Dental condition after pregnancy and childbirth: what young mothers should do.

Causes of dental problems in young mothers

To understand why teeth hurt, decay or fall out after childbirth, you first need to understand the processes occurring in the female body during pregnancy and lactation. Let's consider the reasons that provoke weakening of the dental system:

• hormonal changes: lead to a decrease in bone density, at the same time, less nutrients are delivered through the blood to tooth enamel and gums. Therefore, they become more fragile and provide less protection against microbial attack and tooth decay/weakening gums during pregnancy and after childbirth,
• changes in the composition of saliva: it also contains less calcium, phosphorus and fluoride than usual - i.e. again the enamel receives less nutrients,
• lack of minerals and vitamins: primarily due to the fact that they “go” into breast milk, which is necessary for the baby. But it could also be that after giving birth, a woman simply does not know what food she should eat so that there are enough “benefits” for both the baby’s milk and her own health. The roots of the problem may also lie in poor nutrition during pregnancy, when the woman suffered from nausea due to so-called toxicosis,
• deterioration of oral hygiene: not always a young mother can find time to comb her hair or drink tea, not to mention high-quality brushing of her teeth. Meanwhile, a bacterial film and soft plaque forms on them, which subsequently transforms into hard deposits (inhabited by harmful bacteria) - and not a single toothbrush can handle it,
• stressful situations and weakened immunity: despite the fact that the birth of a child becomes a very happy event, the daily hassle of care and feeding can undermine moral and physical health. As a result, the body will become less resistant to various infections.

Not calcium alone. Revealing the complete formula for a beautiful smile

No matter how important calcium is for teeth, its content in enamel, dentin and cement does not exceed 36%. However, it is a very soft metal. Let's remember how easily the same chalk crumbles! This means that the retention of this element in the teeth depends on the presence of some other substances. The mineral is embedded in an organic framework - a collagen matrix. Accordingly, it is important to provide teeth with building materials for the construction of this protein frame.

For the formation of collagen, the amino acids glycine, proline, arginine, alanine, lysine, etc. play a primary role. Therefore, adding a set of necessary amino acids to calcium citrate will strengthen teeth both at the mineral and organic level. Taking both these factors into account, the Russian vitamin and mineral complex Osteomed was created.

The source of free, easily digestible amino acids in this product is a unique component - HDBA organic complex. This is a drone homogenate preserved using a special patented technology. It contains more than 20 amino acids, including all essential ones, and serves as an excellent base of building materials for the production of collagen by the body.

This component will also complement the mineral menu for teeth with natural phosphorus, magnesium, sodium and potassium. And the vitamins A, C, D, E, B2, B3, B4 and β-carotene found in it make this natural product a real elixir of beauty.

What do women complain about to the dentist after childbirth?

Women often notice a feeling of soreness in their mouth, that their teeth seem to ache, or they have begun to crumble and hurt, old fillings fall out, etc. The main problems that plague a young mother after childbirth are increased sensitivity of teeth, caries, pulpitis, rapid abrasion or destruction of crowns. Problems with the gums manifest themselves in pathologies such as gingivitis, periodontitis and periodontal disease.

On a note! By the way, some mothers’ teeth begin to deteriorate not only after childbirth, but also during pregnancy. But many people don’t do them, putting them off “for later.” As a result, you have to install dentures or completely remove teeth that have crumbled to the roots.

Nuances of dental treatment after childbirth - is it possible or not?

Answering the question whether it is possible to treat teeth after childbirth, it is worth saying that during this period all bans on anesthetic injections (which were not recommended during the 3rd trimester of pregnancy) are lifted. However, if the child is breastfed, you will need to express milk in advance for feeding or switch the baby to artificial formula for one day. Also, within 24 hours after the painkiller injection, you will need to express and pour out the milk - and then you can feed the baby as before.

If, after treatment, the dentist prescribed antibiotics - for example, after tooth extraction, treatment of periodontitis or periodontitis, then you should also remember that many drugs pass into breast milk. In this case, you will also need to express and freeze the milk in advance or switch the baby to formula. And in order for lactation to be maintained at the proper level for 5-10 days (while the mother is taking antibiotics), you need to express milk 6-7 times a day, but you cannot give it to the baby.

On a note! It is not recommended to place implants after childbirth for 6-8 months, and implantation should be postponed for another six months after completion of lactation. Since the bone tissue is still quite soft (after pregnancy), the implants may not take root well. The installation of traditional prostheses - crowns or bridges - is discussed individually, because... it all depends on the initial condition of the gums and remaining teeth that may need treatment.

