Dental Considerations During Pregnancy

During the first trimester is the most crucial time when the baby’s organs are developing. It is suggested that ‘elective’ treatments be delayed until the SECOND trimester to do any invasive dental work. Dental work is also advised to be delayed during the third trimester due to potential discomfort sitting in the chair for long periods of time. In addition, The sitting back position might put pressure on the lower abdomen and potentially block blood flow.

Most dental anesthetics are considered safe in small doses for pregnant women.  Citanest, as a vasoconstrictor, should be avoided, as it could induce labor.

Antibiotics such as penicillin, amoxicillin and clindamycin are acceptable, however, tetracycline should be avoided, as it has been shown to potentially be responsible for discoloration of both child’s as well as permanent teeth. Metronidazole has teratogenic potential (may cause birth defects) and should be avoided.

Pain killers such as aspirin and ibuprofen, may induce allergies in the fetus and are therefore, NOT recommended. Any type of sedatives or hypnotics are also to be avoided.

Avoid x-rays. If you need x-rays, use a double lead protection (abdominal as well as thyroid collars) and if possible use digital x-rays as they minimize radiation exposure.

Dr. LaFrom suggests that dental cleanings are recommended during pregnancy to avoid gingivits, which is swollen gums, a condition that often occurs during pregnancy.

~ by cupertinodentist on March 27, 2010.

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