Is it possible to treat teeth during pregnancy? Suitable strings of pregnancy for dental treatment. X-ray in pregnant women

Modern treatment of pregnant women by a dentist with the use of anesthesia raises a large number of questions for women who are carrying a child. In most cases, women in the position are afraid of procedures, the safety of which is not well known. The use of anesthesia is associated with many fears, prejudices and misjudgments. In any case related to health issues, it is important not to go from one extreme to another, but to carefully study all aspects of the effect of the drug on the body, all possible risks and contraindications.

Today, dentists and doctors involved in pregnancy agree on the need to visit the dental office in order to preserve the health of the woman and the normal development of the baby, because in many cases it is the teeth that are destroyed during pregnancy. In many ways, this problem arises due to the hormonal changes that occur in the body of a woman. In fact, this process is natural, contributing to the natural development of the child.

During the bearing of a child, it is necessary to treat the oral cavity in time using safe methods of anesthesia, since hormonal changes can destroy even completely healthy teeth.

An infection occurs in the oral cavity, which only contributes to destructive processes.

Let us consider in more detail the cases of using anesthesia for women in position and the cases of a ban on its use.

When pain relief is needed

Before deciding on the possibility of using anesthesia during the period of bearing a child, consider whether you really need it? After all, for example, the treatment of an uncomplicated carious cavity can do without its use. The dentist will be able to clean the channels gently without touching the nerve itself, and there will be no need for dental anesthesia, which is undesirable for pregnant women.

Dental office visit

In the event of complicated caries or the need to remove a whole tooth, the situation changes radically, and the use of local anesthesia becomes necessary. The attending physician must be informed about the situation of the pregnant woman.

Important! Much is decided by the individual sensitivity of the patient - local anesthesia can be avoided if you are able to endure the pain of the procedure.

During the bearing of a child, the mood of the mother is felt by the child, which is why, with extreme sensitivity of the teeth, it is recommended to inject an anesthetic during their treatment.

The effect of anesthesia on the body of a pregnant woman

Among pregnant women, there is a widespread opinion about the dangers of any type of anesthesia in the process of fetal development. In this regard, most pregnant women prefer to postpone a visit to the dentist's office.

When carrying a child, it is necessary to clarify with the attending physician the possibility of treatment by a dentist using anesthesia.

It is often allowed if

• there is no individual intolerance;
• well-chosen painkillers;
• treatment is carried out in the second or third trimester of pregnancy.

It is important to understand how pain medication affects women who are pregnant. Often, dentists use medicines containing adrenaline, which causes blood vessels to constrict, resulting in an analgesic effect.

These drugs are prohibited during pregnancy, as they increase uterine tone and provoke an increase in blood pressure. It is because of this that expectant mothers should receive treatment using only modern medicines containing a minimum amount of adrenaline.

When treating teeth during pregnancy, an anesthetic is injected with an injection, which begins to act after a short period of time. A pregnant woman usually does not feel any pain from medical actions, which allows for a variety of procedures up to the removal of a diseased tooth. Neither the mother nor the child will feel any negative emotions.

When carrying a child, it is forbidden to perform anesthesia:

• in the first trimester of pregnancy;
• in the last month of pregnancy;
• with allergies to the constituent components of the anesthetic drug;
• if there is a danger to the mother and child from the type of painkiller used.

There are some types of anesthesia prohibited during pregnancy. The consequences of their use may be irreversible.

When and how is dental treatment performed?

Conducting a large number of studies made it possible to identify drugs with the smallest amount of the adrenaline hormone in the composition.

For example, as anesthesia for pregnant women, the following are preferred:

• Ultracain;
• Primakain;
• Ubistezin and others.

The use of these drugs does not pose a danger to the health of pregnant women, since all the harmful substances contained in them cannot penetrate the walls of the placenta, which means that they are not able to penetrate the baby's body. Primacaine and Ultracaine are the most commonly used pain relievers. Some experts are not opposed to their use even in early pregnancy.

For your information! Ultracain is not only unable to penetrate the placental membrane, but also does not penetrate into breast milk, which is why it is used even during the lactation period.

The attending physician individually determines all the necessary doses of the drug according to the duration of pregnancy, the state of health and the age of the woman. Primakain, on the other hand, minimally enters the placenta and, moreover, has a short half-life, which is why conductive anesthesia with the use of this drug is allowed when carrying a child.

