Original | Pregnancy
There is no small matter of dental problems during pregnancy, and pregnant mothers must pay attention to it.
@ Nanguo Morning Post At the end of March, a news report was reported that a mother who was more than 9 months pregnant in Nanning, Guangxi Province, died of a serious infection due to periodontal disease, and both the mother and the baby died.
On the day of the incident, Mr. Li took Ms. Lei, who was 9 months pregnant, to the hospital for treatment and waiting for delivery.
Before being admitted to the hospital, Ms. Lei had been plagued by toothache and fever for a week, during which she also visited 4 hospitals in the city.
Diagnosed by the hospital: Ms. Lei has bilateral submandibular space infection, right lower wisdom teeth impact, pericoronitis, sepsis and other pathologies.
Mr. Li's initial idea was to ask the hospital to see if he could have a child and then treat his wife's oral disease.
But the doctor said: You can't be born if you want to, you have to look at the results of the examination.
But just after a series of examinations, Ms. Lei suddenly failed, and after being rescued by doctors, Ms. Lei died because the rescue was ineffective.
Although the baby in the abdomen was born with the help of a doctor, his breathing was weak after birth, he did not breathe spontaneously, and he was eventually rescued.
Afterwards, the doctor told Mr. Li that the cause of Death for Ms. Lei was sepsis.
Overnight, after the loss of a loved one, Mr. Li was in pain, and he did not understand why a small dental disease could have the serious consequences of the death of both adults and children!
After the tragedy, Mr. Li took his wife to court at the 5 hospitals where he had received his wife, and the court ruled that Ms. Lei should bear 60% of the responsibility herself, because of her lack of maternal health knowledge, insufficient attention to the harmful consequences of dental disease, and the failure to choose medical treatment earlier and in a targeted manner.
Hospitals are 40% responsible for failing to develop a comprehensive and systematic anti-infective treatment plan for dental diseases and failing to intervene early to suppress the deterioration of lesions, although the consequences of death are one of the indirect secondary causes.
Although the court's judgment was not approved by Mr. Li, the relevant part of the original committee intervened in the handling.
But the occurrence of this tragedy has sounded a wake-up call for all pregnant mothers: pregnancy dental disease must be paid attention to!
"A bad tooth, causing the baby to be born prematurely, the mother almost lost her life!"
Pregnant mothers, don't be misunderstood by the phrase "dental disease is not a disease", toothache is a disease, and it must be cured when necessary!
In the news commentary, there are many mothers who remind: pregnancy dental disease, must be paid attention to, the treatment must be treated.
More mothers have issued a reminder: girls who want to get pregnant must treat dental disease and then get pregnant after pregnancy, and the infection caused by dental disease will kill people!
Yes, this is not alarmist at all, there is a mother in Shenzhen who is 8 months pregnant, because of dental disease in the ghost door closed in the morning.
Ms. Liu, who is 8 months pregnant, has been plagued by toothache, and she is worried that the drug will hurt the baby, so she has not dared to take the medicine and carries it hard.
But the toothache was not relieved by her hard shoulders, and after a few days, the toothache became more and more serious, and her face became swollen, and she couldn't even open her mouth to eat and drink.
When the situation was so serious, she was urgently sent to the hospital by her family, and after arriving at the hospital, Ms. Liu not only had a swollen jaw and difficulty breathing, but also symptoms such as high blood sugar and severe anemia.
Because during pregnancy, the doctor gave Ms. Liu conservative treatment, but the crisis was not lifted, because the baby's fetal heart was abnormal, the doctor gave Ms. Liu a caesarean section.
After the operation, Ms. Liu was even more severely infected with the maxillofacial surface and caused systemic poisoning due to the birth of the child, and needed to be surgically incised immediately to drain the trachea to drain the pus.
Because of a dental disease, the baby was born prematurely, and the mother was also in danger!
Doctors remind all pregnant mothers: we must pay attention to the oral condition, and we must carry out routine oral examinations before preparing for pregnancy.
If there is a toothache during pregnancy, do not be patient and seek medical treatment in time!
Don't be the dental disease during pregnancy, hard shouldering may really cause a big problem!
In the case of Ms. Lei, it is really dangerous to ignore the wisdom tooth pericoronitis.
Because the wisdom teeth are impacted, the crown is partially erupted, partly covered by the gums, and a narrow and deep blind bag is formed between the gums and the teeth, which is easy to accumulate food debris and bacteria, and it is generally difficult to clean the brushing and rinsing.
