Recently, the circle of friends turned up “pregnant women toothache without medicine how to cure” the “magic trick”: bite tight ginger to stop toothache; MSG water gargle to stop toothache; containing a pepper to stop toothache; containing mint tablets to stop toothache; garlic tablets on the gums to stop the pain; concentrated salt water gargle. Are these methods reliable?
”The first five methods may be able to distract from the pain, but does not play a therapeutic role, and is not worth promoting. And concentrated salt water with anti-inflammatory effect, gargle with it can occasionally for, but because it contains a lot of sodium chloride, sodium intake more, is not good for health, especially for patients with high blood pressure and other diseases, so can not be used for a long time.” The deputy director of the Department of Stomatology of Hangzhou First People’s Hospital, Dr. Wang Yongwu, chief physician, analyzed.
Pregnant women are a high incidence of oral diseases
Pregnant women are more likely to suffer from oral diseases than normal people. But it is understood that most of the pregnant women who come to the daily clinic suffer from serious oral diseases, such as suffering from severe pericoronitis of wisdom teeth leading to multi-gap infection; or suffering from pregnancy gingivitis, gingival tumors leading to oral bleeding; and because of the fear of treatment of dental caries leading to apical abscesses; as well as having periodontitis aggravated leading to severe loosening of teeth and multiple periodontal abscess formation; and so on.
”Most of the pregnant women we see come to the clinic only because they can’t stand it, not only the patient’s pain is aggravated and the treatment effect is poor, but also the health of the fetus is easily affected.” Wang Yongwu said.
Why pregnant women are more likely to suffer from oral diseases? According to Wang Yongwu analysis, there are the following four reasons.
The first is related to the pregnancy diet. After pregnancy, pregnant women will eat more often, and prefer acidic food, coupled with physical inconvenience, easy to ignore oral hygiene care, resulting in the increase of plaque on the surface of the teeth, which leads to dental caries and periodontal disease.
Secondly, the endocrine situation changes after pregnancy, which will also increase the probability of tooth decay and periodontal disease. For example, during pregnancy, certain hormones produced by pregnant women will cause the blood vessels in their gums to proliferate, resulting in increased permeability of their blood vessels and making them prone to gum redness and swelling, and this gum redness and swelling will gradually increase with the accumulation of plaque, forming gingivitis during pregnancy and even turning into septic granuloma (known as gestational tumor). In addition, due to low blood sugar and excessive secretion of chorionic gonadotropin by the placenta, pregnant women may experience acid vomiting, and acid vomiting will cause decalcification of their teeth, and the corroded teeth will be easily infected by bacteria to form tooth decay.
Furthermore, pregnant women often have emotional tension, anxiety, lack of sleep, etc., which also easily cause periodontal tissue inflammation and form periodontal disease, such as gingivitis during pregnancy. Pregnant women who had gingivitis before pregnancy may have their gingivitis symptoms aggravated after pregnancy. Pregnant women who have a smoking habit usually have more severe gingivitis symptoms and may even develop periodontal pockets, which may also lead to loosening of their teeth. Some pregnant women with severe periodontitis will have an increased risk of preterm delivery and low birth weight babies.
In addition, some pregnant women are influenced by the old concept that they often do not brush their teeth during pregnancy, do not pay attention to oral hygiene, and do not treat wisdom tooth periodontitis in a timely manner, resulting in the spread of inflammation causing multiple interstitial infections in the oral and maxillofacial areas, which in severe cases leads to sepsis and other systemic infections that endanger the life of the fetus and the mother.
Oral examination and health care treatment synchronized
Wang Yongwu pointed out that pregnant women to maintain oral health, must start from the following two points.
First, regular oral examination and health care treatment should be carried out before pregnancy. Since the safety period of oral treatment during pregnancy is very short (the best time for pregnant women to treat dental caries and gingivitis is the middle of pregnancy, that is, 4-6 months of pregnancy, for safety reasons, the treatment of oral diseases in early and late pregnancy can be mainly to relieve the pain of pregnant women, and the perfect treatment can continue until the middle of pregnancy or after delivery), pregnant women should go to the regular hospital for comprehensive oral examination and health care treatment in time before pregnancy, including the treatment of dental caries and periodontal diseases. Including treatment of dental caries and periodontal disease; thorough scaling (commonly known as scaling); extraction of teeth that cannot be preserved such as residual roots, residual crowns and recurrent inflammation of obstructed teeth; removal of bad prosthetic dentures and restoration; restoration of missing teeth, etc.
In addition, oral health care should be paid attention to during pregnancy. For example, insist on brushing teeth in the morning and evening and rinsing mouth after meals. The purpose of brushing teeth is to remove plaque at any time, and removing plaque is a fundamental measure to maintain oral health. Pregnant women can choose a health care toothbrush with a small brush head or floss regularly to clean the plaque on the adjacent surface of the teeth because of the local sensitivity of the mouth. In choosing toothpaste, fluoride toothpaste should be used to effectively prevent the occurrence of tooth decay. In addition, we should eat less cariogenic food and follow the scientific principle of sugar intake, brush teeth after eating sweets, and eat less or no snacks.
Pre-pregnancy oral examination tips Q & A
Q：When to prepare for oral examination before pregnancy?
A：With or without pregnancy, you should have an oral examination every six months, especially for pre-pregnant women, it is best to have an oral health examination from 3 to 6 months before pregnancy.
Q：Does the radiation index of the oral examination taking dental film affect pregnancy?
A: X-rays are the basic guarantee for correct diagnosis and successful treatment of oral diseases. Studies have shown that the amount of radiation received by the uterus during the taking of oral panoramic radiographs is far below the minimum that may cause abnormal development of the embryo. The damage to the embryo caused by dental radiation is negligible when 1-4 dental films are routinely taken.
However, X-ray exposure should be avoided during the 1st-3rd months of pregnancy and during the 7th-9th months unless it is necessary in an emergency, and X-ray exposure can be performed under protective measures during the 4th-6th months of pregnancy.