Rus Articles Journal

Do not hesitate, smile!

during pregnancy in an organism of the woman occur essential changes. A lot of time passes after the delivery before all bodies and systems of young mother are restored. How there is this process and whether it is possible to help the organism somehow? It is no secret that during pregnancy the dental health of the woman quite often worsens. What can be undertaken after the delivery to prevent development of serious stomatologic diseases?

Digression to physiology

the Period of pregnancy and childbirth is a serious physiological load of the woman`s organism. On the one hand, there is an updating of many functions and a hormonal background. On the other hand, the growing fruit constantly consumes minerals, vitamins, the proteins, carbohydrates necessary for its normal growth and development. Pregnancy is always followed by change of an exchange of calcium. Besides, during pregnancy there are also other risk factors. Toxicoses are shown by nausea, vomiting and lack of appetite. It leads to decrease in intake of calcium in mother`s organism. In the second trimester of pregnancy actively there are processes of formation of a skeleton of the child. It takes away calcium from mother`s organism. In blood of the pregnant woman the lack of calcium is observed, and the organism seeks to fill it. Mineral substances begin to be washed away actively from tissue of teeth, for this reason at many women teeth during pregnancy collapse quickly enough. Besides, gingivity (an inflammation of a mucous membrane of a gum) pregnant women about 70% of future mothers according to the latest data suffer. If in time not to fix a problem, integrity of a zubodesnevy attachment is broken and the periodontal disease can develop: teeth become mobile, there is an unpleasant smell from a mouth, and in the most started cases - and a gnoyetecheniye from desnevy pockets.

Also at pregnancy protective properties of saliva therefore caries gets an aggressive current sharply decrease.

In the postnatal period all those changes which happened in the woman`s organism in connection with pregnancy and childbirth gradually disappear. Such changes happen in all organism of young mother including in zubochelyustny system. However feeding by a breast exhausts calcium reserves in a bone tissue, in particular in tooth fabric that can lead to thinning of enamel of teeth that, in turn, will provoke an inflammation of solid tissues of teeth and gums. The postnatal period and the period of a lactation is one of the essential periods of risk of developing of caries Therefore during the postnatal period the constant control and care of a dental health and gums are necessary.

we Go to the stomatologist

Frequency of visits of the stomatologist in the postnatal period and in the period of a lactation has to make 4 - 6 months.

First of all the dentist performs routine inspection, toothbrushing by means of an ultrasonic skeler - a special nozzle on a sleeve of stomatologic installation. By means of ultrasonic fluctuations firm tooth deposits are split up for smaller which then easily are removed. If there is a focal demineralization of enamel, the technique of remineralizing therapy is applied. Apply the solution enriched with ions of calcium, sodium, fluorine on a surface of enamel of tooth. The technique of a remterapiya is used as preventive procedure, for the prevention of developing of caries of teeth. After carrying out a course (as a rule, it makes 10 visits) the doctor will cover teeth ftorlaky which part the substances protecting tooth enamel from toxins of kariyesogenny microorganisms are.

Very often in the period of a lactation many patients pay attention to hypersensibility of teeth to action of temperature and mechanical irritants. The exposure of fangs at diseases of gums can become one of the reasons of hypersensibility of solid tissues of teeth. If at survey of carious cavities do not find, it is recommended to conduct an enamel covering course the special solution reducing sensitivity of enamel of it from 2 to 5 visits will be required. In the absence of time young mother can recommend to apply on an enamel surface toothpaste for sensitive teeth within 15 - 20 minutes after morning and evening toothbrushing respectively. Preparations on the basis of calcium and fluorine which effect is resulted by remineralization - restoration of structure of enamel of tooth are a part of pastes for sensitive teeth.

the Latest technologies - against caries
of One of modern techniques of treatment of caries is treatment by means of the erbium laser. The laser provides the sparing removal of solid tissues of tooth, additional sterilization of a carious cavity. An essential lack of a method is the impossibility of its application at extensive defects. Alternative is use of the chemist - a mechanical method of the Carisolve system containing mix of amino acids and hypochlorite of sodium. Their influence causes coagulation of a carious dentine, providing its easy removal from a cavity with special tools.

If cannot be limited only to preventive actions, then the doctor will make the plan of treatment which includes treatment of all teeth affected with caries and its complications, removal of the roots and teeth which are not subject to restoration, if necessary - prosthetics.

At defects of forward groups of teeth alternative to prosthetics is production of vinir - ceramic slips which fasten on a forward surface of teeth. When using vinir need of full turning of solid tissues of tooth disappears.

the doctor will recommend to establish to

At major defects of a tooth alignment in the absence of several teeth implants. Operation of implantation is performed under local anesthesia, its purpose is introduction of implants directly in a bone tissue, further they carry out function of false teeth which then crowns are put on.

Treatment of caries
At application a X-ray - diagnostics is preferable

application of a radioviziograf on the sensitive electric sensor therefore radiation is reduced by 10 times.

Caries is

the most frequent reason of loss of teeth that breaks chewing function, worsens digestion and leads to chronic diseases of a stomach. As the potential centers of an infection, carious teeth stand in the same row with diseases of almonds. Most characteristic of caries of teeth is that, having begun once, carious process does not stop and demands continuous treatment. It is known that caries of teeth in process of involvement in process of a pulp and okolozubny fabrics can the reason become purulent - inflammatory diseases chelyustno - front and cervical areas.


During the postnatal period observes decrease in protective forces of an organism therefore the course of caries becomes very frequent aggressive, the pulpitis - the complicated caries at which the inflammation reaches a tooth pulp quickly develops, is followed by pains. In this case it is necessary to see a doctor at once. It is not necessary to delay treatment of caries.

