Tooth extraction during pregnancy
Last reviewed: 20.10.2021
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Removal of the tooth during pregnancy is a problem that requires a balanced and immediate decision. This question arises in expectant mothers very often.
The fact is that in a state of pregnancy, calcium deficiency is simply inevitable, therefore the development of caries, as well as of other dental diseases, is transient and especially acute.
Wisdom tooth extraction during pregnancy
Tooth extraction during pregnancy requires reasonable arguments and is used in modern dentistry only in case of emergency. Recently, dental doctors have avoided any surgical manipulation in dentistry, directing their efforts, above all, to the effective treatment of dental diseases. To date, in addition, the development of dentistry has reached a big upsurge, including in dental technology, the quality and reliability of therapeutic drugs and materials. This helps to conduct quality treatment so called. "Root canals", which are considered a guarantee of safety and long life of the teeth.
Undoubtedly, future mothers should take care of the health of their teeth during pregnancy planning. Thus, many problems associated with their treatment during pregnancy can be avoided. However, if the future mother is faced with the fact that the tooth is not treatable, or if the effect of the treatment is short-term, in this case the tooth extraction becomes the only way out of this situation. The fact is that a tooth that is not subject to functional restoration becomes a source of infection, which can spread easily throughout the body and thus damage the unborn child.
Removing the wisdom tooth during pregnancy is a separate issue that must be addressed depending on the specific situation. Often there are cases when the eruption of the wisdom tooth (as it is also called, "tooth-eight"), the future mother is experiencing great pain. Do I have to go to the dentist? Certainly, yes, in fact to suffer pain is not an output, and anesthetizing to pregnant women are counter-indicative, as as a whole and any other medical products.
There are a number of contraindications to the procedure for removing a wisdom tooth 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 the wisdom tooth during pregnancy is a surgical operation of a more complex level than the usual tooth extraction, and it can cause a number of negative consequences, such as fever, severe pain, bleeding. In case of pregnancy, these are dangerous symptoms, and once again stress the future mother is undesirable.
Therefore, if the situation is uncritical, 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 operation for the postnatal period. However, this decision must be made again only by the attending physician. Usually, the removal of the wisdom tooth (as well as the ordinary tooth) is resorted only in the case of incessant acute pain, which is very disturbing to the pregnant woman. If carrying out such a procedure clearly makes sense, then, as a rule, it is postponed to the second trimester of pregnancy. To minimize the negative effect of an unavoidable operation, the dentist chooses different means and methods.
To date, there are a number of anesthetics, specially designed and targeted for use in pregnant women. These drugs are absolutely safe, because do not have access to the fetus through the placental barrier.
Timely preventive maintenance will exclude the development of complications with the teeth during the period of bearing of the child. In any case, a pregnant woman should undergo a preventive examination and a full examination at the dentist while registering. If you have any problems or symptoms that signal the development of a tooth disease, you should tell the doctor about it. He will give recommendations regarding oral care during pregnancy, a diet for strengthening tooth enamel, or prescribe a dental treatment.
Removal of the nerve of the tooth during pregnancy
Removal of the tooth during pregnancy is a measure that must be used only in case of emergency. This is unanimously approved by both gynecologists and dentists. The matter is that during pregnancy to the future mum it is not recommended to enter anesthetics, and painful sensations, which are connected with the procedure of tooth extraction, can have unforeseen consequences for the pregnant woman. This stress is dangerous for the body of a pregnant woman, who 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, tooth decay is well treatable, but if you do not take appropriate actions to eliminate it for a long time, the inflammatory process can penetrate the dental root where the nerve endings are concentrated. It is the nerves that bear all the responsibility 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 the tooth, because it makes the bone formation a living organ. Thanks to the nerve, the tooth has sensitivity, and also knows how to react to external and internal stimuli. If a person experiences a strong, sharp pain in a damaged tooth, it is likely that he develops pulpitis. Without a procedure to remove the dental nerve can be done at the first stages of the disease, then the tooth can still be saved. However, in the presence of an extensive area of lesions of dental caries, the pain usually increases, and in this case, it is impossible to do without a procedure for removing the nerve.
Removal of the nerve of the tooth during pregnancy is carried out only in a situation where without this procedure to cure the tooth is impossible, and the inflammatory process has amazed more than 90% of the pulp. First of all, this operation helps to eliminate carious tooth lesions. Thus, it will be possible to restore its normal state and preserve the duration of "life". With the development of pulpitis, caries treatment is a rather dangerous procedure due to the possibility of the repeated development of the inflammatory process in the affected tooth.
Removal of an inflamed dental root is usually accompanied by the removal of the entire crown. This procedure is used when the tooth tissues are more damaged, and the tooth can not be restored or restored.
More recently, the operation to remove the dental nerve was a very complicated dental procedure. Dentistry did not have in its arsenal in sufficient funds and medical equipment for the painless implementation of this operation. Usually, at the beginning of the procedure for removing the nerve nerve, arsenic was applied, on top of which a temporary seal was applied. It performed a barrier function and prevented the entry of pathogenic microorganisms into the drilled cavity of the tooth. After a certain time, arsenic was removed, and then an operation was performed to eliminate the nerve. It should be emphasized that this operation caused unpleasant sensations in patients. Therefore, previously, pregnant women were not recommended such manipulations, because they subjected her to stress and severe pain. In addition, the use of arsenic in this case was undesirable.
In modern dentistry, the removal of the affected dental nerve, including in pregnant women, is carried out rather quickly and, fortunately, painlessly. Such an effect is achieved through improved dental equipment and the use of pain medications, whose action is aimed at the loss of tooth susceptibility to pain. After the removal operation, the tooth opening is covered with high-quality filling material.
To prevent the development of pulpitis, pregnant women should regularly monitor their teeth and oral health, and also consult a doctor in case of caries. It is the proper dental care and oral hygiene that play a decisive role in the prevention of pulpitis.
Taking into account the burden on the body of a woman who is carrying a child, dental treatment is carried out in the minimum volume, with the provision for a complete absence of pain in the future mother. Usually, all necessary manipulations are carried out in the second trimester of pregnancy, when the placenta is fully formed and able to protect the fetus in case of undesirable invasion of harmful substances. Do not recommend dental treatment in the first trimester and immediately before childbirth. However, in the acute course of pulpitis, it is desirable to eliminate it as quickly as possible, the inflammatory process, rapidly spreading in the mother's body, can negatively affect the intrauterine development of the baby.
Removal of the nerve of the tooth during pregnancy is a phased implementation of this procedure. First, temporary treatment is carried out, which consists of filling the tooth channels with safe materials. It is recommended to put a permanent seal on the woman in the postpartum period. Dental treatment in expectant mothers is usually performed without the use of anesthesia, however, when removing the nerve, modern anesthetics are used, in which there is no adrenaline. Undesirable for pregnant women and X-rays, but if necessary, this procedure should be carried out with strict adherence to all precautions.
To summarize, it should be noted that the availability in modern dental clinics of high-quality equipment and effective medications developed specifically for pregnant women allows performing dental procedures without risking the health of the future mother and child. However, the best option is to prevent the development of problems associated with dental diseases. For this, a woman planning a pregnancy should take care of her teeth beforehand by visiting a dentist and, if necessary, treating damaged teeth. During pregnancy, it is necessary to continue regular monitoring at the dentist in order to timely identify dental problems concerning possible complications due to lack of calcium in the body of the expectant mother. At the consultation, the pregnant woman is obliged to inform the doctor about the period, state of health, and also the existing allergic reactions to medicines.