Dental management during
pregnancy
It is ideal to consult a dentist if you're planning to
become pregnant or suspect you're pregnant. Your dentist will
examine you and map out a dental plan for the rest of your
pregnancy.
The fourth to sixth months of pregnancy generally is the
ideal time for any necessary non-emergency procedures. It's best
to postpone non-emergency procedures during the first trimester
to avoid anything that could affect the developing baby. The
last trimester is often avoided because it can be uncomfortable
for the patient to sit for extended periods.
Obstetricians should always be consulted during any
emergency that requires anesthesia or medication. In general,
aspirin and Non-Steroidal Anti-inflammatory Drugs (NSAIDs)
should be avoided. Only X-rays that are needed for emergencies
should be taken during pregnancy and any elective procedure that
can be postponed should be delayed until after the baby's birth.
If X-rays are essential, leaded aprons may be provided by the
dental office to be worn by the pregnant mother, to prevent
radiation exposure to the developing baby.
Taking good care of yourself during pregnancy helps
improve not only your own health but also the health of your
baby. Remember that your baby’s teeth and jaws begin to form at
5-6 weeks of pregnancy. Dental problems lead to improper food
intake, which in turn affects the nourishment of the baby. Gum
diseases are proven to cause pre-term births as well as
low-birth weights. Untreated dental disease will also eventually
cause a permanent loss of teeth.
Daily brushing with a low-abrasive, fluoridated
toothpaste (morning and night or ideally after every meal) using
a soft-bristled brush, flossing in areas where the brush is
unable to reach, a healthy diet, drinking plenty of water and
regular dental visits will keep your teeth and gums healthy
during and after pregnancy. Limit intake of sugars, starches and
other food items, which promote dental decay. Preventive topical
fluoride application procedures may also have to be carried out
by your dental surgeon in cases where predilection towards
dental decay is found. Defective tooth-brushing techniques
should be identified and corrected. Routinely have the bacterial
plaque and tartar professionally removed from the teeth by your
dentist.
In case of morning sickness, do not brush your teeth for
at least 30 minutes after vomiting. Rinse with plain (tap) warm
water after vomiting. Rinsing with a solution of sodium
bicarbonate will also be helpful. Sodium bicarbonate neutralizes
the acids and prevents the damage caused by residue on the
teeth. Immediate brushing after vomiting will cause erosion of
tooth surfaces, and hence, should be avoided.
To prevent gagging, use of a small-headed toothbrush
might help. Alteration of the brushing timings (rinse in the
morning with water and brush at lunch time or morning tea and at
night) may also help prevent gagging. You may avoid using
toothpaste if it is found beneficial as long as the gagging
lasts.
A balanced diet should be had by the mother, which
ensures good health for the mother as well as the developing
baby. You may fix up your diet after discussing with your
doctor. Your doctor may advise prenatal vitamins and mineral
supplements also.
It's a myth that calcium is lost from the mother's teeth
and "one tooth is lost with every pregnancy."
|