PROPHYLAXIS AND TREATMENT OF PREGNANT WOMEN

Pregnancy is a joyful period of waiting for the family to get bigger. While planning the pregnancy, it is worth taking care of your oral cavity by undergoing the treatment of your teeth, as well as learning of proper hygiene habits. As a result, the control visits will be the only things necessary for the mum-to-be. If the teeth require professional hygienisation and treatment during pregnancy, these can be performed safely. There are plenty of hormonal changes taking place in a woman’s body during the pregnancy. These result in gingival congestion and their hypersensitivity to damage. Gingivae become less resistant to the harmful influence of the plaque (the layer of bacteria which amass on the surface of teeth after every meal). The mum’s-to-be immunity to the unnoticed ongoing chronic inflammatory conditions is lowered as well, which fosters the effect of bacteria on both the woman and her child. The above may lead to an adverse termination of pregnancy, e.g. a premature delivery, or a low birth weight of a child.


HOW TO DETECT SIGNS OF GINGIVITIS?


The typical symptoms of gingivitis are:
• Suffusion, oedema, tenderness, and bleeding while brushed.
The advanced stage of gingivitis is characterised by:
• Gingival recession causing root exposure, which makes the teeth more sensitive and longer in appearance,
• Separation of gingivae from teeth, which results in making more room for the plaque and pieces of food.
• Bad breath and the feeling of unpleasant taste in the mouth.
It is possible to prevent gingivitis by everyday, proper hygiene of oral cavity as well as regular visits at the dentist’s.


ARE PREGNANT WOMEN MORE EXPOSED TO CARIES?


The factors which contribute to caries occurrence are so called ‘pregnancy whims.’ Many women feel alternating craving for something sweet and sour. Such combination of food only increases the risk of decalcification and caries development. Morning sickness can cause caries and inflammation of oral cavity as well. Anti-caries preventive treatment aims not only at protecting the mum-to-be from teeth damage but also at preventive treatment for the unborn child.


THE RANGE OF DENTAL PREVENTIVE AND MEDICINAL TREATMENTS FOR MUMS-TO-BE:


• Caries cavities treatment
• Endodontic treatment of dead teeth
• Extraction of untreatable teeth
• Professional hygenisation along with the recommendation regarding proper care of oral cavity.
• Implementation of preventive programme as far as caries prevention and gingival diseases are concerned.
• Introduction of proper diet.


PAINKILLERS:


It is advised not to take any medicines until the end of the third month of pregnancy. In case of any ailments, the mum-to-be should report it to the dentist as soon as possible. After precise treatment, the doctor will ascertain the cause of the pain and will eliminate it.


LOCAL ANESTHESIA


There are no contraindications as far as the local anaesthesia for pregnant women is concerned. However the best timescale for dental treatment is the second trimester. If the pain or inflammation occurs before the end of the first trimester, it is advised to report it to the dentist as soon as possible so as not to allow any further disease development.


CAN YOU PERFORM A RADIOGRAPH?


Since the radiograph is performed intraorally, and no rays are directed at foetus, it is absolutely safe for the baby. During making a photo, a mum-to-be is secured from neck downwards with the leaden apron which protects the uterus from radiation. Today’s endodonitc treatment's technique enables to limit the amount of radiographs made.


SURGERY


Surgery and stress very often come together. Therefore, all the planned treatments should be postponed until the second trimester. However, in case of serious issues accompanied with pain, it is necessary to react immediately.


It is advised to make at least three control visits to the dentist’s, once a trimester. It is vital to remember about visit at the dentist’s before the end of pregnancy. After the birth, when you have to face a lot of new duties, you may not find time for a visit even for the next few months.