Video - Is it possible to treat teeth during pregnancy?

In the first trimester, during the first 3 months, the baby's organs and systems are laid and develop. It is not recommended to carry out dental treatment before the fertilized egg is fixed, since the embryo is characterized by high sensitivity to external irritating factors.

It is common for people to experience pain when visiting a dental office, and the pain experienced by a pregnant woman is quickly transmitted to her child. It makes no sense to interrogate the dentist about the possible harm from anesthesia during pregnancy, since the answer is obvious and any intervention during the formation of organs and systems is not recommended due to the possible impact on the processes.

Important! It is recommended to postpone all necessary procedures until the 4th month of pregnancy in the absence of pulpitis or periodontitis, because these diseases affect the health of the baby and require appropriate treatment.

It would be most optimal to visit the clinic in the second trimester of pregnancy, since this period is characterized by a certain formation of systems and organs and the likelihood of harm is negligible. However, you should consult with your prenatal physician about the possibility of anesthesia in your particular case. Go through a series of preventive procedures and cure teeth that need emergency treatment.

However, it is worth remembering about procedures that are prohibited even during the second trimester.

These include procedures:

• bleaching;
• prosthetics;
• implantation.

Teeth whitening is a forbidden procedure during pregnancy

Important! If there is any possibility of visiting the dentist after childbirth, it is better to postpone the visit.

The end of the third semester is also unfavorable for dental procedures. This period is often characterized by the general fatigue of the expectant mother, her anxiety about future childbirth. In addition, the uterus becomes sensitive to external influences and any medical manipulations can cause premature birth. It is because of this that a visit to the dentist is recommended only in special cases.

1. Treatment is not recommended during the first trimester.
2. In the second trimester, it is forbidden to use anesthetics and general anesthesia, as well as to use drugs whose components can cause allergic reactions in women.

For your information! It is worth paying attention that at different periods of bearing a child there are some differences in the penetration of drugs through the placental membrane.

1. At an early stage, the placenta is characterized by sufficient thickness, which reduces its permeability.
2. In the later period, it becomes thinner and drugs penetrate it more easily.

Video - Dental pain relief during pregnancy

You are pregnant! There is a sea of ​​​​joy ahead, but no less worries ... A lot of things need to be done in the next six months, and even a bunch of tests and examinations, and here in the antenatal clinic they gave a referral to the dentist for " sanitation of the oral cavity". For what? Can't it be postponed? After all, it is harmful: x-rays, anesthesia! ..

It is worth looking into these issues. All women know that it negatively affects the condition of their teeth, skin, hair, but often perceives this as inevitable ... Everyone knows what should be treated before pregnancy ...

Why do teeth suffer first?

But because the baby is growing and he needs. This is one of the reasons. Strengthening of tooth enamel occurs with the help of calcium and phosphates, which are contained in saliva, but during pregnancy their number decreases, because, for the construction of the bones of the fetus, a lot of calcium is needed, and it is partially removed from the mother's bone tissue. As a result, the density of the teeth is weakened, and they become more fragile, and sometimes crumble right before our eyes.

Secondly, during pregnancy it changes a lot. hormonal background, this leads to disruption of metabolic processes in the tissues that surround the tooth. Almost every pregnant woman experiences inflammation gums varying degrees of severity. If such a disease is not cured in time, but brought to a seriously neglected form, then urgent and serious medication treatment may be required, which, it is possible, will harm your baby!

Thirdly, your baby is dating a lot of microbes , your carious ones also enter there. Even a kiss from a dad or mom with bad teeth or gums is dangerous for a baby!

Such consequences can be avoided by coming to the dentist for examination and hygienic cleaning, warning in advance that you are in a position. You will be removed hard plaque , contributing to the development and gingivitis, prescribe preventive procedures, treat caries, using anesthesia that is harmless to you and your baby. It is a myth that anesthetics are harmful, such drugs have long existed without, they are approved for use not only during pregnancy, but also during breastfeeding.

It is even possible to do small surgical procedures that do not require further admission. If a tooth aches and you had to urgently remove the nerve, do not refuse a picture on a visiograph (computer x-ray), because this is the only way a doctor can make sure of the quality of his work. The beam of the visiograph is aimed at 1-2 teeth, it practically does not scatter, and the radiation dose is minimal here. And also, you will certainly be protected with a lead apron, and the baby will not get radiation.