Bleeding Gums

If you suddenly notice that while brushing your teeth, traces of blood remain on the brush, and when you further rinse your mouth, the foam from the toothpaste turns pink, this means that you have increased bleeding gums. Increased bleeding is a warning sign that all is not well.

Healthy teeth do not necessarily mean healthy gums. Increased bleeding of gums during pregnancy is not uncommon. It may be due to hormonal changes in a woman’s body. To solve this problem, you need to consult a doctor. In this case, the diagnosis sounds like this: “gingivitis of pregnant women.”

To prevent the occurrence of this unpleasant disease, plaque should be removed and tartar in the subgingival area should be removed. In a dental office, these procedures are performed using different techniques. One of them, the so-called “air flow,” is carried out without the use of a bur and without a tip. A stream of air, water and powder flows under pressure. In this way, plaque and partially tartar are removed. This procedure is also called gentle whitening, since the teeth are restored to their natural shine and whiteness, and the enamel structure does not deteriorate.

Another method of preventing gingivitis allows you to completely remove massive deposits of tartar. It requires the use of ultrasound. The procedure is completed by polishing the teeth and coating them with a special fluoride varnish. Both “air flow” and other methods will require significant material costs. The cost is approximately the same - 80-90 rubles per tooth.

As a rule, gum inflammation is caused by “harmful” microflora of the oral cavity.

A number of toothpastes, including extracts of medicinal plants, have an antiseptic effect. Additions of chamomile, calendula, and sage relieve inflammation and strengthen the gums. To enhance the effect of the paste, it is supplied with a complex of vitamins.

If, however, gingivitis does develop, then after removing plaque and tartar, the dentist will most likely suggest using a special gel for the gums; you can read about it in more detail in the “review of oral hygiene products for pregnant women.”

The gel is used in addition to toothpaste, and not instead. If the manifestations of gingivitis are severe, then gingival anti-inflammatory dressings are used. The course is 3-10 sessions. They contribute to the rapid subsidence of the inflammatory process and reduce bleeding.

It is worth checking your toothbrush; sometimes the reasons for increased bleeding of the gums are quite commonplace - the bristles are too hard.

Increased bleeding may be a symptom of a more serious disease - periodontitis. Periodontium is the soft tissue surrounding the tooth. Their inflammation is periodontitis. It is quite severe and can result in the loss of healthy teeth.

Professional hygiene – to brighten enamel and protect against bacteria

If a woman during pregnancy or after childbirth notices that her teeth have begun to look darker or yellowed, she begins to think about whitening. But most bleaching compounds containing hydrogen and urea peroxides have a rather aggressive effect on fragile enamel. Therefore, dentists recommend professional oral hygiene, which includes:

• ultrasonic removal of tartar: hard mineral deposits that accumulate near the cervical part cannot be removed even with the most modern brush. But the ultrasonic waves of a special device (scaler) cope perfectly with the problem without damaging natural tissues,
• Air-Flow water-abrasive cleaning: designed primarily to remove soft bacterial plaque, a thin pigmented film that reduces the aesthetics of a smile. Hypoallergenic preparations are used for Air-Flo, so this treatment can be done for children, pregnant women, and women after childbirth,
• polishing the enamel surface with special rollers and pastes: to make the teeth smooth and gain a natural shine. Also, smoothness prevents microbes from “attaching” to the smallest protrusions - this reduces the likelihood of plaque.

Read on the topic: what is professional oral hygiene – and why every person needs it.

By the way, it is recommended to carry out professional cleaning 1-2 times a year, even if the patient is not bothered by any problems in the oral cavity - because this greatly reduces the likelihood of caries. And after professional hygiene, dentists suggest the next step – remineralization. We will tell you why it is needed further.

Front

The upper front teeth are very mobile, so they often begin to wobble. To find out the reason for this, a comprehensive examination is carried out, including a panoramic photograph of the oral cavity. What to do if your front molar is loose?

After determining the causes, a complete sanitation of the oral cavity is required to destroy infectious pathogens. If periodontal disease is detected, the specialist performs a special massage on the gums, darsonval procedures. If signs of periodontitis are detected, then be sure to remove stones and plaque, and polish the teeth with an ultrasonic beam. The entire surface of the tooth, including the neck, is polished with a brush using medical varnish containing fluoride.

Difficult deposits are removed with curettes, which pass under the gums, pulling out deposits. Open curettage is also performed, where the gum is cut and then stitched back together. Additionally, medications are prescribed that relieve inflammation with an antiseptic effect.

