Что делать, если болит зуб у беременной? Узнайте из нашей статьи!

Беременные женщины относятся к своему здоровью с особым вниманием. Заболевания способны негативно влиять не только на организм будущей матери, но и на плод, а медикаменты в данном случае можно использовать далеко не все.

Зубная боль часто заставляет беременных врасплох. Избавляться от нее нужно грамотно, так как многие лекарственные средства категорически не подходят женщинам, ожидающим появления малыша.

Что делать, если болит зуб у беременной?

Причины возникновения зубной боли у беременных

Содержание статьи

Случаи, когда до беременности зубные боли практически не беспокоили, а при вынашивании плода появились стоматологические проблемы – не редкость. Явление обусловлено изменениями в организме во время развития зародыша внутри него. Есть несколько распространенных причин болей при беременности:

1. Снижение иммунитета. Плоду требуется много витаминов и минералов. Когда женщина не потребляет достаточное количество витаминов и минералов при беременности, состояние ее иммунной системы ухудшается, так как большая часть малой дозы полезных веществ уходит на развитие плода. Женщины со слабым иммунитетом подвержены стоматологическим болезням, так как организм плохо борется с болезнетворными бактериями в ротовой полости.
2. Повышение кислотности ротовой полости. Кислотность повышается при токсикозе. Кислая среда неблагоприятна для зубов и десен.
3. Дефицит кальция. Кальций – вещество, которое необходимо плоду. С его помощью образуется костная и другие ткани. Если в организм беременной не попадает достаточное количество кальция, состояние ее зубов ухудшится, так как плод «забирает» необходимую дозу для своего развития.

Зубная боль может быть вызвана снижением иммунитетом

Важно! При беременности не только появляются новые стоматологические проблемы, но и обостряются уже имеющиеся заболевания. Если до зачатия были болезни зубов, которые не были вылечены, при вынашивании плода они могут дать о себе знать.

Возможные заболевания

При беременности может возникнуть любое из стоматологических заболеваний. К ним относятся:

1. Кариес. Пораженный кариесом зуб постепенно темнеет и разрушается, а его чувствительность повышается.

   Фазы кариеса

2. Стоматит. Заболевание характеризуется появлением небольших язв на слизистых оболочках ротовой полости.
3. Пульпит. Заболевание возникает из-за игнорирования лечения кариеса. Боль из-за инфицирования нерва – основной симптом.

   Стадии пульпита

4. Гингивит. Кровоточивость десен, увеличение их объема и их высокая чувствительность – основные симптомы заболевания.
5. Пародонтит. Болезнь характеризуется воспалением тканей пародонта. Симптомы: кровоточивость десен, их мягкость и чувствительность.
6. Периодонтит. При этом заболевании беспокоит ноющая боль в области определенного зуба. Если лечение долгое время откладывалось, возникает воспаление, сопровождающееся выделением гноя и припухлостью десны.

   Возникновение периодонтита

Важно! Поставить точный диагноз можно в кабинете стоматолога, так как симптомы некоторых заболеваний схожи.

Принципы лечения в зависимости от триместра

У каждого периода беременности есть свои особенности. Следовательно, нужно учитывать триместр перед началом лечения:

1. Первый. Период неблагоприятен для лечения. Плод не защищен, а его важные органы активно развиваются. Даже разрешенные медикаменты способны плохо повлиять на маленький организм, поэтому в первом триместре желательно использовать только безопасные средства, подходящие для местного использования.
2. Второй. Период подходит для лечения зубов в больнице и использования обезболивающих медикаментов. Плацента защитит плод от веществ, находящихся в препаратах.
3. Третий. Посещать стоматолога не рекомендуется, так как волнение может спровоцировать преждевременные роды. Обезболивающие принимать можно.

Второй период беременности подходит для лечения зубов в больнице и использования обезболивающих медикаментов

Внимание! При сильном токсикозе стоит отказаться от посещения кабинета стоматолога.

Лечение

Если до посещения кабинета стоматолога несколько часов или дней, но боль сильная и не перестает о себе знать, нужно использовать обезболивающие препараты, указанные в таблице.

Важно! Во втором столбце указана максимальная суточная доза. Обязательно проконсультируйтесь с доктором перед приемом обезболивающего.

Если боль слабая, или нельзя использовать обезболивающие препараты, можно применить мази, предназначенные детям, у которых появляются молочные зубы:

• Калгель;
• Дентинокс;
• Камистад;
• Пансорал;
• Холисал.

