You have a baby project ? It’s great. But before being pregnant, it is strongly recommended to practice check-up visit to the dentist. Think about it! This will allow the latter to treat any oral pathologies. Because prevention is better than cure.
However, if the upstream visit has not been completed, do not panic! You can have your teeth treated, even when you are pregnant.
Why do you need to take extra care of your teeth during pregnancy?
Have an oral hygiene even more rigorous during the 9 months of pregnancy is important. There are several reasons for this. Here they are.
Nausea and acid regurgitation
During the first trimester of pregnancy, 57% of pregnant women report suffering from nausea and 26% of vomiting. And, at third trimester almost half of expectant mothers have acid reflux also called heartburn.
“This often results in poorer dental hygiene,” warns the dental surgeon. Because putting a toothbrush and toothpaste in your mouth can increase the risk of nausea. In addition, acid regurgitation promotes cavities. “
Fractional meals that prevent saliva from playing its protective role
To limit the risk of nausea or acid reflux, gynecologists and obstetricians often recommend that expectant mothers split their meals. Better 4 to 5 small snacks per day than three larger meals. Be careful, this splitting of meals is not without repercussions on the teeth. Indeed, “the splitting of meals is akin to nibbling, warns Dr. Lequart. As a result, saliva can no longer play its protective role. Without forgetting that pregnant women often also have an appetite for sweets! ”
Good oral hygiene: what to do?
Because of nausea, regurgitation, one does not rush on his toothbrush ! “At first, we rinse our mouth with clear water added with a teaspoon of bicarbonate, the latter neutralizing acids, advises the dental surgeon. Then we wait 40 minutes to brush our teeth. ”
If we practice meal splitting, we must also think about chewing sugarless gum after each food intake or brush your teeth.
Dental care during pregnancy: when to do it?
Pregnancy is not a contraindication to make an appointment with the dentist. However, “we avoid, except in an emergency, dental treatment in the first and third trimesters of pregnancy,” warns Dr. Christophe Lequart, dental surgeon, spokesperson for the French Union for Oral Health.
What are the reasons? “ In the first trimester the pregnant woman can suffer from nausea and, in the event of a miscarriage, one does not want, psychologically, it to be associated with dental care. In the last trimester of pregnancy, the position on the chair is not comfortable for the pregnant woman. There is compression of the vena cava, which can lead to syncope. Not to mention the stress of pain related to treatment, which can cause contractions », Explains the dental surgeon.
How to cure pregnant tooth decay or toothache
It is possible to seek treatment for a caries during pregnancy. “There are no contraindications to performing a local anesthesia to treat cavities during pregnancy, reassures Dr. Lequart. We can also devitalize the tooth, remove part of the nerve and put on an analgesic bandage. ”
Toothache: how to relieve pain?
“The only analgesic authorized for pregnant women is paracetamol, recalls the dental surgeon. It will be taken at the same doses and at the same frequency as in non-pregnant women. It can be completed with alcohol-free shower baths. ”
Can we do a dental x-ray when pregnant?
Locate a cavity hidden in a corner of the mouth, visualize the crowns teeth, roots… requires an x-ray.
“There is no problem in performing one on pregnant women, reassures the dental surgeon. The irradiated area is far from the fetus, and it is sufficient to limit the number of images. If necessary, we can install a lead apron to protect the belly of the mother-to-be. “
It should be noted that an X-ray with a digital sensor only corresponds to 4 hours of exposure to Sun.
Can we cure a wisdom tooth?
Ideally, better postpone the extraction of wisdom teeth afterdelivery. However, the wisdom tooth not being that wise, there can be unforeseen circumstances! “In case of extreme emergency, like a fractured wisdom tooth, we will perform the treatment, of course,” says the dental surgeon.
What does the dental examination consist of at 4 and a half months of pregnancy?
The oral examination of the pregnant woman, covered 100% by Health Insurance, has been offered since the end of 2013. Ideally, this exam is offered to the fourth month of pregnancy, but it can be done up to 12 days after childbirth. The consultation includes an oral examination, prevention, and oral hygiene advice for pregnant women but also their unborn baby (age of appearance of the first teeth, bottle-feeding syndrome, supplementation in fluorine…). If necessary, x-rays can be done, as well as the establishment of a treatment plan.
“As mothers-to-be are very attentive and receptive to advise, this consultation is ideal for delivering oral health messages,” says Dr. Lequart.
Pregnant woman: what to do about pregnancy gingivitis?
During the pregnancy, it is necessary to pay particular attention to its gums. Indeed, “there is an important impregnation of hormones, in particular of progesterone, explains the dental surgeon. This hormonal impregnation can lead to red, swollen gums, or even bleeding. ”
To limit the risk of gingivitis, it is important to perform a descaling annual at the dentist. “All the more so, since in the event of gingivitis existing before pregnancy, the gingivitis of pregnancy will be more important, warns Dr. Lequart. This is why it must be treated upstream. Otherwise, there is a risk of periodontitis with the destruction of the supporting tissues of the tooth, warns the dental surgeon. This periodontitisincreases the risk of premature delivery of a low birth weight baby, and preeclampsia. ”
How to treat pregnancy gingivitis?
In case of pregnancy gingivitis, ” it takes a rigorous brushing teeth twice a day, warns the dentist. And complete the latter by using the dental floss or some brush heads, and by the use of a specific toothpaste. You must also equip yourself with a ultra soft toothbrush or, better yet, a maternity toothbrush. There are some at Pierre Fabre (Inava brush) for example.
Moreover, and this is reassuring, the pregnancy gingivitisdisappears in the days or weeks after giving birth, phew!
Pregnancy and loosening of teeth
As for the adage ‘one baby, one less tooth’, it is unfounded! ” The loosening of teeth only occurs if gingivitis has not been treated before, ”says Dr. Lequart.
So, no more hesitation, we make an appointment with the dentist for a little check-up… Whether we have a baby project, whether we are pregnant … or not!