its implementation, depending on the timing.
Possible reasons
A toothache experienced by a woman in an interesting position can cause muscle spasms throughout the body, including the muscles of the uterus and other internal organs, which is very undesirable and can cause hypertonicity. The presence of an inflammatory process also leads to an increase in body temperature, a bacterial infection of the gums, and suppuration – all this has a bad effect on both the condition of the mother and the development of the fetus.
Therefore, dentists and gynecologists suggest that it is better to allow tooth extraction during pregnancy than to start the situation and bring it to unbearable pain and inflammation.
What are the reasons for this:
- The inflammatory process can move from one area to another, affect various parts of the oral cavity, and cause diseases of the larynx.
- A bacterial infection that accumulates in the gums and causes suppuration enters the woman’s blood through the mucous membrane, and through the placenta to the baby.
- With severe pain, a girl may not eat so well, which will lead to insufficient intake of nutrients and trace elements.
- The bad emotional state of the mother is transmitted to the child (with negative impressions, the hormone melatonin is produced).
All this determines why extraction is needed in several cases.
Indications for tooth extraction in pregnant women
Due to the possible infection of the wound, as well as due to the use of anesthesia, doctors do not always pull out incisors and molars (including third ones, that is, eights), but wait until delivery, but sometimes this is simply necessary if:
- Very extensive and deep carious processes led to inflammation of the gums.
- Pulpitis has formed – this is a purulent lesion of the root system.
- The bone tissue is significantly destroyed.
- Neoplasms appeared that prevented the jaw from closing.
- The pain is constant and cannot be controlled with acceptable painkillers.
A very unpleasant situation when you need to pull out the third molars because they have an extensive root system that can touch adjacent teeth. Often you have to make an incision, and the resulting wound can fester, then you will need to prescribe antibiotics. Their reception is highly undesirable (especially in the 1st trimester). Therefore, eights are removed only according to the indications:
- Abnormal growth may destroy the adjacent second molar.
- The appearance of an inflamed “hood”, suppuration.
- Sharp pain.
Is it possible to remove a tooth during pregnancy?
Each case is individual. When the gestation is going well, and from the point of view of the dentist, extraction is necessary, then it is worth deciding on it. The procedure is allowed if the benefit to the mother outweighs the potential harm to the baby.
Why do teeth deteriorate during the prenatal period?
There are very serious changes and restructuring of the body. The hormonal background changes, immunity falls, and a lack of calcium appear. All this leads to a decrease in resistance to bacteria, the development of caries, and also to the fact that hard bone tissues become looser. Therefore, women, especially primiparas, should be attentive to a dental examination before conception.
At what stage of pregnancy can teeth be removed?
In an emergency, you have to take on treatment and pull out at any stage. But there is a better one. In obstetrics, the entire prenatal period is divided not into months, as we are used to, but into weeks (there are 40 in total). They, in turn, are divided into three trimesters.
First
It is considered the most important since at this time the structure of all the cells of a small organism is laid – the emergence of an embryo. Also, the most likely risk is the rejection of the fetus – a miscarriage, so girls need to especially take care of themselves – not only to normalize their physical condition but also to protect their psychological, and emotional.
The child is formed and actively takes all the substances that enter the woman’s bloodstream. But the placenta is not yet formed (the chorion is in its place), so practically nothing prevents the penetration of bacteria into the baby. Everything will be bad:
- Any anesthetic;
- X-ray;
- Fear of going to the dentist.
But to endure acute pain is strictly prohibited, it can cause spasms and hypertonicity, which will lead to miscarriage. Therefore, we will answer this way – it is undesirable to carry out tooth extraction for pregnant women in the first three months, it is better to wait 16-17 weeks, but in case of emergency, effective measures must be taken, minimizing the negative consequences if possible.
Second
Everyone agrees that this is the most suitable period for dental intervention. At this time, the risk of interruption of gestation is significantly reduced, and the placental barrier is also formed. It very well prevents the ingress of various substances into the fetus, including painkillers. In addition, at this time, the stomach is not very rounded yet – it will not interfere with the girl. Not only removal but also any treatment is recommended to be carried out right now. The only serious limitation is that we do not recommend bleaching the enamel, since the dye can get into the blood.
Is it possible to extract a tooth during the third trimester of pregnancy?
On the one hand, anesthesia is used completely without fear, since the placenta is well protected from the penetration of drugs, all organs and systems are almost completely formed and their development can no longer be disturbed. But, unfortunately, the likelihood of premature birth increases, because with stress (fear or pain), the uterus can contract.
If you need to sanitize the oral cavity for more than 34-35 weeks, it is recommended to wait for delivery.
How is the extraction of a Tooth during pregnancy
To begin with, the doctor together with the patient chooses the right time for the treatment. It is also very important to choose a mild anesthetic effect so that it works well, but at the same time, it is allowed to be used by pregnant women (the medicine should not cross the placenta).
