Is it possible to give arsenic during pregnancy? Dental treatment with arsenic during pregnancy

During pregnancy, the expectant mother needs to listen more carefully to her body. Oral problems during pregnancy are not uncommon. Teeth and gums react very sensitively to changes occurring in a woman’s body; enamel is more susceptible to destruction and can react sharply to environmental influences. Many women think that dental treatment during pregnancy is impossible. In fact, dental treatment during pregnancy is an important and necessary procedure. After all, the condition of the teeth and the unborn child largely depends on the condition of the mother’s teeth.

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Nerve removal during pregnancy

Even women who have exemplarily tidied up their teeth at the stage of pregnancy planning are sometimes faced with the need to treat them during the difficult but joyful period of waiting for the baby. What can we say about the ladies for whom the conception of a child was a surprise for which they did not have time to properly prepare?

Removal of the tooth nerve during pregnancy is necessary to treat pulpitis or periodontitis. Both diseases are a complication of caries, which for some reason was not detected or treated in a timely manner.

Any caries should be treated immediately, without delay. And the best prevention is a regular preventive examination by a dentist and professional hygiene specialist twice a year.

Effect of arsenic

In tissues where arsenous anhydride acts, disruption of normal cell respiration may occur. Even a small amount of the drug affects the dilation of blood vessels and can lead to hemorrhages. Most of the components decompose in the nerve fibers. Such changes are directly proportional to the dosage of the substance and the duration of its effect. The drug with arsenic is used when there is a need to remove nerves and pulp.

• Tooth hurts after arsenic

On a note! It is absolutely prohibited to drink alcohol after adding arsenic paste, as its effects are enhanced and the risk of intoxication becomes very likely.

What is arsenic

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Zohiri Khoja Zakirovich Therapy, orthopedics
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Osipova Irina Gennadievna Therapy, general dentistry

Branch: Pavshinsky, 17

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Should a tooth be pulped during pregnancy?

Many patients know that the nerve has to be removed if pulpitis begins. It is always accompanied by pain, a reaction to cold and hot, often a rise in temperature, and night pain.

Is it possible to depulp a tooth during pregnancy? Any dentist will say: “Yes.” If pulpitis begins, then removal of the tooth nerve during pregnancy is necessary.

Pulpitis is an acute inflammatory disease. It is impossible to stop it without removing the source of inflammation. Pulp pain is one of the most severe, and therefore it is impossible to endure and wait for the tooth to “calm down” under any circumstances. In addition, even if the tooth aches and hurts periodically, delay in treatment will lead to the development of periodontitis - an even more formidable and serious disease.

Indications and contraindications

The substance is widely used by public clinics as an effective and most affordable means of necrosis of the dental nerve. The drug is also used for:

• inability to perform another type of anesthesia;
• the need for emergency killing of the nerve;
• allergies to other painkillers;
• ineffectiveness of other painkillers;
• availability of individual indications;
• in pediatric dentistry only with formed roots.

Arsenic paste is not used in the following cases:

• children up to one and a half years old;
• allergic reaction to the drug;
• pregnancy;
• diseases of the urinary organs;
• threats of glaucoma;
• breastfeeding;
• inability to completely clean the canal;
• curvature of the dental canal;
• violation of the integrity of the roots of the teeth.

Use of arsenic

On a note! Traces of certain metals in the body, including arsenic, may play a role in the pathogenesis of glaucoma.

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How to avoid nerve removal

As mentioned above, pulpitis is a complication of caries. Normally, the crown of the tooth is covered by enamel, and underneath it is a layer of dentin. In the cavity of the tooth there is a pulp chamber in which the neurovascular bundle is located - this is the pulp.

With the development of caries, enamel and dentin are affected, and a focus of inflammation appears. As soon as it passes into the pulp chamber, pulpitis occurs, this is inflammation of the neurovascular bundle.

The development of caries occurs gradually: the spot stage (damage to the enamel), then superficial caries, then deep. This is how the primary process occurs. The second option is secondary caries. It develops on a previously treated tooth, maybe in a place where a filling has fallen out or directly under an old filling.