In order to prevent problems, try to come to the dentist early to carry out prevention, treatment is usually prescribed for second trimester of pregnancy, as it is considered the most stable.

Modern dental anesthesia during pregnancy causes a lot of controversy. Expectant mothers are often afraid to treat their teeth so as not to harm the baby. But don't go to that extreme.

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dentist smile pain

Dentists and gynecologists are sure that a visit to the dentist is necessary for the health of a woman and the full development of her child, because teeth are often destroyed during the bearing of a baby. This is due to hormonal changes in the body. However, this is a natural process that is aimed at the development of the child.

During pregnancy, it is very important to treat your teeth on time with safe anesthesia. Because of hormones, even healthy teeth can begin to break down. An infection is formed in the oral cavity, which only contributes to the destruction process. Let's take a closer look at what anesthesia is allowed and prohibited during pregnancy.

When pain relief is needed

Before deciding whether it is possible to treat teeth using anesthesia during pregnancy, think about whether you need it? After all, a simple, uncomplicated caries can be cured without it. The doctor will gently clean the channels and not affect the nerve, so it will not hurt, and dental anesthesia, which is so undesirable during pregnancy, will not be needed.

Dentist visit

Another thing is if you need to cure complicated caries when you have to remove a nerve. Or, during pregnancy, you have to remove the entire tooth, so local anesthesia is indispensable. In this case, you must definitely tell the doctor about your situation.

It all depends on your individual sensitivity. If you understand that you can suffer, it is better not to use painkillers. However, during pregnancy, the baby feels the mood of the mother, so if it hurts a lot during dental treatment, you need to inject anesthesia. Think not only about your well-being, but also about the child. Learn about the best and.

The effect of painkillers on the body

Many women believe that any anesthesia is very harmful to the fetus. That is why they put off going to the dentist. During pregnancy, be sure to check with your doctor if you can do anesthesia. It is usually allowed in the following cases:

• no individual intolerance;
• anesthetic is chosen correctly;
• treatment is carried out in 2-3 trimesters.

It is necessary to understand how anesthesia works in dentistry during pregnancy. Doctors usually use drugs based on adrenaline. It can constrict blood vessels, have an analgesic effect. These funds are prohibited during childbearing, because they can provoke an increase in uterine tone and blood pressure. Therefore, expectant mothers should be treated only with modern medicines with a minimum amount of adrenaline.

When you treat your teeth during pregnancy, anesthesia is administered by injection, so it takes effect in a few minutes. A woman does not feel pain and manipulations of a doctor at all, so you can do any procedure, even remove a bad tooth. Neither mother nor baby will feel anything. During pregnancy, you can not do anesthesia at the dentists in the following cases.

1. First trimester.
2. Last month.
3. Allergy to the components of the anesthetic drug.
4. The type of painkiller used is dangerous for a woman and a baby.

There are several types of pain relief that are prohibited during childbearing. The consequences may be irreversible.

When and how to treat teeth

Numerous studies have been conducted that have identified drugs with a minimum content of adrenaline. The use of these funds is safe for a woman, because harmful components are not able to cross the placenta. This means that they will not enter the body of the fetus. The most common anesthetics are Primakain and Ultracain. Some doctors believe that they can be used even in early pregnancy.

Ultracaine not only cannot cross the placenta, but also does not pass into breast milk. Therefore, it can be used even during lactation. The doctor individually calculates the required dose, taking into account the duration, health and age of the woman. Primakain gets into a placenta in the minimum percent. Moreover, it is characterized by a very short half-life. That is why conduction anesthesia with this drug is allowed during pregnancy.

The first trimester is very responsible, because during the first three months, systems and organs are formed in the fetus. It is not necessary to treat the teeth until the fertilized egg is fixed, because the embryo has an increased sensitivity to external stimuli. A woman often experiences stress and anxiety when visiting a dentist, which usually affects the well-being of the child and can lead to miscarriage.

It makes no sense to even ask the dentist if the anesthesia done affects the pregnancy. The answer is obvious, because treatment during organ laying is not recommended, because any intervention can disrupt the process. Postpone the procedure until the fourth month unless you have pulpitis or periodontitis. These diseases are very harmful to the fetus and need to be treated.

