Proper care and timely treatment of teeth and gums during pregnancy is not only the future mother’s concern for herself, but also for the baby’s health.

How safe is it to treat teeth and are painkillers safe for pregnant women? Will the treatment affect the course of pregnancy and will it not harm the baby?

Let’s talk about all the pros and cons of dental treatment during pregnancy.

Can teeth be treated during pregnancy?

Doctors recommend dental treatment at the stage of pregnancy planning. However, pregnancy is not a disease, and in itself is not a contraindication for visiting the dentist.

In addition, with certain indications, the expectant mother needs urgent treatment of teeth and gums.

In particular, it is about:

  • caries at various stages and its complications (pulpitis, periodontitis);
  • gum inflammation (bleeding, gingivitis, periodontitis);
  • infectious, fungal diseases of the mucous membrane (stomatitis, candidiasis);
  • tooth injuries resulting in chips, cracks, pulp or root damage.

If you have any signs of tooth or gum disease, you should make an appointment with a dentist. He will prescribe the safest possible treatment, taking into account the trimester of pregnancy and the peculiarities of its course. In particular, the well-being and state of health of the expectant mother, etc.

A pregnant woman should also inform the dentist of the names and dosages of all medications she is taking.

Can teeth be filled during pregnancy?

Modern filling materials are hypoallergenic and non-toxic, and therefore safe for the expectant mother and baby. Dental filling and restoration technologies are also safe.

Can pregnant women do dental x-rays?

Many pathological processes in the oral cavity develop inside the tissues of the teeth. They can be detected only with the help of informative hardware diagnostics. Traditionally, x-ray diagnostics (sight picture) is used in dentistry. During pregnancy, the use of digital radiovisiography, which gives a low radiation load, is recommended.

Technological advances have made X-rays much safer than they were in decades past.

Can pregnant women have their teeth treated under local anesthesia?

Toothache is considered one of the strongest. During pregnancy, it can be dangerous, as it provokes stress in a woman.

In the case of minor interventions (filling of small carious cavities), anesthesia is not used for pregnant women. If the treatment is associated with painful sensations (preparation of a deep cavity, treatment of pulpitis), it is carried out with an injection of local anesthetic.

The doctor selects the drug taking into account the patient’s condition, indications and contraindications. Painkillers of the new generation are used for safe treatment.

Components of these drugs:

  • do not overcome the protective placental barrier;
  • do not affect intrauterine, placental blood flow;
  • contain vasoconstrictor components in low concentration;
  • do not carry a threat of abortion.

Restrictions and contraindications

With a normal course of pregnancy, a woman has no risk factors that should delay the treatment of acute or potentially dangerous diseases of the oral cavity. These procedures can be performed in any trimester of pregnancy.

However, there are a number of procedures that are not recommended for pregnant women.


A contraindication to the procedure is that it can be quite aggressive for weakened tooth enamel. During pregnancy, a woman’s body directs the lion’s share of energy and nutrients to the formation and development of the child.

In this regard, many pregnant women have a lack of calcium in the body, which leads to a decrease in the strength of the hard tissues of the tooth. With this condition of the enamel, whitening can seriously harm the health of the teeth.

Prosthetics and implantation

The reason for the contraindication is the need for computer tomography and large-scale surgical intervention, which requires the use of strong anesthetics, and in some cases, additional drug therapy.

Planned tooth extraction

Removal of wisdom teeth, teeth that have not erupted or are in the wrong position, provided there is no discomfort and complications, is postponed until the birth of the child.

The decision to remove a tooth during pregnancy is made by a doctor in exceptional cases:

with an acute inflammatory process and pain;
if it is impossible to carry out treatment and restoration;
if keeping the diseased tooth poses a greater threat to the health of the woman and the child than its removal.

Orthodontic treatment for straightening teeth

It is also better to postpone such treatment. However, if the expectant mother already wears braces, the treatment continues, but the requirements for hygiene and control over the state of the tooth enamel increase.

Treatment in different trimesters of pregnancy

Even if a woman has taken a responsible approach to pregnancy planning and treated her teeth in advance, she still needs to visit the dentist regularly during pregnancy.

This will make it possible to detect caries and other pathological processes in the oral cavity at an early stage, apply the safest methods of treatment and prevent the negative impact of infections on the development and health of the child.

To control the condition of the teeth and gums, the expectant mother must undergo a dental examination in the 1st trimester (before registration) and in the last months before giving birth.

If we talk about carrying out any dental procedures, then not only the condition of the woman is important, but also the period of pregnancy. Each trimester has specifics and risks that determine the choice of treatment methods.

The first trimester

The first trimester lasts up to 12 weeks inclusive. In the first trimester, all vital organs of the future child are laid.

At the same time, the placenta is not yet strong enough to reliably protect the fetus from the influence of external factors, and the woman’s body is exposed to serious hormonal, physiological and metabolic overloads.

Any interventions, stress, medications can negatively affect both the gestation process and the baby’s health. Therefore, treatment of teeth during pregnancy in the first trimester is carried out mainly by non-invasive methods of therapy (treatment without a drill: treatment with ozone, laser, air-abrasive method).

If possible, the doctor excludes surgical intervention and the use of drugs and anesthesia.

The second trimester

This is the period from the 13th to the 24th week of pregnancy. This is the calmest and safest period for both mother and baby.

Therefore, if the patient has indications for caries treatment and other dental procedures, the doctor postpones them to the II trimester of pregnancy.

Third trimester

One of the urgent questions for expectant mothers is until what week can teeth be treated? The third trimester (starting from the 25th week until delivery), like the first, is quite difficult. The difficulties are caused by heavy loads on the female body and increased sensitivity of the placenta to external factors.

Treatment of teeth during pregnancy in the 3rd trimester is carried out in acute conditions that can be dangerous for the health of the mother and child.

It is recommended to postpone planned operations and procedures until the birth of the child.

Advice for pregnant women on dental care

The health of the mother’s entire organism depends on the condition of the oral cavity, and accordingly the health of the baby. Therefore, it is very important to provide teeth and gums with good care, to monitor their condition throughout pregnancy.

The health of the mother’s entire organism depends on the condition of the oral cavity, and accordingly the health of the baby. Therefore, it is very important to provide teeth and gums with good care, to monitor their condition throughout pregnancy.

Dentists recommend:

  • examine the oral cavity at the stage of pregnancy planning: if necessary, treat caries, perform a professional teeth cleaning, remove “wisdom teeth” if necessary, etc.;
  • take care of a balanced diet to ensure a sufficient amount of microelements for the formation of the fetus and the preservation of the health of the mother’s teeth and bones;
  • brush your teeth at least 2 times a day (morning and evening);
  • undergo a dental examination at least 2 times during pregnancy (in the first and last trimester);
  • if symptoms of inflammation, diseases of the oral cavity appear, immediately consult a dentist.

Do not miss a visit to the dentist because of pregnancy. On the contrary, during this period, the examination is very important, since the probability of developing dental diseases during pregnancy increases significantly.

In order to avoid problems and keep teeth healthy, Yarema Dental clinic specialists recommend the expectant mother to visit the dentist regularly, undergo timely treatment and follow the doctor’s recommendations.