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Tooth extraction in pregnancy
Last reviewed: 06.07.2025

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Tooth extraction during pregnancy is a problem that requires a balanced and immediate decision. This question arises very often among expectant mothers.
The fact is that during pregnancy, calcium deficiency is simply inevitable, so the development of caries, as well as other dental diseases, is fleeting and especially acute.
Wisdom tooth removal during pregnancy
Tooth extraction during pregnancy requires well-founded arguments and is used in modern dentistry only in cases of extreme necessity. Recently, dentists have avoided any surgical manipulations in dentistry, directing their efforts, first of all, to the effective treatment of dental diseases. Today, in addition, the development of dentistry has reached a great height, including in dental technology, the quality and reliability of medicinal products and materials. This helps to carry out high-quality treatment of the so-called "root canals", which are considered the key to the safety and long life of teeth.
Of course, expectant mothers should take care of their dental health even during the pregnancy planning period. This way, it will be possible to avoid many problems associated with their treatment during pregnancy. However, if the expectant mother is faced with the fact that the tooth cannot be treated, or the effect of the treatment is short-term, then tooth extraction becomes the only way out of this situation. The fact is that a tooth that cannot be functionally restored becomes a source of infection, which can easily spread throughout the body and thus harm the unborn child.
Removing a wisdom tooth during pregnancy is a separate issue that should be resolved depending on the specific situation. There are often cases when, when a wisdom tooth (also called an “eighth tooth”) is erupting, the expectant mother experiences severe pain. Should she see a dentist in such a case? Of course, yes, because enduring pain is not a solution, and painkillers are contraindicated for pregnant women, as are any other medications in general.
There are a number of contraindications to the procedure of wisdom tooth removal in a pregnant woman, but they are not considered absolute. Everything depends on the situation, and the decision should be made only by an experienced specialist.
Removing a wisdom tooth during pregnancy is a more complex surgical procedure than regular tooth extraction, and it can cause a number of negative consequences, such as fever, severe pain, and bleeding. In the case of pregnancy, these are dangerous symptoms, and it is undesirable for the expectant mother to experience unnecessary stress.
Therefore, if the situation is not critical, and there is little time left before the birth of the child, it is best to wait with the removal of the wisdom tooth, postponing such an operation until the postpartum period. However, such a decision should again be made only by the attending physician. Usually, wisdom tooth removal (as well as a regular tooth) is resorted to only in the case of persistent acute pain that greatly disturbs the pregnant woman. If such a procedure clearly makes sense, then, as a rule, it is postponed until the second trimester of pregnancy. To minimize the negative effect of the inevitable operation, the dentist chooses various means and methods.
Today, there are a number of anesthetics specially developed and oriented for use in pregnant women. These drugs are absolutely safe, as they do not have access to the fetus through the placental barrier.
Timely prevention will help to avoid the development of dental complications during pregnancy. In any case, a pregnant woman should undergo a preventive examination and a full examination by a dentist even during registration. In case of any problems or symptoms that signal the development of a dental disease, it is necessary to tell the doctor about it. He will give recommendations on oral care during pregnancy, a diet to strengthen tooth enamel, or prescribe dental treatment.
Tooth Nerve Removal During Pregnancy
Tooth extraction during pregnancy is a measure that should be used only in case of extreme necessity. This is unanimously stated by both gynecologists and dentists. The fact is that during pregnancy, the expectant mother is not recommended to be administered anesthetics, and the pain associated with the tooth extraction procedure can have unforeseen consequences for the pregnant woman. Such stress is dangerous for the body of a pregnant woman, which is already weakened.
Caries is not considered a serious disease, but its main threat lies in dangerous complications, especially if it is not treated at all. At the initial stage of development, caries is easily treated, but if appropriate measures are not taken for a long time to eliminate it, the inflammatory process can penetrate into the tooth root, where the nerve endings are concentrated. It is the nerves that are entirely responsible for the duration of the "dental" life. Inflammation of the dental nerve is called "pulpitis".
