Toothache during Pregnancy: Safe Medications and Dental Treatments

Toothache | Pregnancy| Dental treatments | Dr.Abi Negi

Table of Contents

What is toothache?
Reasons of toothache during pregnancy?
Medications safely taken during pregnancy for toothache?
Medications contraindicated during pregnancy for toothache?
Pain Relief options for toothache during pregnancy
Dental treatments during pregnancy
Dental X-rays during pregnancy

What is toothache?

Toothache during pregnancy is a common dental problem that many women experience.

It is characterized by pain, discomfort, or sensitivity in the teeth or gums.

Toothache during pregnancy| Safe Medications| Pregnancy| Dental treatments| Dr. Abi Negi

Some women may also experience toothache as a result of dental problems such as cavities or gum disease.

The pain can be mild, moderate, or severe. The pain may be sharp, dull, or throbbing, and may be constant or intermittent.

A toothache can be life-threatening if not treated on time.

Remedy for toothache typically involves addressing the underlying cause of the pain, which may include restorative dental procedures such as fillings, root canal treatment or tooth extraction

Pain relief can also be achieved through over-the-counter pain medications or

prescription medications prescribed by a dentist.

Reasons of toothache during pregnancy?

Toothache during pregnancy can be caused by a variety of factors. The common causes are:

1. Hormonal changes: During pregnancy, the body goes through significant hormonal changes, which can affect oral health.

Increased levels of hormones such as estrogen and progesterone can cause inflammation of the gums, which can lead to toothache and other dental issues.

2. Changes in diet: Many women experience changes in their diet during pregnancy, which can affect oral health.

For example, consuming more sugary or acidic foods and beverages can increase the risk of tooth decay and toothache.

3. Changes in oral hygiene habits: Some women may experience changes in their oral hygiene habits during pregnancy, such as brushing and flossing less frequently due to morning sickness or fatigue. This can increase the risk of tooth decay and gum disease, which can lead to toothache.

4. Gum disease: Pregnant women are at increased risk of developing gum disease, which can cause toothache and other dental issues.

5. Teeth grinding or clenching: Some women may experience teeth grinding or clenching during pregnancy, which can lead to toothache and other dental problems.

It's important for pregnant women to practice good oral hygiene habits and to visit their dentist regularly for check-ups and cleanings. Women who experience toothache during pregnancy should speak to their healthcare provider or dentist to determine the underlying cause and to discuss safe treatment options.

Medication safely taken during pregnancy for toothache

Pregnant women with toothache should consult their dentist or healthcare provider before taking any medication, as some medications can pose a risk to the developing fetus.

However, some medications that may be considered safe for pregnant women with toothache include:

1. Acetaminophen (Tylenol): Acetaminophen/Paracetamol is a pain reliever that is considered safe for pregnant women when taken in recommended doses. It can help relieve toothache pain without posing a risk to the developing fetus.

2. Topical analgesics: Topical analgesics, such as benzocaine, can be applied directly to the affected tooth or gum to help relieve toothache pain. They are considered safe for pregnant women when used as directed.

3. Antibiotics: In some cases, toothache may be caused by a bacterial infection that requires treatment with antibiotics. Pregnant women may be prescribed certain antibiotics, such as penicillin or amoxicillin, which are considered safe during pregnancy.

It is important to note that pregnant women should always consult their dentist or healthcare provider before taking any medication, as some medications can have adverse effects on the developing fetus.

Additionally, pregnant women should avoid taking aspirin or ibuprofen for toothache, as these medications have been associated with an increased risk of pregnancy complications.

Medication contraindicated during pregnancy for toothache

There are certain painkillers that are contraindicated in pregnancy, meaning they should not be used as they may cause harm to the developing fetus.

These include:

1. Non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, and naproxen. These drugs have been associated with an increased risk of miscarriage, birth defects, and bleeding complications during pregnancy.

2. Opioids such as codeine, hydrocodone, and oxycodone. These drugs can be addictive and have been associated with an increased risk of birth defects, withdrawal symptoms in newborns, and other complications during pregnancy.

It is important for pregnant women to consult with their healthcare provider before taking any medication, including painkillers.

Pain Relief options for toothache DURING PREGNANCY

Safe pain relief options for toothache that can be considered, depending on the severity of the pain and any other medical conditions a person may have. Here are some options:

1. Acetaminophen: This is a common pain reliever that is considered safe during pregnancy. It can help relieve mild to moderate toothache pain.

