Wisdom tooth removal during pregnancy: the need, the use of gentle anesthesia, consultation of gynecologists and reviews of pregnant women

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

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 increases. But against the background of this, poor he alth arises, 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 the removal of a wisdom tooth during pregnancy.

Typically, the appearance of eights falls on the age of a person 18-30 years old. And since the time of their eruption coincides with the period of maturity of the body, 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 childbearing, the risk of caries increases. And if a completely he althy body is able to restrain the activity of pathogenic microorganisms or completely destroy them with the help of immunity, then during pregnancy there is clearly not enough strength for this. A woman's immune system is too weak to properly fight off many pathogens.

There has been a lot of controversy regarding wisdom teeth 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 an atavism.

Although the eights are involved in the process of chewing food, after the removal of a wisdom tooth during pregnancy, the bite remains unchanged, so there is no need for prosthetics. Their distinctive feature is the absence of dairy "predecessors", but appear, as we have already found out, in adulthood. And for someone they don’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, when eruption of eights, the gum tissue swells, hurts, and an inflammatory process begins. This is due to the fact that the jaw is already fully formed, and the new tooth finds its place, touching the neighboring ones and causing pain.

If the figure eight grows without complications, then the services of a dentist will not be needed. At the same time, with inflammation of the gums and when the jaw hurts, tooth extraction is indicated. The procedure is painless under the influence of local anesthesia. Samerefers to a carious lesion - instead of treatment, it is recommended to remove the eight.

But what about pregnant women with a similar problem? Can wisdom teeth be removed at all? When is the best time to do this? Or maybe in this case, still do the treatment of the tooth? Let's try to figure it all out.

Is it possible to pull out a wisdom tooth during pregnancy?

Pregnancy, especially in the early stages, is a direct contraindication for the removal of a wisdom tooth. Moreover, expectant mothers are strictly forbidden to take painkillers. However, it is also not possible to endure constant toothache. This provokes stress, which has a negative impact not only on the woman, but also on the child. In addition, due to ongoing inflammation, bad breath appears.

In this case, the first specialist to contact is a dentist. The procedure for removing a wisdom tooth in relation to pregnant women is dangerous, but in some cases necessary. In addition, if the figure eight grows too slowly, causing pain and inflammation, then its resection can be considered an effective measure to ensure the he alth of the mother and her child.

Are wisdom teeth removed during pregnancy? Such a procedure is carried out only in cases where the dentist reveals clear indications:

• Presence of damage to the tooth or tissues located near it.
• Inflammation affected not only the gums, but also the nerves.
• Persistent acute pain.
• 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 child. High-quality anesthesia, in which the resection of the wisdom tooth is performed, does not have a harmful effect on the body of the expectant mother or fetus. But the duration of pregnancy 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, in case of a serious problem, the dentist can perform the operation even at these times.

Why is the removal of a wisdom tooth in pregnant women in Chita (however, in any other city too) a contraindication at an early stage? During the first 13-14 weeks of pregnancy, the active formation of the fetus occurs. During this period of time, expectant mothers are highly recommended not to take any drugs. Also, mothers should maintain their moral and psychological state. And during the extraction of a tooth, this cannot be achieved.

The threat for the period of the III trimester from the removal of the figure eight is due to the fact that the stress provoked by medical intervention can lead to premature birth. And this already also has undesirable consequences for the child.

Possible causes

Why does the pain associated with the growth of wise molars appear? This is largely due to 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 fullteething of wisdom teeth takes several years, but in pregnant women this process is also significantly accelerated. As a result, pain occurs, 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 gum tissue, and under the influence of harmful microorganisms, inflammation begins in the damaged area. Bites of food irritate the diseased gums, which increases the pain and also contributes to the development of the inflammatory process.

The symptoms of wisdom teeth eruption are similar for most people. But given the condition of a pregnant woman, then alleviating the signs of teething eights becomes a difficult task. The same applies directly to the treatment of diseased gums and the tooth itself.

Symptomatics

Signs of teething figure eights are often accompanied by discomfort and pain. In extremely rare cases, their appearance is hardly noticeable, but often even during pregnancy, the removal of a wisdom tooth will eliminate discomfort. As for the signs themselves, these are symptoms of the following nature:

• Moving up, the dental element contributes to the appearance of pain, which spreads along the entire length of the jaw, and can also radiate to the temple and ear.
• When the inflammatory process of the gums begins, it becomes painful to swallow.
• Swelling of the periodontal gum tissue.
• Swollen lymph nodes are considered a sign of inflammation.
• In some casesthe 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 tell-tale sign of inflammation and possibly putrefaction.