Любым из этих средств нужно смазывать десны по мере необходимости. Они нетоксичны и безопасны.

Видео — Можно ли лечить зубы во время беременности?

Народные средства для устранения зубной боли

Справиться с зубной болью при беременности помогают и народные средства:

1. Примочка с пихтовым маслом. Пропитайте небольшой кусочек ваты пихтовым маслом и удерживайте его в течение часа рядом с больным зубом.
2. Присыпка из сухой гвоздики. Возьмите одну большую ложку приправы и насыпьте ее на зуб и десну. После того, как боль станет менее выраженной, можно удалять гвоздику.
3. Солевое полоскание. Растворите в стакане кипяченой воды две больших ложки соли. После того, как раствор остынет, наберите в ротовую полость его часть и выдержите в течение минуты. Затем прополощите рот и повторяйте манипуляции до тех пор, пока раствор не закончится. В день нужно использовать три стакана раствора.

   Солевое полоскание — это безопасное средство в устранение зубной боли при беременности

4. Ромашковое полоскание с содой. Возьмите три маленьких ложки аптечной ромашки и залейте стаканом кипятка. Процедите настой, когда он остынет, и используйте его так же, как солевой.
5. Чесночная кашица. Измельчите головку чеснока так, чтобы он выделял сок. Наложите кашицу на зуб и десну. Выдержите пятнадцать минут.
6. Компресс из сала. Отрежьте небольшой кусочек соленого свиного сала и наложите на больной зуб. Время выдержки – двадцать минут.
7. Компресс из подорожника. Мелко нарежьте три средних листа подорожника и получите из них сок. Вотрите его в десну рядом с больным зубом, после чего наложите на нее целый лист растения. Лист нужно вынимать через половину часа.
8. Свекольный компресс. Возьмите большую ложку свекольной кашицы и наложите ее на больной зуб. Удалите компресс через пятнадцать минут.
   

   Свекольный компресс — эффективное средство в лечении зубной боли

Внимание! Все компрессы, присыпки и накладки нужно использовать по мере необходимости, то есть, когда зуб начинает сильно болеть.

Ошибки при лечении

Некоторые меры, которые принято считать полезными, принимать крайне не рекомендуется. Обратите внимание на распространенные ошибки:

1. Наложение Аспирина на десну. Таблетка эффективна, но у нее агрессивное воздействие. В данном случае велик риск возникновения ожога десны.
2. Прием алкоголя. Во-первых, после того, как он перестанет действовать, боль только усилится. Во-вторых, спиртосодержащие напитки крайне негативно влияют на организм беременной и плода.
3. Наложение грелки на щеку. После этой манипуляции воспалительные процессы беспокоят еще сильнее.
4. Употребление меда. Не используйте народные средства, в составе которых есть этот продукт, так как он лишь способствует развитию кариеса.
5. Полоскание рта холодной водой и приложение льда к щеке. Такие действия приводят к осложнениям, влекущим за собой опасные последствия.

Не рекомендуется прикладывать лед к щеке так, как такие действия приводят к осложнениям

Внимание! Также не рекомендуется нажимать руками на десны и жевать на больной стороне. Тщательно мойте руки перед тем, как прикоснуться к больному зубу или десне.

Профилактика

Чтобы зубная боль не беспокоила во время беременности, следует принимать эти меры:

1. Осмотр у стоматолога до зачатия. Перед тем, как планировать беременность, нужно удостовериться в отсутствии болезней зубов и десен. Уже имеющиеся заболевания необходимо вылечить.
2. Употребление витаминов и минералов. Желательно не только улучшать рацион питания, но и использовать витаминно-минеральные комплексы.
3. Отказ от некоторых продуктов питания или их употребление в малом количестве. Кофе, сладости, кислые ягоды и фрукты, газировка – все это портит зубную эмаль и способствует развитию кариеса.
4. Отказ от сигарет. Во-первых, курение крайне негативно влияет на зубы и десны. Во-вторых, плохо сказывается на здоровье плода и матери.
5. Соблюдение гигиены полости рта. Необходимо хорошо очищать ротовую полость два раза за сутки. Помимо этого, нужно полоскать рот после приема пищи и использовать специальные дополнительные средства для ухода, если зубы и десна слабые.

