You’re pregnant and you are already dealing with so many changes in your body. On top of everything else, you have to worry about changes in your mouth and maintaining oral health. The two big concerns for an expecting mother are gingivitis due to rising hormone levels that cause gums to swell, and increased risk of tooth decay, largely due to increased intake of carbs and acid from morning sickness.
Besides talking to your doctor about a better diet and rinsing your mouth after morning sickness, you should definitely continue and possibly increase your routine visits to your dentist during this time. Oral infections like gum disease have been linked to preterm birth. Definitely mention what stage of pregnancy you are in when you make your appointment. And, keep in mind, it’s always better to prevent an issue than to have to repair permanent tooth loss due to gingivitis and tooth decay.
Is Anesthesia Safe?
The bigger question on the minds of expectant mothers is about local anesthetic for procedures like root canals or crowns that may have been needed prior to finding out they were pregnant. It’s perfectly safe. More often, however, mothers-to-be will wait to do this type of work during the second trimester versus the first and third. They avoid the first just to be cautious and ensure that the pregnancy is safe and stable. They avoid the third due to comfort. Dental chairs may not be so easy to sit in for long periods of time during this stage. Lidocaine is typically used for numbing and is a category B drug. Some patients require antibiotics as well. Penicillin for example, is a category B medication as well and is deemed safe during second trimester.
What About X-rays?
The second most asked question is if x-rays will harm the fetus. These are sometimes needed, especially during an emergency situation. As long as you are protected with a leaded apron you and the fetus are safe. According to the ADA, having dental x-rays during your pregnancy is considered safe with appropriate shielding.
Proper Communication
In any case, it’s extremely important that you tell your dentist what stage of pregnancy you are in and create a preventative plan for cleanings. Staying on top of your oral care is the best thing to do. But, if you do find yourself in a situation where you need additional work, don’t avoid it! Dr. Russell will work with you to create the best plan possible. It should be noted that most dentists will likely ask you to first obtain a signed letter from you OB/GYN authorizing treatment.
Stay on top of your own personal care while you are pregnant. A healthy mom makes for a healthier baby. Contact our family dentist practice in Annapolis to schedule your appointment today.