As you know, during pregnancy, a woman’s body undergoes cardinal hormonal changes. This phenomenon affects the body completely, including teeth, because the need for calcium is increasing. But against the background of this, poor health occurs, which is caused by a large load. At this time, the risk of oral diseases increases. And in some cases it is impossible to do without removing the wisdom tooth during pregnancy.
What is characteristic, the appearance of eights falls on a person's age of 18-30 years. And since the time of their eruption coincides with the period of the onset of maturity of the body, then they are called wisdom teeth. Among the fair sex, this moment in some cases coincides with the onset of pregnancy.
General information
Due to the high need for calcium during the period of gestation, the risk of caries increases. And if a completely healthy organism is capable of restraining the activity of pathogenic microorganisms by the forces of immunity or even completely destroying them, then during pregnancy there is clearly not enough strength for this. The immune system of a woman is too weak to give a proper rebuff to many pathogens.
With regard to wisdom teeth, there has been much debate for decades. Someone is of the opinion that "mother nature" has provided for everything, but most people tend to consider this element of the jaw row as atavism.
Although eights are involved in chewing food, after removing a wisdom tooth during pregnancy, the bite remains unchanged, so there is no need for prosthetics. Their distinctive feature is the lack of dairy "predecessors", and appear, as we have already found out, in adulthood. And someone doesn’t erupt at all.
In rare cases, with the growth of molars, they do not cause discomfort or pain to a person. As a rule, with the eruption of eights, the gum tissue swells, hurts, and the inflammatory process begins. This is due to the fact that the jaw is already fully formed, and a new tooth finds its place, touching neighboring ones and causing pain.
If the eight grows without complications, then the services of a dentist will not be needed. At the same time, with gum inflammation and when the jaw hurts, tooth extraction is indicated. The procedure is carried out painlessly under the influence of local anesthesia. The same applies to carious lesions - instead of treatment, it is recommended to remove the eight.
But what should pregnant women do with a similar problem? Is it possible to remove a wisdom tooth? How long is it best to complete? And maybe, in this case, still do the tooth treatment? Let's try to figure it all out.
Can a wisdom tooth be pulled out during pregnancy?
Pregnancy, especially in the early stages, is a direct contraindication for removing a wisdom tooth. Moreover, expectant mothers are strictly forbidden to take painkillers. However, to endure a constant toothache is also not possible. This provokes stress, which has a negative effect not only on the woman, but also on the child. In addition, due to the ongoing inflammation, bad breath appears.
In this case, the first specialist to contact is a dentist. The procedure for removing a wisdom tooth for pregnant women is dangerous, but in some cases necessary. In addition, if the figure eight grows too slowly, causing pain and causing inflammation, then its resection can be considered an effective measure to protect the health of mother and her child.
Does a tooth remove wisdom during pregnancy? Such a procedure is carried out only in cases where the dentist reveals obvious indications:
- The presence of damage to the tooth or tissues located near it.
- Inflammation affected not only the gums, but also the nerves.
- Constant pain of an acute nature.
- The formation of a benign tumor on the tooth.
Depending on the specific case, the doctor prescribes tooth extraction before or after the birth of the baby. Qualitative anesthesia, in which a resection of the wisdom tooth is performed, does not have a harmful effect on the body of the future mother or fetus. But the gestational age is much more important.
The optimal time is the II trimester, during I or III there is a risk that there may be various deviations in the development of the fetus. However, with a serious problem, the dentist can perform surgery on these dates.
Why is removing a wisdom tooth in pregnant women in Chita (however, in any other city too) a contraindication in the early stages? During the first 13-14 weeks of pregnancy, active fetal formation occurs. During this period of time, future mothers are not recommended to take any drugs. Also, mothers should maintain their moral and psychological state. And during tooth extraction this cannot be achieved.
The threat for the period of the third trimester from the removal of the eight is due to the fact that stress provoked by medical intervention can lead to premature birth. And this also has undesirable consequences for the child.
Possible reasons
Why does the pain associated with the growth of wise molars appear? This is largely due to the ongoing changes in the body of a pregnant woman. In particular, we are talking about hormonal imbalance, which leads to accelerated growth of hair, nails and hard tissues of the oral cavity. Usually it takes several years for a complete teething of wisdom teeth, but in pregnant women this process is also significantly accelerated. As a result, pain arises, after which there is only one desire - to take and pull out a wisdom tooth, and during pregnancy, as we know, there are certain difficulties.
Tooth growth injures the gum tissue, and under the influence of harmful microorganisms in the damaged area, inflammation begins. Due to pieces of food, the diseased gum is irritated, which intensifies the pain and also contributes to the development of the inflammatory process.
Symptoms of teething wisdom are similar for most people. But if you take into account the condition of a pregnant woman, then to alleviate the signs of eruptions of eights becomes a difficult task. The same applies directly to the treatment of diseased gums and the tooth itself.
Symptomatology
Signs of teething eights are often accompanied by discomfort and pain. In extremely rare cases, their appearance is subtle, but often even during pregnancy, the removal of a wisdom tooth will eliminate the discomfort. As for the signs themselves, these are symptoms of the following nature:
- Moving upward, the tooth element contributes to the appearance of pain, which spreads along the entire length of the jaw, and can also give into the temple and ear.
- With the onset of the inflammatory process, the gums become painful to swallow.
- Swelling of the peridental gum tissue.
- An increase in lymph nodes is considered a sign of inflammation.
- In some cases, the temperature rises.
- The formation of a hood on the gum. Food debris, as well as plaque can contribute to the penetration of pathogens under the mucous membrane.
- Bad breath is another clear sign of inflammation, and possibly decay.
