In the article, we consider dental implantation during pregnancy.
Implantation is a dental procedure for implantation of implants in the jaw bone of a patient with further prosthetics with crowns or removable dentures. The implant is a pre-prepared artificial structure that is inserted into the jaw tissue for further prosthetics. Implants become a replacement for the roots of lost teeth, which allows you to restore the dentition.
Actual problem
The problem of implantation in dentistry remains very relevant today. So, for example, congenital and acquired adentia is one of the common pathologies of the dentition, along with caries and periodontal diseases. According to various sources, only in our country 45-72% of people need orthopedic therapy, and in the world up to 70% of the population suffers from a similar problem. In recent years, an increasing number of mature and young people have suffered from adentia.
According to statistics, 84% of patients in dental clinics prefer fixed dental designs. Dental implants can provide a fairly predictable success, which has been confirmed by two decades of clinical trials, since implantation does not act as an initial therapeutic measure. As a result, the risks of complications are minimal.
There are many types of implants, but they all have a similar structure and consist of a neck, head and body.
The need for a procedure
Before the start of therapy, the dentist must determine the need for this procedure, as well as the possibility of placing the implant in a particular case, since such designs are not only for the implementation of chewing function and cosmetic effect, but are a preventive method of combating pathological changes in the dentofacial system. Therefore, their formulation should be reasonable and safe.
Dental implantation and pregnancy
Dental problems can occur in every woman during the gestation period. At this time, it is not recommended to subject the body to serious tests that pose a certain risk to the fetus, so experts are firmly convinced that pregnancy and dental implantation are completely incompatible. However, there is an exception to this rule, although it is associated with a high probability of complications. When is dental implantation indicated during pregnancy?
A tooth disease can occur completely imperceptibly and not cause anxiety in a woman, however, under the influence of hormonal changes associated with pregnancy, an exacerbation of the pathological process and tooth decay can occur. In such a case, it may be necessary to install an implant for a pregnant woman. Important reasons why this should be done is that by installing this design, the dentist will achieve the main result - eliminating the focus of inflammation. In addition, for many patients, the cosmetic effect is extremely important, for example, in cases where a woman, in connection with professional activities, is constantly in the social sphere or on television.
In most cases, experts do not recommend dental implants during pregnancy. It is advisable to postpone it to a more appropriate time - after childbirth. Nevertheless, in certain cases, this manipulation is still performed by expectant mothers, however, for this, good reasons and minimization of risks are needed.
Pros and cons
Given that the implant placement is considered an surgical intervention, which requires the use of certain medications, they try to carry it out before pregnancy or after childbirth. However, there are many cases where it is not possible to postpone dental implantation. In such a situation, the specialist must clearly understand whether it is possible to implant teeth during pregnancy in each individual case so as not to harm the mother and the unborn child.
The main problem is that this surgical procedure requires the use of x-rays and anesthesia. And the use of anesthetics is undesirable, therefore, it can be very difficult to choose a medicine because it is impossible to accurately predict the reaction of the woman’s body and the fetus to it.
Dental implants in early pregnancy are best avoided.
In the 2nd and 3rd trimesters, the procedure does not pose a particular danger, if we can talk about it after identifying all the shortcomings of this procedure. The wound that forms in the gum during surgery is very small and heals, as a rule, quite quickly. The period of absolute implantation of the implant is no different from the time of wound healing in the gums in other patients.
Is it possible to do dental implants during pregnancy, in each case it is better to check with the doctor.
Future mothers worry about the fact that a foreign body can negatively affect the state of the immune system and cause disturbances in the development of the fetus. In fact, this is not excluded. Despite the fact that modern dental implants are created so that they are maximally combined with the human immune system, it is completely impossible to take into account the individual characteristics of each organism.
The problem is also associated with x-ray radiation and the selection of medications, as well as their effect on the body of the mother and child. Therefore, if there is a substantial need for such an operation, it can be performed by women during pregnancy only in extreme, emergency cases.
Tooth implantation before pregnancy
Most often, such a problem is faced by those women who began carrying out the procedure for installing the implant before the moment of conception. The introduction of this design takes several months, during which they will take root to the tissues of the body. For this period, women are not recommended to plan a pregnancy.
Hazard assessment
If the conception still happened, but the implant was not fully installed, the specialist should assess the degree of probability of danger for the unborn baby. At the same time, the complexity of the implantation procedure is taken into account without fail, and at what stage this process is. If the dentist has little work left, the procedure can be completed in the early stages of pregnancy.
Thus, during pregnancy planning, dental implantation is not recommended.
Features of the operation
If a woman planned to have implants delivered, but she became pregnant during this period, then with a 90% probability the dentist will advise you to postpone this procedure to a later date, even though it is not particularly difficult in modern dentistry. Sometimes implant placement can be even more painless and easy.
However, in most cases, the use of potent medications can not be dispensed with, for example, the use of local anesthesia may be required. Means that are used in this case can adversely affect the process of fetal development, especially with regard to the initial stages of pregnancy. Moreover, after this procedure, an open wound will remain at the site of the artificial tooth. So that she quickly heals and a diverse infection does not get into her, specialists often prescribe anti-inflammatory and antibacterial therapy. You can do without these medications, but the risk of developing complications will be significantly higher.
Emergency implantation
Most often, dental implantation during pregnancy is carried out only in special cases. Planned activities are usually carried over to a safer and more convenient time. An emergency measure may be necessary in case of loss of a whole tooth or part of it, which provokes the occurrence of strong pain, and has a negative visual effect (which is secondary).
In this situation, many women are very nervous and often take painkillers, which harms the child. Therefore, if it seems possible, they still try to carry out emergency implantation of teeth. For example, for this, less traumatic methods can be applied without cutting the gums. With the right approach, the doctor can cope with similar work in one visit to the patient.
Authorized Medicines
Anti-inflammatory and antibacterial drugs during pregnancy are used only as a last resort, with the development of complications. Therefore, dental implantation in pregnant women is carried out without such therapy. Mandatory is the use of anesthetics, which are usually adrenaline-based drugs. Under their influence, pain is blocked, and bleeding stops. Adrenaline can cause an increase in uterine tone and an increase in blood pressure, which is quite dangerous for a future mother and can provoke an abortion.
Currently, in such cases, drugs with a minimum dose of adrenaline are used, which allows them to be used during pregnancy. The most popular drug in this group is considered to be Ultracain, which does not cross the placenta, and is therefore safe for the fetus. Also, this drug does not penetrate into breast milk and can be used in lactating women.
What do doctors advise on dental implants and pregnancy planning?
Dental Tips
Dentists strongly recommend that women carefully check their teeth before pregnancy. If there is a need for implantation, it must be completed before the onset of conception. Otherwise, the right moment will have to wait a long time.
You should not plan such a manipulation immediately after childbirth, since during this period the woman’s body is greatly weakened and any trauma, even a small incision on the gum, can overgrow for quite a long time and bring a lot of trouble. We should also not forget that implantation involves the use of antibacterial therapy, which is incompatible with lactation.
So, we figured out whether you can make teeth during pregnancy or not.
Summing up, we can say that such a procedure during this period is not recommended. It should be carried out after the birth of the baby, or even before conception.