Pregnancy is a time of many changes in the body, and the oral cavity is no exception. The hormonal changes that occur in your body directly affect the health of your teeth and gums, so it is especially important to know how to maintain good oral hygiene during this period. Many pregnant women experience hypersensitivity in their gums, and sometimes brushing their teeth even causes a feeling of nausea, which can lead to neglecting routine care. In this guide, we will detail everything you need to know about dental care during pregnancy.
Why is it especially important to maintain oral health during pregnancy?
During pregnancy, the body reacts more strongly to bacteria in the oral cavity. Poor hygiene can lead to bacteria entering the bloodstream and causing local infections. In extreme cases, this can affect the course of the pregnancy or even the fetus itself. Therefore, despite the discomfort that may accompany this, it is important to:
- Brushing your teeth regularly, at least twice a day
- Cleaning between teeth using dental floss or interdental brushes
- Regular visits to the dentist
When is the ideal time for dental treatment during pregnancy?
If you are planning a pregnancy, it is a good idea to have all necessary dental treatments done before it begins. However, if treatments are required during pregnancy:
- The second trimester (weeks 14-26) is the ideal time to perform almost all types of treatments.
- The first trimester is a critical period for fetal development, so it is recommended to postpone non-urgent treatments. The nausea typical of this period may also make treatment difficult.
- In the third trimester, it is recommended to avoid non-urgent treatments for fear of premature birth and due to the discomfort of lying on your back for a long time.
Which dental treatments are safe during pregnancy?
Descaling
Not only is it permissible, but it is also recommended to have tartar removal performed during pregnancy. Hormonal changes increase the risk of gum infections (gestational gingivitis), so maintaining good hygiene is especially essential.
Preservative treatments
- Fillings : Allowed during pregnancy, preferably in the second trimester. White fillings (composite) are preferable to amalgam.
- Root canal treatments : Allowed in case of urgent medical need, such as severe pain or infection.
- Local anesthesia : safe in pregnancy, preferably without epinephrine or in a low dose.
Gum surgery
They are not recommended in the first and third trimesters, except in urgent cases (active infection, severe pain, significant bleeding). If possible, they should be postponed until the second trimester or after delivery.
Tooth extractions
In the first and third trimesters – only in emergencies.
Luxury without fear in the second trimester.
Which treatments are better to postpone?
Dental implants
It is best to postpone until after delivery, unless it is a particularly urgent case. If it must be done, it is advisable to do it in the second trimester.
Teeth whitening
It is recommended to postpone until after childbirth and the end of breastfeeding.
Orthodontic treatments
If you started before pregnancy, you can continue with adjustments to your treatment. You should be extra careful with your oral hygiene.
X-rays during pregnancy – are they allowed?
During pregnancy, dentists try to limit X-rays to the bare minimum. However:
- Regular dental x-rays are permitted with the use of protective equipment (lead apron). In the digital age, these x-rays involve a minimal amount of radiation.
- IMAGING INVOLVING HIGHER RADIATION (PANORAMIC, FULL-STATUS, CT SCAN) IS DONE ONLY WHEN NECESSARY, AND WITH EXTREME CAUTION IN THE FIRST TRIMESTER.
Medications and painkillers during pregnancy
Be especially careful when using medications:
- There is a strict prohibition on the use of nonsteroidal anti-inflammatory painkillers (NSAIDs) such as Nurofen or Advil in the third trimester.
- You should consult your dentist and gynecologist before taking any medication.
How to maintain good oral hygiene during pregnancy?
- Brushing your teeth gently twice a day
- Daily flossing
- In case of nausea, you can use a smaller toothbrush and mildly flavored toothpaste.
- Drinking plenty of water
- Limiting sugary foods and drinks
Treatments at Weinberg Medical Center Clinic
Routine dental treatments during pregnancy are generally safe, especially in the second trimester. Urgent treatments are essential at any stage of pregnancy, as an untreated infection is more dangerous to the fetus than the treatment itself.
At our leading dental clinic, our team of experts specializes in treating pregnant women. Whether it’s a routine check-up, emergency treatment, or a consultation about future treatments, we’re here for you and happy to answer any questions you may have. Contact us today and enjoy a healthy smile throughout your pregnancy.
