孕前智齿要拔吗？备孕妈妈勿忽略口腔检查

2020年10月12日发(作者：皮海洲)
孕前智齿要拔吗？备孕妈妈勿忽略口腔检查
网友查查姑娘：长了智齿去看牙医，牙医说现 在不疼就不用拔。但是我听别人说如
果怀孕了的话会很容易得妊娠期牙龈炎，所以是不是现在先拔了好？

女性在准备怀孕之前一般都会做很多准备工作，调整作息和饮食习惯，做产前体
检等等，但很少人会去做口腔检查。广州市妇女儿童医疗中心口腔科主陈柯建议备孕
女性，在怀孕半年前 到医院做全面的口腔检查，看有没有智齿，智齿是否需要拔除，
有没有牙龈炎、牙髓炎等炎症，是否需要 做治疗，是否需要洗牙等。
1.怀孕前为什么要检查牙齿
牙齿的问题可能一时之间 不会发作，但是怀孕期长达十个月，如果没做好早期的
检查，一些隐藏的牙齿问题突然出现，就会影响到 怀孕的母婴，对母婴健康都不利。
因此，准备怀孕阶段女性就要到专业的牙科进行对牙齿的检查，排除有 可以发生的牙
齿问题。
2.怀孕前应做哪些口腔检查
陈柯主任建议，女性 怀孕前一定要保证牙齿健康，从未出现过任何问题，就只需
检查是否会长龋齿，而对于平时有觉得牙齿不 适的女性检查的项目就包括：牙周病、
龋齿、冠周炎、残根、残冠等全面性的牙齿病变检查。然后根据检 查结果进行针对性
的治疗，如果只是因为口腔细菌感染而引起的牙痛等情况一般能很快恢复，如果是牙< br>周病患者，则需先消除牙龈、牙周炎症，对于问题很严重的牙齿疾病，医生可能会建
议做牙髓及根 管治疗。
怀孕前是否需要拔智齿是很多准妈妈关心的问题。陈主任表示，智齿是否需要拔
除，要看情况，如果是经常发炎的智齿，建议在备孕前拔除，如果是智齿没有发炎，
并且经过医生检查不 会影响牙齿健康，则可以不用拔除。

3.孕期出现口腔疾病，什么时候治疗较好
正常情况下，怀孕前半年，女性就要对牙齿做一次全面的检查，排除可能在孕期
内出现的牙 齿疾病。怀孕初期，也就是三个左右不能做拔牙手术，生产前三个月也不
能做拔牙手术，不然可导致流产 或是早产。怀孕期内出现牙齿疾病，不能乱用抗生素
类药物，可对胎儿造成很大影响。一定要在医生的检 查之下谨慎用药。怀孕期内要养
成早晚刷牙的好习惯，吃完东西后漱口。不咬过硬的食物，最好是不用尖 物或是硬物
剔牙，减少牙齿因受到硬物的刮剔而导致的感染或损伤。
39育儿提醒，怀孕期间 ，女性体内激素分泌异常，牙龈血管格外敏感，很容易发
生牙龈红肿、出血等症状，因此准妈妈在孕期要 特别做好口腔护理。陈主任建议准妈
妈要使用合适的牙具以正确的方式每天有效刷牙两次，并且养成饭后 漱口的习惯（可
以用盐水漱口），或者用牙线等口腔卫生用品进行辅助护。准妈妈如果发生呕吐，一定要注意清楚留存在口腔内的酸性物质，尽量避免或者减轻妊娠期牙龈炎的发生。

Netizen: check girl long teeth to go to the dentist, dentist says it does not hurt
you unplug. But I heard that if a pregnancy would be easier pregnancy gingivitis, so
now Is it right? To unplug?
Women in general before the pregnancy ready to do a lot of preparation, adjust
the rest and eating habits, do prenatal physical examination and so on, but few
people will go to do oral examination. Guangzhou, Guangzhou women and children's
Medical Center, Department of Stomatology; Chen Ke suggested by pregnant women,
in pregnancy half a year ago to the hospital to do a comprehensive oral examination,
there is no wisdom. Wisdom teeth need to be removed, there is no inflammation of
gingivitis, pulpitis, whether to need treatment, whether to need to wash the teeth.
1 why should you check the teeth before pregnancy
Teeth may temporarily not attack, but the pregnancy period for up to ten
months, if didn't do a good job in the early examination, some hidden dental
problems suddenly appeared, will affect the pregnant mother to child, on the health
of mother and infant adverse. Therefore, the pregnant women will have to go to the
professional dental examination of the teeth, to remove the teeth can occur.
2 before pregnancy should do what oral examination
Chen Ke, suggested that women before pregnancy must ensure that dental
health, and there has never been any problem, you only need to check whether the
president of dental caries, and for usually feel teething discomfort of women to
check the project include: teeth periodontal disease, dental caries, periodontitis,
residual roots and residual crowns and comprehensive dental lesions. Then according
to the results of the inspection are for the treatment of, if only because the oral
bacterial infections caused by toothache general can recover soon, if patients with
periodontal disease, to eliminate the gums, periodontal disease, dental diseases to
the problem is very serious, the doctor may suggest pulp and root canal treatment.
Whether you need to pull teeth before pregnancy are many mothers concern.
Director Chen said that wisdom teeth removal, to look at the situation, if it is often
inflammation of the wisdom teeth, it is recommended in the preparation of pre
extraction, if is wisdom no inflammation and after examination, the doctor will not
affect the dental health, you can without removal.
3 during pregnancy, oral disease, when the treatment is better
Under normal circumstances, the first half of the pregnancy, women have to do
a comprehensive examination of the teeth, to exclude the possibility of dental
disease during pregnancy. Early pregnancy, that is, three can not do extraction
surgery, the production of the first three months can not do extraction surgery, or
can lead to miscarriage or premature. The emergence of dental diseases during
pregnancy, can not be used indiscriminately antibiotics drugs, can cause a great
impact on the fetus. Must be cautious in the examination of the doctor. To develop a
good habit of brushing your teeth during pregnancy, and after eating a thing. Don't
bite the excellent food, it is best to not sharp or hard teeth, reduce tooth by a hard
object of scraping tick and lead to infection or injury.
39 parenting reminder, pregnancy, female hormone secretion, gingival vascular
particularly sensitive, it is prone to gingival swelling, bleeding and other symptoms,
so mothers during pregnancy should be especially well oral care. Director Chen
suggested that mothers to use suitable toothbrush to right way every day effective
brushing twice, and develop the habit of mouthwash after meals (can use salt water
gargle), or use dental floss and other oral hygiene for assistance to protect. The
expectant mother if vomiting occurs, attention must be paid to stay clear of acid in
the mouth, as far as possible to avoid or reduce pregnancy gingivitis.