If the upper front teeth of an adult are seriously damaged or separated, a splint is placed on the upper jaw. A small hole is drilled in the molar into which fiberglass is placed. After which everything is covered with any composite substance that reflects light rays. Thus, during the movement of the front jaw, the molars do not move apart.

In the event of a mechanical injury, when part of the crown is broken and the tooth root is damaged, all fragments are removed and artificial crowns are installed in place of the natural tooth. The sooner a patient contacts a dentist with a problem, the higher the success of treatment. In complex cases, surgery may be required.

Remineralization – for strengthening and protection against caries

How to strengthen teeth after childbirth? Of course, you need to eat right - but you don’t have to visit the dentist for this (you can consult a pediatrician, obstetrician-gynecologist, or nutritionist). We will talk about the proper diet after childbirth a little later. As for dental or in-office strengthening, the best option here would be deep fluoridation of teeth, which saturates hard dental tissues with useful substances, making them less sensitive and much more resistant to microbial attack, as well as reducing the risk of caries.

On a note! Remineralization not only makes teeth stronger and more resilient, but also reduces their sensitivity to various irritants - sour or spicy foods, hot and cold. Many patients also note that the remineralization course makes the enamel a little lighter.

Also in dentistry, fluoride varnish is used as a remineralizing therapy - but it wears off quickly, and beneficial substances do not penetrate the enamel. For home use, pharmacy gels for remineralization are prescribed - for example, brands ROCS or Biorepair.

“After giving birth, my teeth began to ache very much from various things - from brushing, rinsing my mouth, hot tea, apples when I ate, and a lot of other things - I don’t remember everything now. I went to the dentist, there was no caries (although I was already worried). The doctor said that you need to use a gel for a month or two to strengthen the enamel; they are sold in any pharmacy. And you know, it helped a lot! Now, even when the child has grown up, I still arrange a course of such strengthening for myself a couple of times a year. And by the way, there are such gels for children, too, but we haven’t tried them yet, first I want to consult a doctor.”

Nastya P., Ryazan, review from baby.ru

Proper Teeth Brushing Technique

Increased sensitivity, as well as excessive abrasion of the enamel, a wedge-shaped defect can appear due to improper brushing of the teeth. The technology of proper oral hygiene includes the following steps and nuances:

• The movements of the toothbrush bristles should be vertical – i.e. You need to move the brush from the gum to the cutting edge: this way food particles and soft plaque will be swept away. Horizontal movements do not sweep away excess from the vestibular and oral surfaces of the dentition, but injure the enamel,
• thorough cleaning of the chewing surface of the lateral areas of the mouth: here you need to move the brush horizontally to clean out food debris from the fissures,
• each segment of the row should be given equal time for cleaning: many clean only the “smile zone”, but at the same time the lateral areas become covered with plaque and tartar, which lead to fissure caries or pulpitis,
• The brush and paste should not injure the enamel and gums: therefore, you need to choose a brush from a trusted manufacturer. Otherwise, you can purchase a tool with sharp fibers cut at different angles and scratch the enamel. The same thing can happen if you use a highly abrasive paste.

Don't forget to change your brush regularly (every 2-3 months) and use medicated toothpastes that are prescribed for gum disease, as recommended by your dentist.

How to fix crumbling teeth

Once the cause is determined, treatment begins. If the condition of the teeth worsens due to diseases occurring in the body, the teeth are restored last - after other affected areas have been treated.

If the source of the problem lies in the oral cavity, the doctor may suggest several treatment options.

1. Filling.

Caries or injuries lead to chips of varying sizes. They are removed with a filling.

1. Crowns, veneers.

In case of serious damage to teeth, when filling does not help, it is recommended to install artificial crowns and veneers - porcelain or ceramic overlays.

1. Mineralization.

A strengthening procedure during which applications containing calcium and fluoride are applied to damaged teeth.

1. Fluoride coating of teeth.

The procedure also strengthens the enamel, but special fluoride-containing pastes are used.

1. Taking multivitamins and nutritional supplements.

Installing veneers (onlays) is one of the ways to correct dental defects

Treatment of gum disease in a nursing mother

Pathology such as gingivitis often occurs during pregnancy and after childbirth. Moreover, bleeding gums must be neutralized so that dangerous bacteria do not penetrate into the general bloodstream. This can negatively affect not only women’s bodies, but also children’s bodies – if the child is breastfed.

If gingivitis is not treated, the inflammation penetrates deep along the tooth root, leading to periodontal inflammation – periodontitis. Which is more difficult to treat and never goes away completely. Another periodontal disease, periodontal disease, begins due to poor nutrition of the tissues around the teeth (gums and bones). If periodontitis and periodontal disease are not treated, the level of the gums decreases, the teeth look longer and begin to become loose, and may even begin to fall out.

