Local Anesthetics During Pregnancy If you're pregnant and need a filling, root canal, or tooth extraction, one thing you shouldn't worry about is the safety of any anesthetic medications your dentist may use during the procedure. In fact, they are safe for both you and your baby.
dental treatmentsduring pregnancy, such as tooth decay fillings and crowns, should be treated to reduce the likelihood of infection. If dental work is performed during pregnancy, the second trimester is ideal.
Once you reach your third trimester, it can be very difficult to lie on your back for an extended period of time. The use of most local anesthetics is considered safe during pregnancy. According to the American Dental Association, local anesthetics such as lidocaine can be used during pregnancy. If you need to do serious dental work, you should do it with as little anesthesia as possible.
However, there should still be enough to keep you comfortable. If you're in pain, it's OK to ask for more numbness. Oral health care, including having dental x-rays and receiving local anesthesia, is safe at any time during pregnancy. 1, 2 In addition, the American Dental Association and the American College of Obstetricians and Gynecologists (ACOG) agree that emergency treatments such as extractions, root canals, or restorations can be performed safely during pregnancy and that delaying treatment can lead to more complex problems, 1, 2 Although ACOG has a statement regarding the postponement of elective non-obstetric general surgery and some invasive procedures (e.g.
Periodontitis and Adverse Pregnancy Outcomes Further research is needed to determine the relationship between periodontitis and pregnancy outcomes; however, if periodontitis develops during pregnancy, scraping and root planing are recognized to be safe to perform, 1, 4 The ACOG oral care statement during pregnancy and throughout life1 states that “despite the lack of evidence of a causal relationship between periodontal disease and adverse pregnancy outcomes, treatment of maternal periodontal disease during pregnancy is not associated with any adverse outcomes in the mother or childbirth, and “periodontal therapy prenatal” is associated with improving maternal oral health. Mesa. Pregnancy Risk Categories12 for OTC Medicines Questions often arise about the use of medications by patients who are breastfeeding. Most package leaflets contain information related to use during breastfeeding.
The National Library of Medicine also provides a searchable database (LactMed) on this topic. Nitrous oxide is classified as a category C drug in the pregnancy risk group, which means there is a risk of fetal harm if administered during pregnancy. It is recommended that pregnant individuals, both patients and staff, avoid exposure to nitrous oxide, 17 The National Institute for Occupational Safety and Health (NIOSH), a federal agency affiliated with the Centers for Disease Control and Prevention, recommends the use of a system of elimination and exposure limits of N2O concentrations in dental operations of approximately 25 ppm during analgesia administration, 18 dental offices using nitrous oxide-oxygen can review best management practices on the Nitrous Oxide Oral Health Topic page. X-rays are considered safe for the pregnant patient, at any stage of pregnancy, when using abdominal and thyroid protection.
1 During pregnancy, people may be at increased risk for oral conditions, such as gingivitis and tooth decay, and should be advised by both their obstetrician and dentist on the importance of good oral hygiene during pregnancy.
Regular and emergency dentalcare, including the use of local anesthetics and x-rays, is safe at any stage of pregnancy. Resolved, that the following ADA Statement on Alcohol and Other Substance Use by Pregnant and Postpartum Patients be Adopted. Resolved, ADA Urge All Pregnant Women and Women of Childbearing Age to Have a Regular Dental Exam.
Resolved, that the ADA recognizes that preventive, diagnostic and restorative dental treatment to promote health and eliminate diseases is safe throughout pregnancy and is effective in improving and maintaining the oral health of the mother and her child. By including your dentist in the conversion, on time and often, you can help prevent or treat oral care problems that would otherwise have arisen. If you're waiting and nervous about going to the dentist, tell your dentist and hygienist your good news (even if it's not yet public knowledge). Dentists who are aware of the resumption of tobacco or illegal drug use by postpartum patients, or excessive alcohol consumption, are encouraged to recommend that the patient stop performing these behaviors.
However, there is no evidence to suggest harm to the baby for those who choose to visit the dentist during this time period. Many dentists are reluctant to perform dental treatment on a pregnant woman because of uncertainty about the effects of treatment on the mother and her fetus. A follow-up with your dentist can take place soon after birth, after you have recovered, and should be scheduled no later than your biannual checkup. They will give you advice on how to properly care for your teeth and gums during this particularly vulnerable period and, if you need dental treatment during pregnancy, make sure your dentist talks to your obstetrician before proceeding.
If you need to have an extraction, talk to your dentist and obstetrician about safe pain relievers and antibiotics. If you plan to have a baby, it's a good idea to make an appointment with your dentist before you start. However, most dentists are reluctant to provide, and most pregnant women are reluctant to receive dental treatment during pregnancy. Many dentists use lidocaine combined with epinephrine (another word for adrenaline), but I tend to avoid it for my patients who are pregnant.
By informing your dentist about your pregnancy as soon as possible, your dentist can provide you with a better roadmap and recommendations for your dental care during that time. Her dentist told her that she would have to wait until she gave birth, which distressed her because her tooth was bothering her and she shouldn't wait for another 2 months. Elective procedures, such as teeth whitening, cosmetic dentistry, and more complicated procedures, should be delayed until the baby is born. .
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