The most suitable time to visit the clinic is the 2nd trimester. By this time, the fetus has already formed systems and organs, so there is a small chance of harming it. However, if you are pregnant at 4-6 months, you need to ask your doctor if you can do local anesthesia.

Carry out all the necessary preventive procedures and take care of the teeth that need emergency treatment. However, even during the 2nd trimester, it is forbidden to carry out bleaching, implantation and prosthetics. If there is an opportunity to go to the dentist after childbirth, it is better to postpone the visit.

It is recommended to treat your teeth at the dentist at the stage of preparation for pregnancy. However, it happens that the help of a doctor is required while carrying a baby. A lost filling, a chipped tooth, gum disease and other problems require urgent intervention, as they threaten complications and more expensive treatment in the future. There is no need to postpone a visit to the doctor for the postpartum period, because then the young mother will have much less time for herself.

Is it necessary to treat teeth during pregnancy?

When carrying a baby, the condition of the teeth may worsen already in the first trimester due to hormonal changes. An increased level of progesterone leads to increased blood supply to body tissues, including the gums. They become loose, which provokes gingivitis, stomatitis, exacerbation of caries. With poor oral hygiene and poor heredity, teeth quickly deteriorate and fall out. Their enamel becomes sensitive to hot, cold, sour foods.

Hormones also affect the amount and pH of saliva. It becomes more, the balance shifts towards acidity. In the absence of preventive and therapeutic measures, hard plaque and tartar quickly form, due to which you can lose teeth. In the 2nd and 3rd trimester, there is a lack of calcium, which also leads to tooth decay.

Expectant mothers are wondering if treatment and prosthetics are necessary during gestation, or whether these procedures can be postponed. Doctors recommend coming for check-ups at least once every three meters, or with specific complaints. The decision on dental intervention is made individually, based on the problem and condition of the pregnant woman. Often manipulations are carried out immediately, using local anesthesia. Sometimes treatment is delayed until the postpartum months.

When is the best time to go to the doctor?

A dental examination is mandatory when registering during pregnancy (for a period of 6-12 weeks). If nothing bothers the expectant mother until this time, you can not go to the doctor. During the examination, the doctor may identify:

Also, the expectant mother should consult a doctor with acute and aching pain. In this case, pulpitis or periodontitis is diagnosed (complications of caries that gradually affect neighboring tissues). In severe situations, periostitis and osteomyelitis are possible - severe purulent processes that are observed in the absence of treatment for caries complications.

If dental problems are identified, the doctor conducts sanitation, which is recorded in the pregnant woman's card. In difficult cases, treatment is carried out immediately. If possible, the procedure is postponed to the second trimester. At this time, the placenta is formed, which protects the baby from the effects of anesthesia. Early toxicosis passes, and the expectant mother feels good, she can sit in the chair for the allotted time.

1 trimester

When prescribing an anesthetic, the dentist will take into account the allergic reaction of the expectant mother to medications. With increased pressure, Novocain is allowed (we recommend reading:). If the pain bothers at home, you can take "No-shpu", "Spasmalgon", "Paracetamol", "Nurofen" in the doses recommended by the doctor. It is forbidden to use "Lidocaine", "Septanest", "Imudon", "Sodium Fluoride" during any period of pregnancy. Drugs can lead to pathology, adversely affect the fetus.

Can an X-ray be taken?

Ultrasound of the teeth of pregnant women is not performed. To assess their condition, the doctor uses an x-ray, which shows the location and condition of the roots, dental canals, hidden carious cavities. The procedure is done after 12 weeks using radiovisiographs - modern devices that give the minimum dose of radiation. In this case, the patient is covered with a lead apron, a highly sensitive film is used, and the necessary pictures are taken at the same time.

Removal of a tooth

Extraction of teeth is an extreme measure, which is resorted to only in the most serious cases. Thanks to modern anesthetics, the procedure is painless, but very exciting for the expectant mother. In order for the hole to heal quickly and correctly, it is necessary to follow the doctor's recommendations for caring for the oral cavity after surgery. You can remove teeth according to indications at any time. The anesthetic "Lidocaine", popular in dentistry, is not used in this case. It can disrupt the pressure and work of the heart, lead to shortness of breath, vomiting, rash, migraine.

caries treatment

Crown caries and its complications negatively affect the course of pregnancy, become a source of infection, purulent inflammation and pain. By themselves, pain does not affect the fetus, but leads to discomfort for the mother, which is transmitted to the baby. With an infection and an inflammatory process it is much more difficult. They can lead to various pathologies.