But there are situations when the wisdom tooth starts 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 it is quite problematic to clean it from plaque.

After the doctor examines the patient, he will issue an appropriate conclusion - the removal of the upper wisdom tooth during pregnancy (or the lower one) or it is better to carry out treatment.

Things to remember?

As we now know, every effort must be made to exclude the possibility of visiting a dental clinic in the 1st or 3rd trimester. However, there are other features that pregnant women should also be aware of.

Future mother is contraindicated to undergo x-rays. And if it is necessary to take a picture of the tooth, special equipment is used - a radiovisiograph, which has a low degree of exposure.

Treatment and extraction of a tooth in case of severe discomfort 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 when removing a wisdom tooth in pregnant women, incompletely harmless to the child, but general anesthesia should be avoided.

With regard to 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 - a dentist, a gynecologist - can prescribe medications.

Diagnosis

X-rays are highly effective in diagnosing many diseases, including oral problems. However, as we have already found out, this method is not suitable for pregnant women, and then radiovisiography is used to determine the problem tooth.

It is important to note that the doctor needs to make sure that his actions are correct. In other words, the decision made (treat the wisdom tooth or remove it) must be fully justified. Removing a wisdom tooth during pregnancy is associated with certain risks, and therefore it is necessary to properly assess the situation. And this is already a sign of professionalism.

What not to do?

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 worth understanding what women in an “interesting position” should never do:

• Such popular painkillers as "Aspirin", "Analgin", "Ketanov" areunder the strictest ban! Although they are actually effective in relieving 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, the infection from the affected area can spread not only throughout the oral cavity, but throughout the body.
• You can not apply painkillers to a sore tooth or to the gums, as this will cause irritation of the mucous membrane. It can also lead to ulcers.

Besides this, you should not make a diagnosis yourself, as well as determine the condition of the oral cavity, not to mention the choice of drugs. Only a doctor and no one else has the right to decide on the removal of a wisdom tooth during pregnancy or treatment! "Aspirin" or "Analgin" is better to replace sparing analogues.

How can you stop a toothache?

What can you do about a toothache? Special lotions with "Ultracaine" can be useful. To do this, do the following:

• choose a small piece of cotton wool;
• soak it in the solution;
• apply cotton wool in the place of the gums where the pain is felt more;
• 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, you must carefully monitor so that you do not accidentally swallow the lotion with the drug along with saliva.

In folk medicine there is also a list of remedies withanalgesic effect that will not cause any harm to a pregnant woman or baby. Of course, if you compare them with pharmacy products, their effectiveness is lower, but at the same time they are much safer.

You can reduce the swelling of the gums with the help of ice - it is worth applying it to the problem area several times for 5 minutes. If the removal of a wisdom tooth during pregnancy is impossible for any reason, there is an increase in temperature, then a cotton swab should be moistened in clove oil and also applied to the diseased gum. Irritation and temperature will begin to subside. For the same purpose, you can attach a tea bag.

Deletion 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. That being said, it is important to mention that a socket after a tooth extraction can be a concern. This is a short-term phenomenon and is due to physiological reasons.

And since the development of a child fully depends on the state of the female body, it is important to provide an individual approach to each patient. Only in this way can serious risks to mother and child be avoided.

According to experts, serious manipulations with the teeth 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 must also be performed in the shortest possible time. In this casethe body will not have time to really disassemble anything, and after the removal of the wisdom tooth, the pregnancy will proceed as usual.

Gentle anesthesia

For pregnant women, it is permissible to use only topical preparations. The possibilities of modern pharmacology have made it possible to create special anesthetics that satisfy a number of requirements:

• Do not have the ability to penetrate the placental barrier, which excludes any effect on the fetus.
• The composition of such funds does not contain vasoconstrictor substances or they are contained in a minimal amount.

Ultracain and Ubistezin are used as sparing anesthesia. "Novocain" is shown only in the form of a spray before the injection, after which the remedy must be spit with saliva.

Reviews

Most women who have their wisdom teeth pulled out during pregnancy generally have a positive opinion of the procedure. Modern dental clinics have everything you need to ensure that all manipulations take place as quickly and comfortably as possible.

However, some women had some difficulties, which are associated with the fact that they could not take some pain medications and antibiotics. Therefore, it was necessary to look for optimal therapy options.

During the bearing of a child, you should regularly visit the dentist for prevention. The advanced stage of caries or pulpitis is the result of ignoringcharacteristic signs of the disease. Therefore, it is necessary to start dental treatment in a timely manner.

This will allow in the future to avoid the removal of a wisdom tooth during pregnancy, and the reviews of many expectant mothers do not deny this. After all, your own he alth, as well as the condition of the child, deserve care and respect!