Ack! I forgot to come back and post! So sorry!
So did you have xrays? They are pretty important in determining the extent of your problem - you don't want to get 1/2 the problem fixed now and have to go back and get it all done again next year. If you haven't had them done yet, try to find someone who can do digital xrays and double or even triple up on the lead bibs. You want them covering your belly and your neck (to protect your thyroid). Also check out www.iaomt.org
to see if there is a holistic dentist in your area. DO NOT, I repeat DO NOT get your tooth filled with the silver-colored amalgam filling. It contains over 50% mercury in a form that is especially harmful to developing fetuses. See below for alternate recommendations.
Since it's late, I'm going to c&p what I sent to another Mama in the same situation. Sorry for the funky formatting, it was from an email. I hope this helps and feel free to PM me for more info.
When I went it, my X-rays revealed that yes I needed a RC but that
it hadn't abscessed yet. That's when the infection goes down the
little tunnel in your tooth root (aka the root canal itself) and the
pus/funk leaks out the bottom and goes into your jaw. That's bad in
pregnancy because that means the infection in entering your bloodstream
and going to the babe. If you do have an abscess you will need antibiotics,
and I'm sorry but I don't know too much about that, but do do some
research because I think I read somewhere that certain ones can mess
with baby's teeth in utero.
I did a ton of research on the Dental forum, PubMed and the internet in
general. Here's the protocol I came up with for myself:
- Local anesthesia was a 4mg dose of Citanest Plain (generic: prilocaine)
placed with no topical. I chose Citanest Plain because it contains no
epinephrine (adrenaline - can make baby's heart race) and no methylparaben
(because I am a freak about chemicals, feel free to ask me more about it).
Citanest Forte does have epi so make sure you specify which type. Instead
of using a topical anesthetic (which contains epi/adrenaline) for inserting
the needle, they had this vibrating thing - almost like a tattoo gun - and
he wiggled my cheek around a lot. It hardly hurt. They say that without
the epi, the numbness doesn't last as long, but for me it was full 2 hours
before I got feeling back. Make sure that they aspirate the needle first
(pull back on the plunger to see if they draw blood - means it is in a vein)
because you don't that in your veins and traveling to baby. [Citanest Plain
is FDA Class B for pregnancy - same as Tylenol. Next best choice would be
something like carbocaine w/out epi but that is Class C.]
- For the crown build-up (what they fill the hole with before capping the
tooth), I requested a composite called Diamond Lite because it has no
bisphenol-A which is a hormone disrupter. Here's a good thread with other
brands and more info:http://www.mothering.com/discussions...d.php?t=498160
. I originally
asked if they could special order it for me, but this dentist happened to
have it on hand. I guess he doesn't usually the DL for this procedure but
he said he liked the results. Whatever you do, do not under any
circumstances get your tooth filled with the silver colored amalgam filling.
It contains over 50% mercury and there have been several studies done that
show the type of mercury in amalgam fillings is especially harmful to the
fetus. If you already have amalgams in your mouth (I have 5 big ones), make
sure that they don't mess with them at all - don't even get them polished or
scraped at a cleaning while pregnant. If the tooth in question already has
an amalgam filling in it, write me back and we can go from there.
- Per my midwife, I took 3000mg of vitamin C the day of and will continue to
take 1000mg a day for the week after. Some say that vit C helps your body
process the chemicals and the mw said it wouldn't hurt. She did say not to
take all 3k mg at once because it is hard on your stomach and to remember
that it is completely water soluble, so you pee it right out. I took 500mg
about and hour before the appt, 1000mg right after, another 500mg when the
anesthesia wore off and the final 1000mg at bedtime (because I knew I
wouldn't be up to pee for several hours. I did throw up the morning after, maybe
from the vit C, so I might have to reconsider the 1000mg bedtime dose. I'll
keep you posted. [I continued taking it at bedtime and didn't puke again, must have been my body processing the anesthetic or something.]
Let us know how everything goes!