There are a lot of tooth problems that seem to crop up during the time of pregnancy. The most common ones among them are bleeding from the gums, swelling of the gums, and some sensitivity. These are conditions that are directly affected by the hormonal changes that are taking place in the body and will thus take care of their own after childbirth.
In the case of severe pain, though, the situation is much more complex.
Possible causes of severe pain during pregnancy
Like at any other time, severe dental pain is usually associated with the presence of a decayed tooth where the pulp is now affected as well. Once the pulp, or the center of the tooth where all the nerve endings lie, is affected, the tooth either requires a root canal or an extraction.
An inflamed wisdom tooth could also be the cause of the severe pain. The chances of a partially erupted wisdom tooth becoming painful are more during pregnancy because the surrounding gums get inflamed faster. The same amount of plaque that accumulates without causing any trouble in an individual who is not pregnant can lead to severe pain in pregnant individuals.
Another common cause of severe pain could be a cracked tooth in the mouth. Having a cracked tooth has nothing to do with being pregnant but it is something that could happen at any time.
The development of an acute abscess could also lead to the causation of severe pain in the mouth. A changed oral environment in terms of the oral microbiota, the increased amount of formation of small blood vessels, as well as the large percentage of women that develop pregnancy diabetes makes the development of abscess more likely in pregnant women than otherwise.
Treatment of severe pain during pregnancy
According to the current recommendation laid down for the treatment of pregnant women, all treatment procedures must be avoided in the first and the third trimester. This is because some amount of harmful bacteria from the mouth travels into the body and can affect the process of organ formation during the first trimester.
This same increase in bacterial load can lead to the occurrence of a premature childbirth during the last trimester as well.
Most pain medication is also contraindicated for use during pregnancy since it can cause the placental barrier and affect the developing fetus.
Lately, though, people suffering from severe pain are treated even during these extremely fragile moments of fetus development. This is because research has shown that the body can actually react in profound manners to severe pain and affect the development of the fetus all the same.
Starting root canal treatment so that the pain subsides, carrying out an extraction in the most atraumatic manner possible or draining an abscess are all procedures which can be performed if the patient is in severe pain and still some distance from the estimated time of childbirth.
Of course, precautions to maintain the highest levels of hygiene have to be taken and there can be no use of pain medication beyond paracetamol.
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