Sealing as process of filling of any cavity or closing of defect assumes use of various types of materials. The purpose of sealing consists in tight filling and isolation of internal structures of tooth from external environment, restoration of a form, function and color of tooth. Now polymeric sealing materials which are used not only for filling of cavities, but also for creation of artificial coverings on a surface of teeth are widespread.


If for any reasons happened change of color of teeth that, respectively, causes violation of an esthetics of a smile, bleaching procedure is necessary. Peroxide of hydrogen and strong acids were the most widespread bleaching agent until recently. However application of an acid protravlivaniye with the subsequent putting peroxide of hydrogen leads to irreversible changes in structure of teeth therefore surely it is necessary to specify structure of the bleaching preparation as when bleaching teeth danger of “rebleaching“ - a state when tooth enamel destruction begins exists peroxide of hydrogen, More modern substance for bleaching is 3 - 5% peroxide of a carbamide. Makes a basis of such bleaches karbopol, slowing down release of peroxide of hydrogen and softening effect of bleach, It should be noted that feeding by a breast is contraindication to use of some modern bleaching systems, and also can strengthen manifestation of a gingivit - an inflammation of a mucous membrane of a gum.

the Periodontal disease

to Young mother cannot be forgotten that, caring about health of the teeth, she cares also about health of the child.

needs to pay Special attention during the postnatal period to a condition of gums. If gums bleed during toothbrushing, from a mouth there was an unpleasant smell, the help of a parodontolog is necessary. If integrity of an attachment of tooth to a bone is broken, then it is a periodontal disease - a disease which is followed by emergence of zubodesnevy pockets, mobility of teeth appears. In the beginning the doctor will define degree of an inflammation of gums and will appoint a course of medical procedures. It can be injections of medicinal substances to the area of desnevy nipples. Depending on degree of expressiveness of inflammatory process apply antiseptics, glucocorticoids in combination with antibiotics. The medicinal substances applied on wadded turunda put in desnevy pockets for 20 - 30 minutes. Further removal of stones in the field of a tooth attachment to a gum is carried out. If necessary the scraping of parodontalny pockets is carried out. Procedure is carried out under anesthesia by special tools with the sharp cutting surface. After procedure the patient is instructed in observance of rules of hygiene of an oral cavity, appoint the sparing diet, recommend rinsings by alkaline solutions. Often treatment of a periodontal disease requires treatment by antibiotics, and only the surgery in the course of which the doctor fills a decrease of a bone tissue by means of artificially created materials imitating a bone can help with the most hard cases. At mobility of teeth they are shinirut - fasten among themselves to the help of fiber glass threads.


Dental care in the period of a lactation

in stomatologic practice apply Now medicinal substances which toxic effect on an organism of the young nursing mother is minimized. For anesthesia use preparations which practically do not get into breast milk and do not contain vasoconstrictive substances - such preparations are safe for health of the kid. However before carrying out anesthesia it is necessary to tell the doctor that you feed the kid. At application a X-ray - diagnostics it is also necessary to be extremely careful: it is recommended to use the minimum dose. At the same time application of a radioviziograf is preferable: in modern radioviziograf the projection of X-rays occurs not on a film, and on more sensitive electric sensor therefore radiation is reduced by 10 times.


Degree of a prevalence of teeth caries and existence of soft and calciphied tooth deposits to a large extent depends on quality of hygienic care of an oral cavity and teeth. Even the most expensive toothbrush and paste are not a guarantee of high-quality removal of a dental plaque. Toothbrushing it is expedient to p to carry out

according to a certain scheme. Begin it with a lobby - the outer, shchechny side of chewing teeth on the right and at the left on the top jaw and continue to the opposite side, then clear a chewing surface of teeth and finish on a palatal surface of teeth. In the same sequence brush teeth on the lower jaw. All surfaces of teeth of each segment of a jaw need to be cleaned not less than 10 pair movements of a brush - from a gum to a cutting edge from lips or cheeks and from the sky on the top jaw and from the lingual party on the lower jaw. In total carry out 400 - 500 pair movements. Toothbrushing time on average has to make not less than 7 minutes. It is necessary to carry out toothbrushing twice a day: in the morning after a breakfast and in the evening before going to bed. Brushes have to be sent to Shchetinki at an acute angle to a surface of teeth. The brush needs to be established on a gum, to begin to brush teeth more correctly the sweeping-out movements; on the top jaw the direction - from top to down, on lower - from below top, from a gum to a cutting edge of tooth which allow to clear ideally forward and palatal or lingual surfaces of teeth. Chewing surfaces of teeth are cleared vozvratno - the forward horizontal movements. Finish cleaning with brush roundabouts on an external and internal surface of teeth.

should pay Special attention to healthy nutrition. Feeding by a breast exhausts calcium reserves in an organism of young mother. Therefore such products as firm grades of cheese, cottage cheese, bread, potatoes, spinach, cilantro, have to enter the menu every day, Perhaps, the doctor will appoint a course vitaminno - mineral prevention, and also calcium preparations for restoration of teeth, bones and a backbone. It should be noted that breast milk is a basis of future health and resilience of an organism of the child to diseases and other harmful effects of environment. Young mother needs to remember that presence of caries at mother is the contributing factor for its development and in the child. Close contact leads to fast distribution of an infection in a mouth of the kid vozdushno - a drop way. It is established that in developing of caries the important role belongs to microorganisms, as a result of clinical and pilot studies it is defined that without microorganisms which can be transferred and vozdushno - a drop way, as well as the bezuglevod contacting to a surface of enamel, caries does not happen. For now the kid has no teeth, stomatitis - the inflammation of a mucous membrane of a mouth which in certain cases is followed by emergence of ulcers, temperature increase of a body, a general malaise Therefore young mother cannot forget that, caring about health of the teeth, she cares also about health of the child can develop.