Как правильно соблюдать гигиену полости рта

Важно! К профилактическим мерам можно отнести тщательное мытье фруктов, ягод и овощей перед употреблением, а также очищение столовых приборов и мытье рук перед едой. Все эти манипуляции препятствуют проникновению в ротовую полость вредных микроорганизмов, которые провоцируют появление заболеваний.

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Some plans cover extra dental cleanings during pregnancy. 90074 90071 90072 Limit sugary foods and carbohydrates.90073 Snack on healthy foods like raw vegetables, whole-wheat crackers, and fruit. 90074 90087 90002 The good news is that dental issues arising during pregnancy are often short-lived and improve after giving birth — when your hormone levels return to normal. 90003 90002 You can not control the changes your body undergoes during pregnancy, but you can control how well you take care of your teeth. Schedule regular dental cleanings during pregnancy and tell your dentist about any tooth pain. 90003.90000 Pregnancy and teeth — Better Health Channel 90001 90002 Pregnancy can lead to dental problems in some women, including gum disease and increased risk of tooth decay. During pregnancy, your increased hormones can affect your body’s response to plaque (the layer of germs on your teeth). 90003 90002 Pregnancy does not automatically damage your teeth. 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If dental x-rays are unavoidable, the dentist can take precautions to ensure your baby’s safety. If your dental condition requires general anaesthesia or medications, talk to your dentist, doctor or obstetrician for advice. 90003 90008 Causes of dental health problems 90009 90002 Common causes of dental health problems during pregnancy can include: 90003 90018 90019 gum problems 90020 90019 vomiting 90020 90019 cravings for sugary foods 90020 90019 retching while brushing teeth.90020 90025 90046 Gum problems 90047 90002 The hormones associated with pregnancy can make some women susceptible to gum problems including: 90003 90018 90019 gingivitis (gum inflammation) — this is more likely to occur during the second trimester. Symptoms include swelling of the gums and bleeding, particularly during brushing and when flossing between teeth 90020 90019 undiagnosed or untreated periodontal disease — pregnancy may worsen this chronic gum infection, which is caused by untreated gingivitis and can lead to tooth loss 90020 90019 pregnancy epulis or pyogenic granuloma — a localised enlargement of the gum, which can bleed easily.This may require additional professional cleaning, and rarely excision. 90020 90025 90002 During pregnancy, the gum problems that occur are not due to increased plaque, but a worse response to plaque as a result of increased hormone levels. 90003 90002 Tell your dentist about any gum problems that you might have. Switch to a softer toothbrush and brush your teeth regularly, at least twice every day. Use toothpaste that contains fluoride (if you’re not already doing so) to help strengthen your teeth against decay.90003 90002 If you have gum problems during pregnancy, it is important to get your gums checked by a dentist after you have given birth. While most types of gum problems caused by pregnancy hormones resolve after birth, a small number of women may have developed a deeper level of gum disease that will need treatment to resolve. 90003 90046 Vomiting can damage teeth 90047 90002 Pregnancy hormones soften the ring of muscle that keeps food inside the stomach. Gastric reflux (regurgitating food or drink) or the vomiting associated with morning sickness can coat your teeth with strong stomach acids.Repeated reflux and vomiting can damage tooth enamel and increase the risk of decay. 90003 90002 Suggestions include: 90003 90018 90019 Avoid brushing your teeth immediately after vomiting. While the teeth are covered in stomach acids, the vigorous action of the toothbrush may scratch the tooth enamel. 90020 90019 Rinse your mouth thoroughly with plain tap water. 90020 90019 Follow up with a fluoridated mouthwash. 90020 90019 If you do not have a fluoridated mouthwash, put a dab of fluoridated toothpaste on your finger and smear it over your teeth.Rinse thoroughly with water. 90020 90019 Brush your teeth at least an hour after vomiting. 90020 90025 90046 Retching while brushing teeth 90047 90002 Some pregnant women find that brushing their teeth, particularly the molars, provokes retching. However, you risk tooth decay if you do not brush regularly. 90003 90002 Suggestions include: 90003 90018 90019 Use a brush with a small head, such as a brush made for toddlers. 90020 90019 Take your time. Slow down your brushing action.90020 90019 It may help to close your eyes and concentrate on your breathing. 90020 90019 Try other distractions, such as listening to music. 