Caries during pregnancy is treated at any time, but better in the second trimester. When depulping and complicated forms, anesthesia is used. The use of arsenic is unacceptable. There are no restrictions on the choice of fillings. The doctor will select either chemical filling materials or light-curing fillings.

Can crowns be placed?

Dental prosthetics during pregnancy has no contraindications. Dentists-orthopedists carry out manipulations painlessly and safely for health. However, it is important to remember that the gums are swollen during this period, and the casts may be incorrect. This will lead to discomfort during the installation and operation of finished prostheses. Whether it is possible to insert teeth, put veneers and onlays, and from how many months to do this, the orthopedist will determine during an individual consultation.

Other restrictions to be aware of

A number of dental procedures are prohibited for pregnant women. Among them:

• orthodontic treatment (undesirable installation of braces, bite correction, normalization of the functions of the dentoalveolar system);
• teeth whitening;
• implantation and other manipulations where general anesthesia is required;
• removal of tartar with highly abrasive and chemical devices.

It is highly undesirable during the embroidery period to remove the “eights” (wisdom teeth). It is often accompanied by swelling, bleeding and other complications, after which you need to drink antibiotics. The removal time is agreed with the gynecologist.

This may be the 2nd or 3rd trimester, when the freezing is not reflected in the intrauterine development of the fetus. They tear a crookedly growing tooth, which interferes with the neighboring one and causes inflammation of the gums, as well as “eights” with deep caries of the crown.

Prevention of dental diseases

Healthy teeth during pregnancy are the result of competent care and timely preventive treatment. To save them and forget what caries, gingivitis, dental cyst are, you should follow the recommendations:

• brushing your teeth 2 times a day using a brush and paste selected by your doctor;
• use of dental floss;
• thorough rinsing of the mouth after vomiting caused by toxicosis;
• a diet rich in calcium and phosphorus;
• to strengthen the gums will allow a decoction of chamomile, St. John's wort, oregano for rinsing;
• taking vitamins of groups A, C, D, E and mineral complexes for pregnant women;
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Diseases of the teeth and gums more often than other pathologies accompany a woman during the period of bearing a child. When deciding whether to treat teeth during pregnancy, patients in position are afraid of the detrimental effect of anesthesia on the fetus. In order to avoid greater damage to the health of the baby and the mother herself, it is better not to rush, but to study the features of the treatment of pregnant patients.

Is it worth it to treat teeth during the period of bearing a child?

Doctors indicate the following reasons why it is not dangerous to visit the dentist while carrying a child:

1. Stabilization of the future mother. If you do not take action, the toothache will turn into night cramps. Gradually, discomfort will affect the entire gum, shooting into the area of ​​​​the ears and cheeks.
2. Normalization of metabolic processes. Bearing a child is accompanied by hormonal changes that speed up metabolism in the oral cavity. Because of this, tooth enamel is destroyed faster.
3. Sanation. Saliva is a natural antiseptic for the mouth. Problems with teeth increase the number of bacteria, thereby making it difficult for the natural cleansing of the mucosa.

Features of treatment depending on the period

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Answering the question of how long pregnant women can be treated for teeth, doctors indicate that if it is possible to postpone therapy, then it is carried out in the 2nd trimester (we recommend reading:). X-ray and anesthesia during pregnancy is allowed from the 2nd trimester.

Treatment is started immediately if the patient suffers from unbearable pain and there is a possibility of infection of the body.

Early treatment

Bad teeth are not treated in the early stages of bearing a baby, since it is necessary to limit the flow of painkillers during the period of fetal formation. Treatment without anesthesia provokes stress, which worsens the condition of the mother and child. In the future, this can complicate the course of pregnancy.

This recommendation is relevant for implantation, prosthetics and preventive cleaning of teeth, which can be carried out after childbirth. Therapy is mandatory in cases of acute inflammatory processes in the oral cavity, accompanied by the release of pus. In such situations, the doctor selects an anesthetic with a minimum content of adrenaline.

Due to the increased need for nutrients in the first trimester of pregnancy, you need to increase their intake into the body. It is necessary to take vitamins and minerals that are responsible for the strength of bone tissue. In addition to calcium, women in position are prescribed the following useful drugs: vitamins A, E and D, phosphorus, fluorine, iron, potassium.

