Can you have sedation while pregnant
Call Dr. Meet Dr. See Us Today! We'd love to discuss your needs and goals. Need a Consult? Interested In I agree to the Terms and Conditions. This field is for validation purposes and should be left unchanged. Contact Number Stay Connected. He said over-the-counter alkaline, calcium and magnesium formulas are relatively safe.
The potential risks from endoscopy include over-sedation which can lead to hypotension and hypoxia in the mother. In turn, hypoxia in the mother can lead to hypoxia in the fetus. The fetus can also be exposed to potentially dangerous medications or radiation, he said. Finally, maternal positioning can cause inferior vena caval compression by pregnant uterus, decreased uterine blood flow, and fetal hypoxia.
However, endoscopy during pregnancy was not associated with congenital malformation or stillbirth. Commonly used sedatives with safe or low-risk status include propofol and the opiates Demerol meperidine, Pfizer and fentanyl. Benzodiazepines, however, have been associated with poor outcomes, including an association of cleft palate and neurobehavioral issues with diazepam. The answer, as far as the American Dental Association and other health agencies are concerned, is yes.
One reason why many people are concerned about tooth extraction when a woman is pregnant has to do with outdated thinking on the subject of providing dental care to pregnant women. As The New York Times points out, many dentists used to be taught that it wasn't safe to treat women who were pregnant and would refuse treatment to women who needed it, no matter how severe the dental problem became. Local anesthesia might be all well and good for the baby during a tooth extraction, but what about more intense forms of anesthesia, such as IV sedation or general anesthesia?
Generally speaking, it's advised that women avoid sedation and general anesthesia during pregnancy , although the National Maternal and Child Oral Health Resource Center notes that some types of sedation or general anesthesia may be used, in consultation with a prenatal care health practitioner.
When it comes to a tooth extraction during pregnancy, timing is important. The American Pregnancy Association recommends having necessary dental work performed in the second trimester and postponing any non-essential treatments until after delivery. By the time you get to the third trimester, you might find it very uncomfortable to lie back or recline while having the tooth pulled.
You can also have dental work performed in the first trimester, and the pregnancies examined in JADA's study all received local anesthesia during the first trimester. Of course, if you are having a true dental emergency and the tooth needs to come out ASAP, it doesn't matter which trimester you are in. Removing an infected or otherwise severely damaged tooth as soon as possible is better for you and the baby than leaving it to fester in the mouth.
Whether it's having a tooth pulled, a root canal or just a routine cleaning, it's important for your health and the health of your baby not to ignore your teeth and gums during pregnancy. However, because x-rays are involved, the ideal time for dental surgery is during the second trimester.
Teeth whitening can be performed while you're pregnant, but your dentist may recommend waiting until after the birth for most non-emergency dental treatments. Teeth whitening and other cosmetic treatments should ideally be avoided during the third trimester in particular, as you may find it uncomfortable to lie still while the whitening gel is applied and cured.
If you're using a home teeth whitening kit, you should make sure that you check that the concentration of hydrogen peroxide is no more than six percent. Higher concentrations can potentially cause tissue damage unless applied by a professional.
If you are already undergoing orthodontic treatment, you shouldn't stop just because you are pregnant. You can even have new braces fitted during your pregnancy, although your dentist or orthodontist may recommend that you wait until after the birth, as there can sometimes be complications.
Getting braces requires x-rays, which your dentist might want to avoid during the first trimester. If your face and mouth change shape when you gain weight during your pregnancy, this could mean that your braces need to be adjusted or that new impressions need to be made of your teeth to create a new set of aligners. These changes can increase the overall cost.
Some women experience swelling of the gums and other facial tissues during pregnancy, which can sometimes cause irritation from brace wires and brackets. Your dentist or orthodontist can provide safe gels to help numb the pain, or you may prefer removable plastic aligners if you only need to fix a minor orthodontic issue.
As well as regular brushing and flossing, you should try to avoid acting on unhealthy cravings and make sure you keep up with your regular dental check-ups. You should also avoid brushing your teeth straight after morning sickness, as this can damage the enamel surface of your teeth. Instead, rinse your mouth with water and brush after waiting 30 minutes. Dental Health Week - pregnant women urged to look after oral health.
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