90020 90019 If the taste of the toothpaste seems to provoke your gag reflex, switch to another brand. Alternatively, brush your teeth with water and follow up with a fluoridated mouthwash. Go back to brushing with fluoridated toothpaste as soon as you can. 90020 90025 90008 Food cravings while pregnant 90009 90002 Some women experience unusual food cravings (and food avoidance) while they are pregnant.A regular desire for sugary snacks may increase your risk of tooth decay. Try to snack on low-sugar foods instead. 90003 90002 If nothing but sweetness will satisfy your craving, try to sometimes choose healthier options such as fresh fruits. Rinse your mouth with water or an alcohol-free mouth rinse, or brush your teeth after having sugary snacks. 90003 90008 Increase your calcium during pregnancy 90009 90002 You need to increase your daily amount of calcium during pregnancy. Sufficient calcium will protect your bone mass and meet the nutritional needs of your developing baby.90003 90002 Good sources of dietary calcium include products such as: 90003 90018 90019 milk 90020 90019 cheese 90020 90019 unsweetened yoghurt 90020 90019 calcium-fortified soymilk. 90020 90025 90008 Increase your vitamin D during pregnancy 90009 90002 Vitamin D helps the body to utilise calcium. Good sources include: 90003 90018 90019 cheese 90020 90019 fortified margarine 90020 90019 fatty fish, such as salmon 90020 90019 eggs. 90020 90025 90008 Where to get help 90009 90018 90019 Your dentist 90020 90019 Australian Dental Association.Tel (02) 8815 3333 90020 90019 Community dental clinic — to find your local community clinic, tel. 1300 360 054 or search by postcode 90020 90019 The Royal Dental Hospital of Melbourne: 90018 90019 General enquiries or appointments Tel. (03) 9341 1000 or 1800 833 039 (outside Melbourne metro) 8.30 am to 5 pm, Monday to Friday 90020 90019 Dental emergencies Tel. 1300 360 054, 8.00 am to 8.30 pm, Monday to Friday, 8.30 am to 8.00 pm weekends and public holidays 90020 90025 90020 90019 Your GP or obstetrician 90020 90025 90002 90003 90002 90008 Content Partner 90009 90003 90002 This page has been produced in consultation with and approved by: Australian Dental Association Victorian Branch 90003 90002 Last updated: February 2018 90003 90002 Content on this website is provided for information purposes only.Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances.The State of Victoria and the Department of Health & Human Services shall not bear any liability for reliance by any user on the materials contained on this website. 90003 .90000 Bleeding gums during pregnancy | BabyCenter 90001 90002 Is it normal to have bleeding gums during pregnancy? 90003 90004 About half of pregnant women have swollen, red, tender gums that bleed when flossed or brushed. This gum inflammation is pregnancy gingivitis, a mild form of gum disease. Pregnancy gingivitis is partly caused by hormonal changes that make your gums more sensitive to the bacteria in plaque. 90005 90004 You may also develop a small lump or nodule on your gums that bleeds when you brush.This relatively rare lump is called a pregnancy tumor or pyogenic granuloma — scary names for something that’s harmless and usually painless. Pregnancy tumors can actually pop up anywhere on your body during pregnancy, but they show up most often in the mouth. 90005 90004 A pregnancy tumor on the gums can grow to up to three-quarters of an inch and is more likely to appear in an area where you have gingivitis. It typically disappears after you have your baby, but you’ll need to have it removed if it does not.You can also have it removed while you’re pregnant if it’s uncomfortable, interferes with chewing or brushing, or starts to bleed too much. 90005 90002 Can pregnancy gingivitis affect my developing baby? 90003 90004 Pregnancy gingivitis is unlikely to be harmful to you or your baby, especially if you practice good dental hygiene. You may have heard that gum disease can cause preterm labor, but that’s only a potential risk for women with severe gum disease. 90005 90004 And although some studies suggest a link between severe gum disease and preterm birth, low birth weight, and even preeclampsia, other studies show no relationship between gum disease and these serious complications.90005 90002 How should I take care of my teeth and gums during pregnancy? 90003 90004 Start with good oral hygiene: 90005 90020 90021 Brush thoroughly but gently at least twice a day (after every meal if possible), using a soft-bristled brush and toothpaste with fluoride. 90022 90023 90020 90021 Floss daily. 90022 90021 Consider using a fluoridated, alcohol-free mouth rinse. 