Concerns About Dental Issues During Late Pregnancy: What to Do?

Sister Er is very worried?

Hello, doctor: I apologize for asking again.
My sister is 38 weeks pregnant and is managing her weight, but her dentures have fallen out.
What should she do now? If she gets them repaired, will it affect the fetus? She is very worried since she is about to give birth.
Will the materials used in the repair harm the baby? I also visited a psychiatrist who said I am under a lot of stress and should go outside for a walk to relax.
They mentioned that sex is not a very important part of life and suggested that if intercourse is painful, she should see a gynecologist.
It was quite awkward to hear that.
If there are any gynecological issues, I will refer her to you.
Thank you.

huanzhe, 30~39 year old female. Ask Date: 2013/03/19

Dr. Lin Wenbin reply Obstetrics and Gynecology

It is still necessary to consult a dentist for discussion.
Proper dental care is very important for nutrition during pregnancy.
As for using silver amalgam for fillings, it may harm the fetal nervous system, so other treatment methods should be considered.
There is nothing embarrassing about seeking medical help for health issues.
It is advisable to first follow the treatment approach suggested by a psychiatrist, and if there is no improvement, a visit to an obstetrician-gynecologist is also necessary.

Reply Date: 2013/03/19

More Info

During late pregnancy, dental issues can be particularly concerning for expectant mothers. Your sister, who is currently 38 weeks pregnant, is facing the challenge of a lost denture. This situation can understandably cause anxiety, especially as she approaches labor. Here’s a comprehensive overview of what she can do regarding her dental issue and the implications for her pregnancy.

First and foremost, it’s essential to address the immediate concern of the lost denture. If the denture has fallen out, it’s advisable for her to contact her dentist as soon as possible. Depending on the type of denture (full or partial), the dentist may be able to repair it or provide a temporary solution. It’s crucial to avoid any DIY fixes, as improper handling can lead to further complications or discomfort.

Regarding the concern about whether repairing the denture will affect the fetus, it’s important to note that dental procedures, including denture repairs, are generally safe during pregnancy, especially in the third trimester. Dentists are trained to take precautions to ensure the safety of both the mother and the baby. Local anesthesia, if required, is typically considered safe during pregnancy, particularly after the first trimester. However, it’s always best for your sister to discuss her specific situation with her dentist, who can provide tailored advice based on her health and pregnancy status.

As for the concern about materials used in dental repairs, such as silver fillings or other dental materials, most dental materials are considered safe for use during pregnancy. The American Dental Association (ADA) and the American College of Obstetricians and Gynecologists (ACOG) both support the idea that necessary dental work should not be postponed during pregnancy. The benefits of maintaining oral health outweigh the risks associated with dental procedures.

In addition to addressing the lost denture, your sister should continue to prioritize her oral hygiene. This includes regular brushing and flossing, as well as using an antibacterial mouthwash if recommended by her dentist. Maintaining good oral hygiene can help prevent further dental issues, which can be exacerbated during pregnancy due to hormonal changes that can lead to gum disease and other oral health problems.

If she experiences any pain or discomfort while chewing or if she notices swelling or bleeding in her gums, it’s essential to seek dental care promptly. These symptoms could indicate a more serious issue, such as gum disease, which is common during pregnancy due to hormonal fluctuations.

Lastly, regarding the emotional and psychological aspects of her situation, it’s understandable that she may feel stressed. Pregnancy can be a time of heightened emotions, and it’s important for her to take care of her mental health as well. Encouraging her to engage in stress-relieving activities, such as gentle exercise, meditation, or spending time outdoors, can be beneficial. If she continues to feel overwhelmed, consulting with a mental health professional can provide additional support.

In summary, your sister should reach out to her dentist for a timely evaluation and repair of her lost denture. Dental work during pregnancy is generally safe, and maintaining good oral hygiene is crucial. Additionally, addressing her emotional well-being is equally important as she prepares for childbirth. By taking these steps, she can ensure her dental health is managed effectively, contributing to a smoother transition into motherhood.

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