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Tooth brushing during pregnancy

, medical expert
Last reviewed: 19.11.2021
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Regular cleaning of teeth during pregnancy - in the morning and before bedtime, a soft brush with toothpaste, the use of dental floss (once a day), antibacterial rinsing agents for the oral cavity is very important.

But do we need a cleaning from dental plaque, which is carried out by dentists? And, most importantly, can it be made pregnant?

Indications and contraindications for cleaning teeth during pregnancy

First, it should be recalled how the state of teeth and gums varies during the period of gestation. Increasing the level of hormones during pregnancy - particularly estrogen and progesterone - affects virtually all the body systems of a woman, and the oral cavity is no exception. Because of the excess of hormones and increasing the volume of circulating blood, almost half of the pregnant women swell and bleed gums. Specificity of enzyme production during gestation leads to the fact that every third pregnancy increases saliva production, which contributes to the formation of a plaque on the tooth enamel.

According to experts, the physiological reduction of the body's defenses often leads to the development of so-called gingivitis of pregnant women, problems with periodontal tissues (periodontitis), increased mobility of teeth (in some people in the last trimester of pregnancy the interdental spaces become wider).

In women with early toxicosis frequent vomiting can destroy the enamel of the back of the front teeth: the acid of the gastric juice, getting into the mouth, significantly increases the level of acidity in it. That's why doctors recommend after vomiting to vomit to neutralize the acid rinse your mouth with soda solution (200 ml teaspoon baking soda).

As you can see, all these factors contribute to the intensive deposition of soft plaque, and in some cases - and tartar. And this is the main indication for brushing your teeth during pregnancy, that is, dental plaque removal.

Many dentists claim that this procedure can be carried to pregnant women and even useful. But the presence of hardened deposits on the neck of the teeth (tartar) negatively affects the condition of the periodontal, as it gradually spreads into the gum pockets, flaking the gum tissue from the teeth. You can not argue about the harm of dental plaque, but in the use of professional teeth cleaning during pregnancy, doubts arise, otherwise future mothers would not ask whether there are any contraindications to brushing your teeth during pregnancy. And there are indeed contraindications ...

Removal of calculus and soft deposits on the surface of the teeth is done in several ways. Mechanical (hand tool) and chemical pregnant are not offered: the first - due to possible damage to the gums and infection, the second - due to the presence of chemical compounds in hydrochloric acid, chloroform and iodine.

Ultrasonic cleaning of teeth during pregnancy

But ultrasonic teeth cleaning during pregnancy is positioned as a method that is absolutely safe for the health of the mother and fetus, because "the procedure does not require anesthesia and passes without using any medications." However, if you need to remove tartar located under the gum, then anesthesia is used (simply not all clinics on their Internet pages report this).

In addition, after the destruction of the calculus, enamel on the teeth is polished, and then fluorinated with the application of special preparations. Most often, it is Ftorlak, which includes sodium fluoride, fir balsam and chloroform. The ingestion of excessive amounts of sodium fluoride (like any fluoride compound) can cause allergic reactions, as well as lead to a violation of thyroid function (hyperthyroidism) and damage to the pineal gland (pineal gland of the brain). Most of all, this substance is dangerous for kidney failure and diabetes.

There may also be bleeding gums (and in many pregnant women it is already present) and hyperesthesia of the teeth (hypersensitivity).

Contraindications to tooth cleaning ultrasound are various orthopedic structures and dental implants; acute forms of acute respiratory disease, chronic bronchitis and asthma; hepatitis, tuberculosis and HIV; severe diabetes mellitus; oncological pathologies of any localization, as well as pregnancy.

The American Pregnancy Association recommends avoiding serious dental procedures during pregnancy. During the first trimester of pregnancy, the fetal organs are laid and developed, and the fetus is very sensitive to external influences on the mother's body. Approximately after the 20th week of pregnancy, women should not lie for a long time on their backs: this can put pressure on large blood vessels and disrupt blood flow in the placenta. And in the second half of the third trimester there is a certain risk of premature birth, because the uterus quickly enters into tone with the slightest external influence or excitement of a pregnant woman.

Cleaning the teeth during pregnancy is necessary, and with a soft coating on the teeth can be coped with tooth powder (instead of paste) and rubbing the surface of the teeth with a solution of the same baking soda. And about the removal of calculus is better to handle after the birth of a child.

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