It is imperative to carry out preventive procedures at home – rinsing with herbal decoctions and a solution with soda. If there are severe pains, it is allowed to take Paracetamol or Tempalgin, but in a strict dosage.
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When a third molar needs to be removed, the dentist cuts the gum during the operation, drills it into the bone tissue, and then uses forceps to pull it out. After that, the doctor puts stitches for faster healing of the wound.
Features: is it possible to pull out a tooth during pregnancy
If the procedure is necessary, then during treatment it is necessary to focus on the special position of the patient and adjust the exposure scheme. This is done to minimize the risk of complications.
Therefore, a girl, even if her stomach has not yet rounded, must tell her dentist about the presence of a fetus.
X-ray
Radiography is not recommended. X-rays have a bad effect on the body, especially if not yet fully developed. But good clinics, including Dentik, have more modern equipment. The radio videograph localizes the area and does not scatter the streams, so the cure is ten times less than with an image using old equipment. The beam is narrow and does not affect the child, because a woman is put on a special apron on the collar area and stomach, which protects from the rays.
Despite the relative harmlessness, doctors prescribe X-rays only in extreme cases, for example, when you need to consider the root system of figure eight, since it can be very branched, affect the roots of neighboring molars, etc.
Is it possible for pregnant women to remove wisdom teeth with anesthesia
Previously, lidocaine was used, which is not very convenient to use and can cause an allergic reaction. Now local analgesics of a new generation are in use, which is not absorbed into the blood, and also do not have any negative effect on the baby. The only contraindication in the second and third trimesters is personal intolerance to medications.
Usually, the choice of a particular drug depends on:
- Age;
- The severity of the dental procedure;
- The amount of adrenaline – the less the better.
Most often use “Ultrakain”, “Primakain”, “Ubistezin”.
Medicines for healing
It is very important to protect your body from possible consequences, including bleeding, inflammation, and pain. Therefore, it is imperative to use drugs for the fastest possible healing.
But, unfortunately, the most common drugs, such as Cholisal, Metragil Denta, or Solcoseryl, are prohibited. A good solution is to use gels based on medicinal herbs or propolis, you can make homemade formulations. But it is worth starting to use them only after receiving recommendations from the attending physician. Any self-medication can adversely affect the health of both the mother and the child.
Possible risks that may develop after teeth are removed for pregnant women
This procedure is classified as an operative intervention, it is necessary to take into account all possible complications:
- Acute allergic reaction to anesthesia;
- Fainting;
- Bleeding;
- Injury to the bone tissue of the adjacent tooth or gums;
- Neuritis;
- Alveolitis and other pathological conditions, inflammatory processes.
One of the negative consequences that obstetricians and gynecologists fear is the occurrence of uterine hypertonicity. Simply put, this is muscle contraction, and spasms, which by their nature are very similar to contractions. In the early stages, they can cause miscarriage, and in the later stages – premature birth.
Is it possible to pull out a wisdom tooth during pregnancy
The third molars have a very large and branched root system. Because of this, the deep roots can also be located incorrectly – affecting the “neighbor”, and going strong to the sides. Therefore, their removal is more complicated, it mainly requires an x-ray, an incision of the gums, and after that – suturing.
But there is a second problem – when teething, a massive figure eight often causes suppuration, and neighboring tissues become inflamed. In such cases, it is impossible to postpone and not treat the area, you need to take emergency measures.
Is it possible for pregnant women to pull out a tooth with the removal of a nerve?
The pulp contains nerve endings. Some diseases, for example, pulpitis (an inflammatory process) in an advanced stage, must be treated with the help of palpation and canal cleaning. In terms of danger and consequences, this procedure is no different from extraction, no more difficult than it.
Therefore, girls in an interesting position should not worry when the dentist offers to remove the nerve.
What happens if you delay the removal
Sometimes a tooth does not have to be pulled out, it is treated. Proper sanitation of the oral cavity is less painful and dangerous for both the woman and the baby. Therefore, doctors try to use all available therapeutic agents so as not to resort to extraction. Even very deep carious lesions can be cleaned, and the answer can be sealed to “hold out” until childbirth.
But, as we said, there are indications in it is strictly forbidden to delay the operation. Because in some cases there can be a serious infection of tissues, bacteria enter the bloodstream, and pain causes muscle spasms, including the uterus.
We recommend acting by the opinion of your dentist.
Prevention methods during Tooth Extraction during pregnancy
- Every six months, it is necessary to make an appointment at the dental clinic, especially before the start of conception planning.
- Balance your diet to eliminate possible calcium and other micronutrient deficiencies.
- Walking more in the sun helps to get vitamin D, which is necessary for the absorption of calcium.
- The advice is not very relevant for women in positions, but: get rid of bad habits. Smoking provokes the appearance of caries.
- Clean your mouth twice a day with a brush and paste, and after each meal with a mouthwash.
In the article, we told you at what week of pregnancy you can remove teeth, and how this will affect the fetus and the health of the expectant mother. And for quality dental services, make an appointment at Dentika.