Friday, November 13, 2009

Pregnant cavities?

i had four cavities filled today they used the white fillings which require uv light to set... i'm 6 months pregnant and now i' woorried that i hurt my baby, i told the dentist i was pregnant but he seemed unconcerned

Pregnant cavities?
The silver colored filling are MUCH worse for your baby! My dentist ONLY does tooth colored fillings to pregnant women =)
Reply:After your first trimester of pregnancy, it is considered safe to perform routine dental procedures on a patient. Even having x-rays is technically safe, since the baby is protected by the lead apron. However, most dentists avoid taking x-rays on pregnant patients, more for peace of mind than any medical reason. As far as getting fillings done and using the UV light to set the cavities, there is no reason to worry. I've attached some excerpts for you to read as well.





Excerpt from ADA's Women's Oral Health Issues:





"The second trimester is the safest period for providing


routine dental care. The emphasis at this time in on


controlling active disease and eliminating potential


problems that could arise in late pregnancy. Extensive


reconstruction procedures and major oral or periodontal


surgery should be postponed until after delivery.





Radiographs (x-rays) ...the safety of dental radiography has been well established, provided features such as high-speed


film, filtration, collimation and lead aprons are used.


Studies have shown that when an apron is used during


contemporary dental radiography, gonadal and fetal


radiation is virtually immeasurable.





Elective treatments-Other than good plaque control, it is


prudent to avoid elective dental care, if possible, during


the first trimester and the last half of the third trimester. "





Considerations in the management of the pregnant patient.


Livingston et al. J Special Care Dent, 18(5):183-8, 1998.





General Guidelines


• The best time to address active dental disease (cavities, etc.) during pregnancy is during the 2nd trimester and early part of the 3rd trimester

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