In addition, the hormone level during pregnancy varies greatly, and the gum is the target tissue of estrogen, when the resistance is low, the bacterial virulence is enhanced, inducing wisdom tooth pericoronitis.
It has been reported in the literature that the incidence of pericoronitis of wisdom teeth accounts for 87.4% of oral and maxillofacial inflammatory diseases in pregnant women.
If intercurrent space infection occurs, it may further cause cavernous sinus thrombophlebitis, brain abscess, sepsis, mediastinitis, etc. and even life-threatening.
So during pregnancy, don't ignore any dental problems, don't force pain.
Dental disease during pregnancy not only affects eating, but also aggravates the insufficient intake of nutrients for pregnant mothers and fetuses.
Moreover, when periodontitis occurs, the gums will produce continuous inflammation, and the inner surface will be severely ulcerated, like countless small wounds, and bleed when stimulated by hot and cold or brushing teeth.
Oral bacteria can enter the bloodstream through inflamed gum wounds and colonize the placenta, affecting your baby's development.
Serious dental illness can also lead to an increased risk of miscarriage, preterm birth and birth of low-weight babies.
Studies have shown that 18 out of every 100 preterm births may be triggered by periodontal disease.
Therefore, dental care should be done well, dental problems must also be paid attention to, and problems should not be carried hard!
Pregnancy dental disease, the treatment must be treated!
In a word, if you have a dental disease during pregnancy and need to be treated, please be sure to follow the safety rules for treatment.
Pericoronitis of wisdom teeth should be treated aggressively. Initially, only local irrigation is given, but the simple flushing effect of more severe wisdom tooth corona is not good, and it is necessary to cooperate with certain oral antibiotics.
Do not reject the drug too much, the doctor will give the most appropriate and safe treatment under the premise of ensuring the safety of the mother and fetus.
In order to reduce the use of systemic antibiotics, it is best to deal with pericoronitis in a timely manner in the early stages, and local irrigation can clean up food residues and exudates in the blind bag of the gums to prevent the aggravation and spread of inflammation.
If bad teeth need to be filled or crowned, aggressively treat and do not carry to reduce the chance of infection.
If dental treatment is to be performed during pregnancy, then the second trimester is ideal, and it will be difficult to treat the teeth in the first and third trimesters.
If urgent treatment is required, such as root canal or tooth extraction, and if it is teeth whitening and other cosmetic room surgeries, postpone it until after delivery.
If a dental professional deems it necessary to have an X-ray, special care and protective measures will be taken. According to the American Radiological Society, no single diagnostic X-ray radiation dose is sufficient to adversely affect a developing embryo or fetus.
If dental treatment is non-urgent, postpone it until after delivery, avoiding the risk of preterm birth and prolonged supine.
Remember: be sure to tell your doctor about your pregnancy before you see your dentist!
Prevention is greater than treatment, and doing a good job of dental care is to protect yourself and protect your baby!
As the old saying goes: toothache is not a disease, it hurts to kill people!
The feeling of toothache, who really hurts who knows, coupled with serious dental problems will endanger the health of pregnant mothers and babies, so dental problems must be taken seriously.
If you want to take good care of your teeth, you should pay attention to the preparation of pregnancy, pregnancy, and postpartum:
1. Prepare for pregnancy - do a good job of dental examination
Pregnancy is a period of high incidence of dental disease, and small dental problems that are not dealt with well before pregnancy may develop into big problems during pregnancy.
Small worm teeth before pregnancy may develop pulpitis during pregnancy, and even suppuration, fever... In this way, the pain also escalates step by step.
●Worm teeth (mild pain): no pain symptoms in shallow caries, or accompanied by mild pain.
●Pulpitis (moderate pain): spontaneous pain, paroxysmal exacerbation, intermittent episodes.
●Alveolar abscess (severe pain): severe and persistent pain, often inability to eat or sleep, leading to facial deformation in severe cases.
Moreover, mothers who have had dental diseases know that during pregnancy to see teeth, general hospitals are recommended conservative treatment, three months before pregnancy, three months before childbirth generally can not do tooth extraction surgery, so there are problems in the preparation for pregnancy to deal with well.
Be sure to have a routine oral examination before trying to conceive.