But there are also situations when a wisdom tooth begins to hurt after complete eruption. In this case, the fault may be a lack of minerals or a special arrangement of the eight. And from the edge to clear it of plaque is quite problematic.
After the doctor examines the patient, he will issue an appropriate conclusion - the removal of the upper wisdom tooth during pregnancy (or lower) or is it better to conduct treatment.
What should be remembered?
As we now know, it is necessary to try to make every effort to exclude the likelihood of visiting a dental clinic in the first or third trimester. However, there are other features that pregnant women should also be aware of.
The future mother is contraindicated for the passage of x-rays. And if necessary, take a picture of the tooth using special equipment - a radiovisiograph, which has a low degree of exposure.
The treatment and procedure to remove the tooth with severe malaise should be carried out with great care. And in addition to gentle anesthesia with the help of certain medications, you may not be able to do without the support of a psychologist.
Local anesthesia, which is used to remove a wisdom tooth in pregnant women, is completely harmless to the child, but general anesthesia should be avoided.
As for drugs, it is necessary to use the correct course of treatment, and the dosage of drugs should be selected taking into account the duration of therapy. Only an experienced specialist is entitled to prescribe medications - a dentist, gynecologist.
Diagnostics
X-ray examination allows you to diagnose many diseases with high efficiency, including problems in the oral cavity. However, as we have already found out, this method is not suitable for pregnant women, and then they use radiovisiography to determine the problem tooth.
It is important to note that the doctor must make sure that his actions are correct. In other words, the decision made (to treat a wisdom tooth or remove it) should be fully justified. Removing a wisdom tooth during pregnancy is associated with certain risks, and therefore it is necessary to correctly assess the situation. And this is a sign of professionalism.
What can not be done?
Many expectant mothers are advised to avoid surgery to remove teeth. You can, of course, use medication, but in case of pregnancy it will not be safe for the baby.
It is worthwhile to clarify what, in no case, can be done by women who are in an “interesting position”:
- Such popular painkillers as Aspirin, Analgin, Ketanov are under the strictest ban! Despite the fact that they actually effectively relieve pain, their active substance can harm a pregnant woman and her baby.
- The same applies to the use of heating pads, warm compresses and solutions. Otherwise, infection from the affected area can spread not only throughout the oral cavity, but throughout the body.
- You can not apply painkillers to a bad tooth or to the gums, as in this case there will be irritation of the mucous membrane. It can also lead to ulceration.
In addition, you should not make a diagnosis on your own, as well as determine the state of the oral cavity, not to mention the choice of drugs. Only a doctor is entitled to decide on the removal of a wisdom tooth during pregnancy or treatment, and no one else! "Aspirin" or "Analgin" is better to replace sparing analogues.
How can I stop a toothache?
What can be done with toothache? Special lotions with Ultracaine will be able to benefit. To do this, do the following:
- choose a small piece of cotton wool;
- moisten it in solution;
- put cotton in the gum area where the pain is felt stronger;
- hold the lotion for 15 minutes, no more, and after that it is recommended to take a nap;
- while holding a piece of cotton wool, it is necessary to carefully monitor that accidentally, along with saliva, do not swallow a lotion with the drug.
In folk medicine, there is also a list of painkillers that will not do any harm to a pregnant woman or baby. Of course, if you compare them with pharmaceuticals, their effectiveness is lower, but at the same time they are much safer.
Gum swelling can be reduced with the help of ice - it is worth applying it to the problem area several times for 5 minutes. If removing a wisdom tooth during pregnancy for any reason is not possible, there is an increase in temperature, then a cotton swab in clove oil should be moistened and also applied to the diseased gum. Irritation and temperature will begin to subside. For the same purpose, you can attach a tea bag.
Removal procedure
The procedure for removing teeth, like any other operation, requires mandatory preparation. This is especially true for pregnant women who need to be prepared psychologically, describing in detail all the actions. It is important to mention that the hole after tooth extraction can be disturbing. This is a short-term phenomenon and is due to physiological reasons.
And since the development of the child fully depends on the state of the female body, it is important here to ensure an individual approach to each patient. Only in this way can a serious risk to the mother and child be avoided.
According to experts, serious dental manipulations should be avoided, and in the treatment of caries it is better to divide the treatment into several stages. The short duration of therapy will avoid unnecessary stress. The operation should also be performed in the shortest possible time. In this case, the body does not have time to properly disassemble anything, and after removing the wisdom tooth, pregnancy will take place in the usual mode.
Sparing anesthesia
For pregnant women, only topical preparations are permissible. The possibilities of modern pharmacology have allowed the creation of special anesthetics that satisfy a number of requirements:
- They do not have the ability to penetrate the placental barrier, which excludes any effect on the fetus.
- As part of such funds there are no vasoconstrictor substances or they are contained in a minimum amount.
As a gentle anesthesia, Ultracain and Ubistesin are used. "Novocaine" is shown only in the form of a spray before the injection, after which it is necessary to spit the product with saliva.
Reviews
Most women who pulled out a wisdom tooth during pregnancy mostly respond to the procedure on the positive side. Modern dental clinics have everything you need to ensure that all manipulations take place as quickly and comfortably as possible.
Nevertheless, some women had certain difficulties, which were related to the fact that they could not take some painkillers and antibiotics. Therefore, I had to look for the optimal treatment options.
During childbearing, you should regularly visit the dentist for prevention. The advanced stage of caries or pulpitis is the result of ignoring the characteristic signs of the disease. Therefore, you need to start dental treatment in a timely manner.
This will allow in the future to avoid removing the wisdom tooth during pregnancy, and the reviews of many expectant mothers do not deny this. After all, their own health, as well as the condition of the child deserve care and respect!