Treatment of gum disease is always complex and consists of the following:

• professional oral hygiene: necessary to remove all dangerous microbes,
• removal of subgingival mineral deposits using “Varius” or “Vector” ultrasonic devices: when using these devices, you can do without gum peeling surgery,
• splinting mobile teeth with a special splint,
• curettage of the gums: often accompanied by a surgical operation to peel off the gums, so subsequently you will have to take antibiotics and resolve the issue of feeding the baby,
• applications and injections with medications (for gums): it is necessary to warn the dentist that the patient has an infant - so that the doctor selects a safe medicine,
• plasmolifting of gums: a very effective technique for gum regeneration, the treatment is based on the ability of platelets to restore living tissue,
• selection and use of toothpaste for inflammation and gum restoration: these can be pastes based on plants or medicinal substances, for example, Parodontax,
• using a toothbrush of medium hardness: “medium” is the optimal solution for high-quality cleaning and massage of the gums, because “soft” does not tone the gums at all, while “hard” injures them,
• taking vitamin complexes to improve the condition of the gums: all medications must be agreed with the dentist so as not to harm the baby. Vitamins C and PP are very useful for gums.

Why do children's teeth crumble?

Sometimes children experience tooth fragility due to a difficult pregnancy and difficult birth of the mother. But most often, a child’s teeth crumble due to a large amount of sweet or sour foods in the diet and poor oral hygiene. In addition, active children sometimes get injured, damaging their teeth, which can subsequently lead to their destruction. Therefore, visiting the pediatric dentist should be a good habit to keep children's teeth healthy.

Caries after childbirth - installation of a filling

If after giving birth a woman notices that her tooth hurts, then most likely the cause is caries or pulpitis. What to do in this case? There is no point in postponing treatment, because... Complications may begin. But there are still restrictions, and they are again based on anesthesia, or rather, on the penetration of the drug into breast milk. Therefore, for now, the baby is fed with formula or pre-expressed “frozen”.

On a note! Not all types of tooth decay require anesthesia before treatment. For example, therapy for caries in the “white spot” stage, medium caries, and sometimes the deep stage, is painless and well tolerated without anesthesia.

After childbirth, the patient can have any modern fillings1 - photopolymer, chemical curing, glass ionomer cements. The dentist decides which material is best placed and where – what is more convenient for the doctor to work with, and which material will better demonstrate its qualities in a particular case.

Read on the topic: what kind of fillings are there - TOP 7 materials for filling.

Is dental examination contraindicated during pregnancy?

It’s not for nothing that everyone advises to heal your teeth before pregnancy. After all, once it occurs, dental treatment can be difficult. It should be noted that we are talking about problem teeth, for which a simple filling is not an option. Sometimes, in order to provide qualified assistance, it is necessary to first take a picture of the tooth, and then, depending on the situation, treat or remove it. In the first and last trimesters of pregnancy, X-ray examination is not recommended. However, in the second trimester of pregnancy, the ban on dental x-rays is lifted.

If suddenly a problematic tooth makes itself known at the wrong time, and the doctor insists on taking an image, you should not worry too much about it. Because before taking a picture, the laboratory technician will put on a lead apron, which will protect you from that insignificant dose of X-rays that are necessary in this situation.

To avoid trouble, it is better to inform your dentist about your pregnancy. There is a more gentle research method - computer visiography. In this case, the image of the tooth is displayed on a computer screen, the X-ray beam is more focused, and the dose is approximately 10 times less than when taking a conventional X-ray.

Proper nutrition for nursing mothers

How to preserve a young mother's teeth after childbirth? To do this, you need to eat right - food should be rich in vitamins, minerals and, at the same time, not cause allergies in the baby. Therefore, your daily diet should include fermented milk products (cottage cheese, kefir, hard cheeses), nuts and seeds (for example, sesame, which contains a lot of calcium), lean meat and fish, cereals, fresh seasonal vegetables and fruits, and herbs.

If the tooth is a little loose

If your teeth have just begun to loosen, then you need to urgently take preventive measures. If you don’t know why your teeth have become loose, then it’s better to see a doctor for control.

What to do after being examined by a doctor:

• Brush your teeth and rinse your mouth twice a day.
• Correct the bite if there is deformation.
• Monitor the condition of your gums.
• Eat right, including vegetables, fruits and foods rich in fluoride and calcium in your diet.

These methods will help strengthen your teeth and prevent further loosening.