90022 90023 90004 Also, see your dentist regularly for preventive care. Your dentist or periodontist can remove plaque and tartar that brushing can not.If you have not seen your dentist recently, schedule an appointment now for a thorough cleaning and checkup. Let your dentist know that you’re pregnant and how far along you are. 90005 90004 If it’s early enough in your pregnancy, you’ll probably want to be seen once more before your baby is born — or even more often if you already have gum disease because it’s likely that pregnancy will make the problem worse. 90005 90004 Do not put off getting treatment for dental problems. If necessary, local anesthetics such as lidocaine are safe to use throughout pregnancy.Similarly, if you need to take antibiotics, drugs are available that are safe to take during pregnancy. 90005 90002 When should I call my dentist about bleeding gums during pregnancy? 90003 90004 In addition to your regular checkups, call your dentist right away if you have: 90005 90020 90021 A toothache 90022 90021 Painful gums that bleed frequently 90022 90021 Other signs of gum disease, like swollen or tender gums, receding gums, persistent bad breath , or loosening teeth 90022 90021 Growths in your mouth, even if they’re not painful or causing any other symptoms 90022 90023 90004 90051 Learn more: 90052 90005 90004 Excessive salivation during pregnancy 90005 90004 Hair and nail changes during pregnancy 90005 90004 Surprising pregnancy side effects 90005 .90000 Teeth and gums in pregnancy 90001 90002 Some women get swollen and sore gums, which may bleed, during pregnancy. Bleeding gums are caused by a build-up of plaque on the teeth. 90003 90002 Hormonal changes during pregnancy can make your gums more vulnerable to plaque, leading to inflammation and bleeding. This is also called pregnancy gingivitis or gum disease. 90003 90002 Find out more about treating gum disease. 90003 90002 Your dentist will be able to help with this.Dental care is free during pregnancy and until 1 year after your due date. 90003 90002 To get free dental care, you need to apply for a maternity exemption certificate (MatEx). Ask your doctor, nurse or midwife for form FW8. You complete parts 1 and 2 of the form, and your doctor, midwife or nurse signs it to confirm that the information you’ve given is correct. 90003 90002 Find an NHS dentist near you. 90003 90014 Keeping teeth and gums healthy in pregnancy 90015 90002 It’s very important to keep your teeth and gums clean and healthy while you’re pregnant.The best way to prevent or deal with gum problems is to practise good oral hygiene. 90003 90002 Go to the dentist so they can give your teeth a thorough clean and show you how to keep your teeth clean at home. 90003 90002 Here’s how you can look after your teeth and gums: 90003 90022 90023 Clean your teeth carefully twice a day for 2 minutes with a fluoride toothpaste — ask your dentist to show you a good brushing method to remove plaque. 90024 90023 Floss once a day to remove small bits of food from between your teeth, which will help to prevent the build-up of plaque.90024 90023 Brushing is best with a small-headed toothbrush with soft filaments — make sure it’s comfortable to hold. 90024 90023 Avoid having sugary drinks (such as fizzy drinks or sweet tea) and sugary foods too often — try to keep them to meal times. 90024 90023 If you’re hungry between meals, snack on foods such as vegetables, fresh fruit or plain yoghurt, and avoid sugary or acidic foods (find more healthy snack ideas). 90024 90023 Avoid mouthwashes that contain alcohol. 90024 90023 Stop smoking, as it can make gum disease worse.90024 90023 A daily salt rinse (1 teaspoon of salt added to a cup of warm water) can help reduce gum inflammation. Swirl the wash around your mouth a few times before spitting it out (do not swallow). 90024 90039 90002 If you have morning sickness (nausea and vomiting), rinse your mouth with plain water after each time you are sick. This will help prevent the acid in your vomit from damaging your teeth. 90003 90002 Do not brush your teeth straight away as they will be softened by the acid from your stomach.Wait about an hour before brushing. 90003 90002 Find out more about the symptoms of gum disease. 90003 90014 Dental treatments to avoid in pregnancy 90015 90002 When you go to the dentist, make sure they know you’re pregnant. 90003 90002 Discuss with your dentist whether any new or replacement fillings should be delayed until after your baby is born. The Department of Health and Social Care advises that amalgam fillings should not be removed during pregnancy. 90003 90002 If you need a dental X-ray, your dentist will usually wait until you’ve had your baby, even though most dental X-rays do not affect the tummy (abdomen) or pelvic area.90003 90002 Find out more about caring for your teeth and gums, including check-ups and brushing. 90003 90002 Page last reviewed: 19 August 2019 90057 Next review due: 19 August 2022 90003 .