Pregnancy is one of the most sensitive stages of every woman's life when many changes occur in her body, including changes in oral and dental health.... Due to hormonal fluctuations, pregnant mothers may face various problems such as gingivitis, tooth decay and even the need for tooth extraction.... But one of the main concerns of pregnant women is whether tooth extraction is safe during this period? When is the best time to do this? And are the drugs used during and after tooth extraction safe for the fetus? In this article, we will take a closer look at these issues and provide the necessary tips and advice for expectant mothers so that they can manage their oral health more calmly... Is tooth extraction safe during pregnancy?... In general, yes... In fact, most dental procedures are safe during pregnancy, except for things like teeth whitening... This includes wisdom tooth extraction, although most dentists prefer this type of procedure until the wisdom tooth causes problems. The reason for great caution is to postpone.... Many experts recommend that tooth extraction, if necessary, in the second trimester (from 2 to 2 weeks in this trimester is at risk) of the fetus.... > Read more: Methods of replacing lost teeth The use of local anesthesia and some painkillers after surgery is safe during this period, but the use of drugs that may be dangerous to the fetus should be avoided. Also, X-ray photography with lead protection is generally safe, but it should be done only if necessary... ### The importance of regular dental care during pregnancy Regular dental care is important for everyone, but during pregnancy, the risk of problems such as tooth decay and gingivitis increases.. Hormonal changes make you prone to swelling and inflammation of the gums, and morning sickness can introduce abnormal bacteria into your mouth (or just make brushing and flossing very uncomfortable due to g-reflex stimulation)... > Read more: Dental implants during pregnancy These are small problems but if left untreated, they can turn into big problems.. It's not just about the tooth extraction itself, you also have to worry about anesthesia, x-rays and pain medication.... When should you not postpone an essential tooth extraction?.. Sometimes there are small risks to some medical procedures during pregnancy, but the benefits far outweigh the risks (or the risk of not doing them is worse)... Poor oral health can affect other parts of your body.. In addition, an untreated infection in the mouth can spread. And make you very sick... You should definitely brush your teeth even during pregnancy if: - You have severe pain that has affected your daily life.... - Risk of tooth infection.... - Risk of permanent damage to the tooth or gums.... The best time to have a tooth extracted during pregnancy The second trimester of pregnancy is recommended as the best time to extract teeth and perform other dental procedures, because during this period the risks related to the development of the fetus are minimized and the pregnant mother also faces less physical discomfort. **The main reasons for this recommendation are:** - **Critical growth of the fetus in the first trimester:** In the first trimester, the fetus is growing and forming its main organs... Doing any medical procedure or taking medicine may bring risks to the fetus... That's why doctors avoid unnecessary interventions in this period. sit down.... Also, at this time, you can use anesthetics and perform some interventions such as x-ray photography using protective equipment.... ### Does tooth extraction require x-ray photography and is it safe?. You usually need x-rays before a tooth extraction.. While dental x-rays are usually postponed until after pregnancy out of an abundance of caution, that doesn't mean they're unsafe....a simple x-ray doesn't contain enough radiation to harm you or your baby during pregnancy.... In addition, your dentist will give you one of those lead aprons for protection that act as a good shield against low radiation risk: >... > > Since x-rays aren't necessary during routine dental exams and cleanings, dentists usually skip them if you're pregnant.... But if you need them, you need them — and it's definitely safe.... > > Farsi translation: > > Since there is no need to take X-rays during regular dental examinations and cleanings, dentists usually avoid it during pregnancy... but if needed, it is definitely safe to do it... ### The effect of dental anesthesia in pregnancy The type of anesthesia allowed and safe during pregnancy is local anesthesia. Local anesthesia, which is usually administered by injection in an area of ​​the mouth, does not directly enter the bloodstream and therefore will not affect the fetus. Pregnant, local anesthesia is a safe and effective method for tooth extractions and other dental procedures.. In most cases, acetaminophen (Tylenol.) is the best... **This is the only over-the-counter pain reliever approved for use during all 9 months of pregnancy** because it is both effective and does not harm the fetus.... **For other options, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen may be used as pain relievers. are safe, but only in the first 30 weeks of pregnancy.**.. Note: This is another case where we recommend that you consult with your dentist, obstetrician or midwife so that you can set up an effective plan for post-extraction pain relief.. Risks of tooth extraction during pregnancy... - Using local anesthesia such as lidocaine is generally safe during pregnancy.... But using general anesthesia may lead to more harm.. Tooth extraction and after care From those points - If proper care is not taken after tooth extraction, there is a possibility of infection, which can be dangerous not only for the mother, but also for the fetus. Untreated oral and dental infections may spread to other parts of the body and threaten the health of the mother and the fetus.. - The pain and stress caused by tooth extraction can affect the fetus.... High stress during pregnancy can lead to other problems such as high blood pressure. > In emergency situations, the risks of surgery, x-rays and anesthesia are less than the risks of not treating a serious problem.... > > Farsi text: > > In emergency situations, the risks of surgery, X-rays and anesthesia are less than the risks of not treating a serious problem. - Consultation with obstetrician and gynecologist - Necessary tests before the operation - Photography and X-rays - Informing the dentist about pregnancy Care after tooth extraction in pregnancy #### 1... control bleeding After tooth extraction, you may have some bleeding... to control it, use sterile gauze and gently place it on the area of ​​the tooth.... press the gauze for 30 to 60 minutes until the bleeding stops.... avoid spitting and rinsing your mouth in the first hours after the operation because it may cause irritation and increase the bleeding.... are.... Avoid taking non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen in the third trimester of pregnancy unless prescribed by a doctor.... Also, avoid taking any painkillers without consulting a gynecologist... #### 3... Prevention of infection Oral and dental hygiene is very important after tooth extraction. To prevent infection, you can use alcohol-free mouthwash or lukewarm salt water. Also, in the first days after the operation, avoid brushing your teeth near the surgical area so as not to cause irritation and damage to the surgical site. If your dentist has prescribed antibiotics, they should be taken as directed to prevent infection. Antibiotics that are usually safe during pregnancy are prescribed, such as penicillin or amoxicillin. After tooth extraction, try to have enough rest for 24 hours.... Avoid doing heavy activities and lifting heavy objects to prevent pressure on the surgical area and speed up the healing process... #### 6... Use a cold compress To reduce swelling and pain, you can use a cold compress on your cheek in the surgical area.. Place a cold compress on the area every hour for 10 to 20 minutes.. This can help reduce inflammation and pain.. #### 7... Eat soft and nutritious food After tooth extraction, you should avoid eating hard and spicy foods that may irritate the surgical area. Instead, use soft and lukewarm foods such as soup, mashed potatoes and yogurt.. Also, avoid drinking liquids with a straw, because sucking can destroy the blood clot and delay healing. **Final Notes** In conclusion, tooth extraction during pregnancy may be associated with concern, but by following the principles and consulting with expert doctors, it can be done safely and without serious complications. The most important thing is to identify and treat dental problems in time to prevent infection and subsequent problems. the fetus