It should be noted that it is the dental nerve that plays the most important role in the creation of a tooth, because thanks to it, the bone formation turns into a living organ. Thanks to the nerve, the tooth has sensitivity and can also react to external and internal stimuli. If a person experiences severe, sharp pain in a damaged tooth, it is likely that he is developing pulpitis. The procedure for removing the dental nerve can be avoided at the first stages of this disease, then the tooth can still be saved. However, if there is an extensive area of damage caused by dental caries, the pain usually intensifies, and in this case, it is impossible to do without the procedure for removing the dental nerve.
Removal of the tooth nerve during pregnancy is carried out only in a situation when it is impossible to cure the tooth without this procedure, and the inflammatory process has affected more than 90% of the pulp. First of all, this operation helps to eliminate carious lesions of the tooth. Thus, it will be possible to restore its normal condition and maintain the duration of "life". In the development of pulpitis, caries treatment is a rather dangerous procedure due to the possibility of repeated development of the inflammatory process in the affected tooth.
Removal of an inflamed tooth root is usually accompanied by the removal of the entire crown. This procedure is used when the dental tissues are largely destroyed and the tooth cannot be restored or restored.
Until recently, dental nerve removal surgery was a very complicated dental procedure. Dentistry did not have enough means and medical equipment to perform this surgery painlessly. Usually, arsenic was used at the beginning of the dental nerve removal procedure, on top of which a temporary filling was placed. It performed a barrier function and prevented the penetration of pathogenic microorganisms into the drilled cavity of the tooth. After a certain time, the arsenic was removed, and then the surgery to eliminate the dental nerve was performed. It should be emphasized that this surgery caused unpleasant sensations in patients. Therefore, such manipulations were previously not recommended for pregnant women, because they exposed her to stress and severe pain. In addition, the use of arsenic in such a case was undesirable.
In modern dentistry, the removal of the affected dental nerve, including in pregnant women, is carried out quite quickly and, fortunately, painlessly. This effect is achieved thanks to improved dental equipment and the use of painkillers, the action of which is aimed at the loss of the tooth's sensitivity to pain. After the removal operation, the tooth hole is sealed with high-quality filling material.
To prevent the development of pulpitis, pregnant women should regularly monitor the condition of their teeth and oral health, and promptly consult a doctor in case of caries. It is proper dental care and oral hygiene that play a decisive role in preventing the occurrence of pulpitis.
Considering the load on the body of a woman carrying a child, dental treatment is carried out in a minimal volume, ensuring the complete absence of pain in the expectant mother. Usually, all necessary manipulations are carried out in the second trimester of pregnancy, when the placenta is fully formed and is able to protect the fetus in case of unwanted invasion of harmful substances. Dental treatment in the first trimester and immediately before childbirth is not recommended. However, in the case of acute pulpitis, it is advisable to eliminate it as quickly as possible, since the inflammatory process, rapidly spreading in the mother's body, can negatively affect the intrauterine development of the baby.
Removal of a tooth nerve during pregnancy consists of a step-by-step procedure. First, temporary treatment is carried out, which consists of filling the dental canals with safe materials. A woman is recommended to have a permanent filling in the postpartum period. Tooth treatment in expectant mothers is usually carried out without anesthesia, but when removing a nerve, modern anesthetics are used that do not contain adrenaline. X-rays are also undesirable for pregnant women, but if necessary, this procedure should be carried out with strict adherence to all safety precautions.
In conclusion, it should be noted that the availability of high-quality equipment and effective medications developed specifically for pregnant women in modern dental clinics allows dental procedures to be performed without risk to the health of the expectant mother and child. However, the best option is to prevent the development of problems associated with dental diseases. To do this, a woman planning a pregnancy should take care of the condition of her teeth in advance by visiting a dentist and, if necessary, treating damaged teeth. During pregnancy, it is necessary to continue regular dental monitoring in order to promptly identify dental problems related to possible complications due to a lack of calcium in the body of the expectant mother. During the consultation, a pregnant woman is obliged to inform the doctor about the period, her health, as well as existing allergic reactions to medications.