很多女性朋友对于备孕的理解是：吃叶酸、穿防辐射服、屯小孩衣服。

往往忽视了一个大问题，那就是口腔检查。

不少准妈妈在怀孕期间饱受智齿发炎、牙龈肿痛、牙神经疼的折磨，在最需要营养和休息的时候，吃不香睡不着。准爸爸们也被各种牵连。

最好是在怀孕前，就进行彻底的牙科检查，消除隐患。但万一怀孕期间牙疼了怎么办？能拍片吗？能打麻药吗？能治牙吗？

美国妇产科医生协会于2013年向妇产科医生发布了孕妇口腔健康指导意见，并于2015年进行了修订。

其中有一些很有价值的意见，我把该报告的建议翻译了一下，供大家参考。后附英文原文和全文链接。

Recommations

Discussoralhealthwithallpatients,includingthosewhoarepregnantorinthepostpartumperiod.

Advisewomenthatoralhealthcareimprovesawoman’sgeneralhealththroughherlifespanandmayalsoreducethetransmissionofpotentiallycaries-producingoralbacteriafrommotherstotheirinfants.

Conductanoralhealthassessmentduringthefirstprenatalvisit.

Reassurepatientsthatprevention,diagnosis,andtreatmentoralconditions,includingdentalX-rays(withshieldingoftheabdomenandthyroid)andlocalanesthesia(lidocainewithorwithoutepinephrine),aresafeduringpregnancy.

Informwomenthatconditionsthatrequireimmediatetreatment,suchasextractions,rootcanals,andrestoration(amalgamorcomposite)ofuntreatedcaries,

Forpatientswithvomitingsecondarytomorningsickness,hyperemesisgravidarum,orgastricrefluxduringlatepregnancy,theuseofantacidsorrinsingwithabakingsodasolution(ie,1teaspoonofbakingsodadissolvedin1cupofwater)mayhelpneutralizetheassociatedacid.

Beawareofpatients’healthcoveragefordentalservicesduring’sMedicaidcoveragefororalhealthmayvaryconsiderably.

,aswouldbethepracticewithreferralstoanymedicalspecialist.

Advocateforbroaderoralhealthcoverageofwomenbefore,during,e.

Reinforceroutineoralhealthmaintenance,suchaslimitingsugaryfoodsanddrinks,brushingtwiceadaywithfluoridatedtoothpaste,flossingocnedaily,anddentalvisitstwiceayear.

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