Features of dental treatment in the second trimester

The second semester is considered the best period for dental treatment. By the end of the first trimester of pregnancy, the main internal systems and organs are formed in the fetus, and a dense placenta reliably protects it from the harmful substances that make up anesthesia. During this period, you can eliminate the problems that arose in the early stages of bearing a child: caries, inflammation of the nerves, cracked teeth.

Treatment in the third trimester

Undesirable dental treatment at 36 weeks of gestation, after raising the uterus to the chest. The introduction of painkillers in the 3rd trimester increases the risk of preterm birth. For this reason, the treatment of rotten teeth is carried out in extreme cases, to eliminate severe pain, remove dead tissue.

A visit to the dentist increases the load on the internal organs due to a long stay in a reclining position. In the third trimester of pregnancy, pressure on the spine, aorta and vena cava increases. In order not to aggravate the patient's condition, the doctor seats her in a chair with an inclination to the left side, thus reducing the load on the vessels.

Anesthesia during pregnancy - what drugs can be used?

Ideally, if the patient has a low pain threshold, allowing her to easily tolerate simple dental procedures without anesthesia. If you need to remove a tooth or stop a nerve, you can’t do without freezing (we recommend reading:). For anesthesia of pregnant women, it is forbidden to use drugs with a high concentration of adrenaline: Imudon, Stopangin, Sodium fluoride.

Lidocaine is used with caution in women in position to anesthetize. In the first trimester of pregnancy, the drug acts on the fetus more aggressively than on the body of an adult patient. With an overdose of Lidocaine in the later months of pregnancy, the child's breathing is disturbed and the heart rate slows down.

In the treatment of teeth in pregnant women, only local anesthesia is used. It is forbidden to do general anesthesia, introducing the patient into an artificial coma. The loss of control over the body by a woman is fraught with hypoxia and an increase in the tone of the uterus. The following drugs are used for pain relief:

x-ray

X-ray examination in dentistry is prescribed for pregnant women in extreme cases, when the patient has a special structure of the jaw or severe pathologies that require careful diagnosis. X-ray is mandatory in the following cases:

X-ray examination is carried out between the 1st and 3rd trimesters of pregnancy. It is dangerous to take pictures in the 9th month of pregnancy, when the sensitivity of the uterus increases.

In order to avoid harm to the fetus and premature birth, the procedure is carried out on modern devices with a minimum dose of radiation, up to 32-35 weeks of gestation.

To reduce the harm from x-ray examination, the following rules are followed during the procedure:

1. Protection. To block the path of x-rays, the area of ​​​​the thyroid gland and abdomen of the examined is covered with a lead blanket.
2. Preparation. The exposure time (the duration of the image) is determined by the doctor individually. For the study of pregnant women, a class E supersensitive film is used.
3. Efficiency. In order not to put a woman in a position at risk, they try to take all the necessary pictures in one session. For a quick and safe examination of the jaw, a woman is prescribed radiovisiography - a computer x-ray with minimal radiation.

Extraction of teeth

It is impossible to say exactly how many weeks of pregnancy teeth can be removed (see also:). A good dentist will make every effort to restore the integrity of the dental unit. Relief of inflammation, removal of the nerve, sanitation and filling of holes - an incomplete list of measures to "save" the dentition. Extraction is a radical measure when the preservation of the tooth with the help of treatment is not possible.

Tooth extraction is indicated for acute pain that is not relieved by medication. Manipulation is carried out in the second trimester, after the end of the hormonal changes in the body, up to 7-8 months of pregnancy. Extraction of the root or fragments of the tooth from the hole is accompanied by bleeding, which may increase in the patient in position, and therefore it is rarely performed in the first and last weeks of gestation.

In exceptional cases, up to 35-37 weeks of pregnancy, extraction of wisdom teeth is prescribed. After this manipulation, pregnant women often have a fever, bleeding increases, and pain spreads to the entire gum. In addition, the procedure requires antibiotics, which must be used very carefully.

Dental treatment during childbearing is a normal process that brooks no delay. Postponing a visit to the dentist leads to an increase in the number of bacteria in the oral cavity, which causes more harm to the fetus than anesthesia. To alleviate the condition of a woman, they choose a doctor who has experience in treating patients in a position who can choose the safest painkiller.