In the preparation for pregnancy, it is necessary to deal with caries, wisdom teeth and other teeth that may cause harm.
Brush your teeth twice a day, use fluoride toothpaste after breakfast and before bedtime, and floss your teeth regularly.
Note: If you are planning to become pregnant, be sure to eliminate dental hazards during the pregnancy preparation period.
2. Pregnancy - do a good job of dental care
If you are a pregnant mother-to-be, you must maintain regular dental care during pregnancy, a correct dental care can effectively make an appointment for dental disease, do these 7 points:
Limit sugary foods and beverages. If you can't control your craving for sweets, be sure to rinse your mouth in time
Brush twice a day with fluoride toothpaste. After waking up in the morning and before going to bed at night, brush your teeth carefully with a soft-bristled toothbrush.
Rinse your mouth after vomiting. Acid reflux and vomiting can damage tooth enamel and increase the risk of tooth decay, avoid brushing your teeth immediately after vomiting. When teeth are covered with stomach acid, the powerful action of the toothbrush can scratch the enamel.
Avoid brushing your teeth immediately after morning sickness. Acidic substances in the stomach will remain in the mouth during morning sickness, and premature brushing will accelerate the corrosion of teeth by acidic substances. It is recommended that pregnant mothers brush their teeth after 1 hour of morning sickness, and can rinse their mouth thoroughly with ordinary tap water.
Check your teeth regularly. Pregnant oral disease probability is relatively large, it is recommended that pregnant mothers try to do oral examination once a month, early detection, early treatment, and if there is a dental problem, you must not take medicine yourself, pregnancy medication is exquisite, must follow the doctor's advice.
Healthy eating. Eating more fruits and vegetables rich in vitamin C, foods rich in calcium, are also beneficial to the health of your teeth.
Daily calcium levels need to be increased during pregnancy. Adequate calcium protects bone and meets the nutritional needs of developing babies.
Note: do not ignore the slight small problems of the teeth, small problems may soon develop major problems, do not carry hard at any time, and seek medical treatment in time!
3, postpartum - postpartum contraindications to remember!
Don't re-enter the pit where you can't brush your teeth during the confinement period, brush your teeth well during the confinement period, brush with warm water and soft hair twice a day, and rinse your mouth after eating.
Many mothers who are not very serious about dental disease during pregnancy will wait until after childbirth to deal with it.
So if you have experienced gum problems during pregnancy, please see a dentist as soon as possible after giving birth, check your entire mouth and assess periodontal health.
Too many mothers have no choice but to wean because of dental problems, which is really a pity.
So if there is a problem with the postpartum inspection of the teeth, early intervention and early treatment, and the three steps of postpartum dental care, mothers should do a good job:
Brush your teeth regularly with a warm water and soft-bristled toothbrush. If you have no strength after childbirth, the body is very tired, just at the beginning you can use salt water, warm tea to gargle, wait until the physical strength recovery, you must restore the brushing habits, brush your teeth with warm water + soft bristle toothbrush, it will not fall into confinement disease.
Eat a healthy and light diet. Raw cold, hard, spicy and irritating foods, at first, should be avoided as much as possible, giving the body some time to recover.
Timely treatment of periodontal disease. Many pregnant mothers' dental problems will survive until the postpartum period, but some mothers are afraid that the treatment will affect breastfeeding.
In fact, X-rays and other drugs used for local anesthesia, such as bupivacaine and lidocaine, are considered compatible with breastfeeding.
And most medications for oral and intravenous sedation are considered compatible with breastfeeding.
If the pregnant mother has a tooth infection, pus, cavity or root canal, it is safe to breastfeed, however, it should go to the dentist immediately, because these conditions may become worse, as long as the doctor's advice is followed, the breastfeeding mother can be treated and medicated, do not carry hard.
Finally, mothers should be reminded to practice good dental hygiene as usual during lactation. Brush your teeth for at least two minutes, twice a day, and change your toothbrush every three to four months.
The most important point: Dental care during pregnancy and pregnancy can greatly prevent periodontal disease and the serious consequences of periodontal disease.
Reference articles
https://www.winniepalmerhospital.com/content-hub/how-pregnancy-affects-your-teeth-and-what-to-do-about-it
https://www.betterhealth.vic.gov.au/health/healthyliving/pregnancy-and-teeth
Medical Obstetrics and Gynecology Channel: She miscarried because of a "little tooth"! 》