How is it that pregnant women have to kill their children because of wisdom teeth inflammation? Nowadays, because of toothache, inflammation of the mouth, and carelessness, the face and neck are infected by bacteria, causing abscesses, and more and more patients need to be rescued. Recently, a pregnant woman who was nearly seven months pregnant had to induced labor.
The wisdom teeth are inflamed and the neck is too swollen to see the chin
Xu Xin, director of Stomatology and chief physician of Zhejiang second hospital, told reporters about this case:
When the pregnant woman Wang (pseudonym) came to see the doctor, her condition was very serious. From the outside, a big bag bulged out of her right neck, almost flush with her chin; from the mouth, her throat was swollen and almost closed, eating and swallowing were extremely painful, and breathing quickly became a problem.
Ms. Wang can't turn her head and neck, and her mouth can't open. She has been drinking rice soup for three days. She can't hold on to it, so she went to the stomatology department.
Director Xu Xin asked the cause of the disease carefully, only to know that it was caused by a wisdom tooth:
'she has a wisdom tooth on her right lower gums, which is often inflamed before pregnancy, but she has been dragging it. Every time I have toothache, I have to endure it for two days. After pregnancy, her wisdom teeth became inflamed again, but this time it didn't drag by. The more swollen the cheek, the bigger the swelling, from the cheek to the neck. '
Ms. Wang had been hanging up for a week, but her condition was still out of control.
Director Xu confirmed that Ms. Wang had pericoronitis accompanied by cellulitis in the right side of the neck. That is to say, after her wisdom teeth became inflamed, a large number of bacteria in her mouth increased, taking the opportunity to invade into the oral flesh and skin. There are relatively loose spaces between muscles. Bacteria can spread to all sides of the human body through these spaces. Wherever they go, they will be infected, resulting in abscesses and bulges.
Around the mouth, there are temporal (inferior) spaces, pterygomaxillary spaces and parapharyngeal spaces, masseter spaces and buccal spaces, and submandibular spaces, all of which are occupied by bacteria. If we don't take measures, bacteria can also walk along these gaps to the brain and chest.
After 20 days in hospital, the baby still hasn't been saved
For Ms. Wang's treatment, the most difficult problem is that she is a pregnant woman, who has been pregnant for nearly six months.
'she's 26, with a first child. To control her condition, we must use hormone and antibiotic drugs, which will definitely have an impact on the child; if she does not use drugs, she may face the risk of full blockage of her throat, which requires tracheotomy, which is also surgery, and may also cause premature abortion of the fetus. '
No matter how to choose the treatment plan, it may have an impact on the fetus; but if we insist on no treatment, even the mother's life will not be guaranteed. After several discussions, Ms. Wang, her husband and parents decided to protect the life of the adults first.
Director Xu cut the abscess for Ms. Wang, cut a small hole in the back of the chin, put the pus out, and at the same time add hormone and antibiotic treatment. Twenty days later, Ms. Wang's condition was finally under control, and she left the hospital.
At this time, Ms. Wang's fetus is nearly seven months old. 'she came to me for a birth induction certificate, and I knew they had decided not to have the baby. At that time, her face was very bad, almost white. I'm sorry for her too. It's not only a psychological blow to the mother, but also a great physical injury to the fetus of such a big month. '
Be sure to deal with your oral problems before you prepare for pregnancy
How many people will really go to the hospital with toothache? More people are still lucky and won't go to the hospital until they have to.
Xu Xin said: 'before pregnancy, women of childbearing age must pay attention to the treatment of oral problems. Periodontitis and pericoronitis should be treated first, and the wisdom teeth of the lesions should be removed. Otherwise, it will be a headache to deal with oral problems after pregnancy. '
Why are more and more patients with oral inflammation and infection?
So, why are more and more patients with oral inflammation and serious interstitial infection?
'ten years ago, it was a lot to meet one in a week, now almost every day. In the past, there were too many old people. Now there are many of them at all ages. The condition is also serious. In one year when tracheotomy is needed for rescue, there are 70-80. Some of them also have septicemia and sepsis. '
According to Xu Xin, this is because with the development of the times, in addition to toothache and oral hygiene, there are new causes of the disease:
First, the number of diabetic patients increased significantly. In the case of high blood sugar, once infected by bacteria, the speed of reproduction and fermentation will be very fast, and the effect of antibiotics is not good. Therefore, diabetes patients should pay special attention to oral health, toothache to go to the hospital in time.
Second, people eat a lot of fine food now. Some wisdom teeth don't grow out completely, so they may show their gums a little bit, and there is a thin layer of gingival flesh covering them. Such wisdom teeth can't be found by themselves, but there will be a gap between them and the front big teeth. It's not easy to brush your teeth, and bacteria can easily gather in this gap. So no matter what kind of wisdom teeth, we should deal with them as soon as possible.
Third, modern people's life rhythm is tense, tired and stay up late. Once people's resistance becomes weak, bacteria will easily enter. So now young people have serious interstitial infection and cellulitis.
Fourth, abuse of antibiotics. If you eat too many antibiotics, you will have resistance. With resistance, it is not easy to press down when you really need antibiotics to suppress bacteria. Therefore, do not abuse antibiotics without authorization at ordinary times, and take them according to the doctor's orders.