The best way to avoid nerve removal during pregnancy is regular preventive examinations, professional hygiene before and during pregnancy, and timely treatment of caries.

I fixed all my teeth and here I go again...

Our doctors regularly hear from pregnant patients: “I had all my teeth treated before pregnancy, and now I need to put fillings in again. How so?"

During pregnancy, the whole body experiences stress:

• changes in hormonal status;
• global decrease in immunity;
• exacerbation of chronic diseases;
• increased pathogenicity of microflora;
• the appearance of allergies;
• manifestation of diseases that the patient did not suffer from before pregnancy.

The condition of the oral cavity also changes during pregnancy. Caries appears more often and progresses faster. Good hygiene requires much more effort, and the condition of the gums worries every second pregnant patient. All this increases the likelihood of developing pulpitis during pregnancy.

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When is the best time to remove a nerve during pregnancy?

The best time for dental treatment during pregnancy is considered to be the second trimester. During this period, the placenta maximally protects the fetus from negative influences, the formation of organs and systems is already behind us, and the risk of miscarriage is minimal.

However, pulpitis is usually accompanied by acute pain, which is an indication for immediate intervention. In addition, delay invariably leads to periodontitis - a more severe and formidable disease when inflammation from the tooth cavity spreads to the tissues surrounding the tooth.

Therefore, removal of the nerve of a tooth is carried out for pregnant women at any stage: severe pain syndrome is a strong stress that negatively affects the condition of the woman and child, and significantly increases the risk of miscarriage.

How is nerve removal performed for pregnant women?

Treatment of pulpitis is usually carried out in two visits. The doctor does not use x-rays, relying on objective and clinical symptoms of the disease, such as the intensity and nature of pain, reaction to temperature stimuli, and external signs of inflammation.

The dentist collects a detailed medical history, conducts examination, percussion, and palpation. In case of a questionable picture, the doctor can additionally use electroodontometry for differential diagnosis.

In general, the process of depulpation itself differs little from the treatment of pulpitis outside pregnancy. Under local anesthesia, the doctor removes pathologically altered tooth tissue, expands and processes the canals, and removes the neurovascular bundle. The canal is sealed and a temporary filling is placed. After a few days, a permanent filling can be installed.

Features of root canal treatment in pregnant women

• Potentially painful procedures are performed under local injection anesthesia. The anesthetic used to remove the nerve does not contain adrenaline and is approved for use by children and pregnant women.
• When removing a nerve during pregnancy, X-rays are not used. Other methods are used for diagnosis, and a control image is recommended to be taken after childbirth.
• To treat root canals during pregnancy, the doctor does not use drugs containing formaldehyde, arsenic, lidocaine and other toxic substances.
• During the treatment process, the doctor takes short breaks so that the pregnant patient can rest, change her position, and walk around.
• If there is post-filling pain, the patient is prescribed paracetamol, explaining that other painkillers are not recommended in her situation.

Treatment of pregnant women in Krasnogorsk

The dentists of the “Our Dentist” clinic have long and successfully treated the teeth of women with different stages of pregnancy. Our specialists will carry out all the necessary procedures carefully, in the most comfortable and safe environment for expectant mothers and their babies.

Call and schedule a free consultation and preventive examination.

Your calls are always welcome! 8 915-367-04-47 - call, make an appointment, come for a free initial consultation, and Our Dentist will become yours!

Dear patients! All prices on the site are valid only at the time of publication. The specialist will inform you about the exact cost and scope of necessary procedures after consultation.

Author of the material: Chief Dentistry Doctor “Our Dentist” Oleg Nikolevich Sharmay.

Heartburn.

The appearance of heartburn in the early stages is also explained by changes in hormonal levels. This symptom can occur at the very beginning of pregnancy and does not disappear until childbirth. A feeling of discomfort or burning behind the sternum is provoked by the reflux of acidic stomach contents and usually does not indicate a serious pathology. Drinking chocolate, strong tea and coffee, as well as citrus fruits increases heartburn attacks. You may want to avoid these foods at least during the first trimester of pregnancy. Wearing tight and uncomfortable clothing can also cause heartburn. It is worth monitoring your diet more carefully and avoiding long periods of time between meals.

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