2. Warm saltwater rinse: A warm saltwater rinse can help soothe gum inflammation and reduce toothache pain. Mix 1/2 teaspoon of salt in 8 ounces of warm water and swish around your mouth for a few minutes before spitting it out.

3. Ice pack: Applying an ice pack or cold compress to the outside of the cheek near the painful area can help numb the pain and reduce swelling.

4. Clove oil: Clove oil has been used as a natural remedy for toothache pain for centuries. It contains a natural anesthetic called eugenol, which can help numb the pain. Apply a small amount of clove oil to a cotton swab and place it directly on the painful area.

5. Dental treatment: If the toothache is caused by a dental problem such as a cavity or infection, dental treatment may be necessary to resolve the issue and relieve the pain. Dental treatment during pregnancy is generally considered safe in all trimesters.

It is recommended to schedule routine dental procedures, such as cleanings and check-ups, during the second trimester. This is because the second trimester is a relatively stable period for both the mother and the developing baby.

Elective procedures or non essential dental treatment may be postponed untill delivery. But, emergency dental treatments or necessary procedures for oral health should not be delayed.

It is recommended to avoid routine dental X-rays during the first trimester of pregnancy, if possible, due to the sensitive developmental stage of the fetus. However, if there is a dental emergency or urgent need for an X-ray, the American College of Obstetricians and Gynecologists states that dental X-rays with appropriate shielding can be performed safely at any trimester.

Dental X-rays can be performed safely during the second trimester of pregnancy. The second trimester is generally considered a safer period for both the mother and the developing baby. During this stage, the risk of miscarriage is significantly reduced, and the fetus is more developed.

If at all X-ray is important then your dentist will ensure that proper shielding is used to protect your abdomen and thyroid area. Lead aprons and thyroid collars are typically employed to minimize radiation exposure to the developing baby.

If the X-ray can be postponed until after delivery, that may be the preferred approach for non-urgent situations. However, if there is a dental emergency or a crucial need for an X-ray, it can be done safely with the necessary precautions.

It is important to note that pregnant women should always consult with their healthcare provider before taking any medication, even those considered safe during pregnancy. Additionally, pregnant women should avoid taking aspirin or ibuprofen for toothache, as these medications have been associated with an increased risk of pregnancy complications.

Frequently asked questions

1. Is toothache common during pregnancy?

Yes, toothache is a common dental problem during pregnancy.

2. What causes toothache during pregnancy?

Toothache during pregnancy can be caused by hormonal changes, dietary changes, and poor oral hygiene.

3. Can I take pain medication for toothache during pregnancy?

Some pain medications are considered safe during pregnancy, but it is important to consult with a healthcare provider before taking any medication.

4. What are some natural remedies for toothache during pregnancy?

Natural remedies for toothache during pregnancy include warm saltwater rinse, applying an ice pack, and using clove oil.

5. How can I prevent toothache during pregnancy?

Maintaining good oral hygiene, eating a healthy and balanced diet, and visiting the dentist regularly can help prevent toothache during pregnancy.

References

American Pregnancy Association: This website provides information on medications that are considered safe for pregnant women to take for toothache, including acetaminophen and certain antibiotics. https://americanpregnancy.org/pregnancy-health/toothache-during-pregnancy-10404/
American Dental Association: This website provides a list of medications that are considered safe for pregnant women to take for toothache, including acetaminophen, penicillin, and amoxicillin. https://www.ada.org/en/member-center/oral-health-topics/pregnancy
The National Institutes of Health: This article discusses the use of dental anesthetics and antibiotics for pregnant women with toothache and provides information on medications that are considered safe during pregnancy. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263265/
National Institute for health - Benzocaine https://www.ncbi.nlm.nih.gov/books/NBK582601/

Author-

Dr. Abi Negi

Dentist

10 + years of experience

Certification in Practical Implantology

Certification in Rotary Endodontics

Associate Fellowship in Laser Dentistry Certification in Laser Treatments Diploma in Practical Occlusion and Restorative Dentistry Course Advanced occlusion appliance therapy, TMD Comprehensive Course in Veneers - Ceramic & Composite Aesthetic Certified - Europe, Germany WHO Health Program Certified Certification in Laser Dentistry Fellow of the Academy of General Education (FAGE) Member of the Indian Dental Association (IDA)