Pulling teeth during pregnancy can be a challenging issue. Some doctors believe that this operation in the second trimester of pregnancy, when the fetus is relatively stabilized, is less risky than the other two trimesters. But various factors such as the type of tooth infection, the need for anesthesia, and the general health status of the mother can affect the decision. During this period, dental care should be done carefully to preserve the health of both the mother and the fetus. In the continuation of this article from the official website of **Dr. Najmeh Darnejad**, we are trying to answer the question "Is tooth extraction dangerous during pregnancy or not?" **Proper methods for tooth extraction during pregnancy** Mothers should pay attention to try to use appropriate and low-risk methods during pregnancy, which do not pose any risk to the health of both the mother and the child. For example, it is not recommended to refer to **orthodontist in Mashhad** for straightening the teeth. Because it may be associated with tooth extraction to create the required space to move the teeth. Some of the most common and appropriate dental procedures and dental treatment during pregnancy according to the prescription of the relevant doctor are as follows. ### **Using X-rays for tooth extraction during pregnancy** In order to extract a tooth during pregnancy, according to the needs and prescription of the dentist, you need **dental CBCT photo** and X-ray, by which the damaged tooth can be easily found and the degree of decay will be determined by the doctor. A lead apron will be used to cover the upper part of the patient's body, so that the side effects of the radiation will not harm the fetus. **Read more" laser orthodontics and the benefits of this method to accelerate this method in dental orthodontics** ### **Anesthesia for tooth extraction of pregnant women** Usually, lidocaine or novocaine is considered a class B drug, which is injected to the patient before tooth extraction. The use of this medicine during pregnancy is not dangerous according to the doctor's opinion. Anesthesia has entered the placenta, but it will also be filtered before it reaches the fetus. Local anesthesia does not pose a risk to pregnant women, because according to studies there is no evidence that dental treatment with anesthesia is harmful during pregnancy. In any case, routine dental hygiene procedures should be planned during pregnancy before the start of pregnancy, and it is better to do them during the middle trimester of pregnancy. Considering that both the mother and the fetus are treated, it should be noted that before starting any method or medicine in this field, consultation with a gynecologist is obtained. **Read more" Getting to know the pros and cons of orthodontics** ### **Symptoms of needing tooth extraction during pregnancy** If the mother experiences the following symptoms during pregnancy, it is recommended to consult her dentist and gynecologist. - Very intense and continuous pain in the teeth and gums - Sensitive and swollen gums (dental abscess) - Bleeding gums Gum diseases Tooth extraction in the first days of pregnancy Tooth extraction in early pregnancy is generally not recommended unless there is severe pain or infection. During this stage, the body responds to hormonal changes and may be more sensitive to pain and infection. Also, there are risks to the health of the fetus. If there is an urgent need to extract a tooth, the doctor can do it with caution and using local anesthesia. Tooth extraction in the second trimester of pregnancy The second trimester of pregnancy is usually the best time for tooth extraction. During this period, the risk of miscarriage is reduced and the fetus is significantly developed. If there is a need to extract a tooth, the doctor can do it with safe anesthetic drugs. This course generally has the lowest risk for pregnancy complications and fetal health, but should still be done after consultation with a dentist. **Read more" If you want to know more about the duration of orthodontic treatment, click on the given link.** Tooth extraction during pregnancy in the third trimester Tooth extraction in the third trimester of pregnancy should be done more carefully. At this time, there is a possibility of premature birth and the stress caused by dental treatment may have a negative effect on the mother and the fetus. If there is a need for tooth extraction, it is important that the doctor uses non-invasive and safe methods. In necessary cases, following safety and pain control measures, this action may be performed. What are the side effects of tooth extraction during pregnancy? For women who need tooth extraction during pregnancy, it is important to note that any change and medication can affect the health of the fetus. Although the effects of tooth extraction during pregnancy are not very dangerous, it is important to know its side effects. - Infection, which can bring risks for both the mother and the fetus. - Bleeding more than usual, which is caused by more sensitive gums due to hormonal changes. - Creating a dry oral cavity, which may occur due to interference in the healing process of teeth and gums. and other side effects such as extreme weakness, extreme lethargy, impact on fetal growth, lack of required substances, increased nausea, etc. **How to take care of gums during pregnancy after tooth extraction?** After tooth extraction during pregnancy, hygiene and special care of gums is necessary to prevent infection and bleeding. You should use sterile gauze on the tooth extraction site for at least 30 minutes and avoid washing your mouth vigorously or using a straw. Consuming water and cool liquids, soft foods and avoiding hard or hot foods will help the gums heal faster. Brushing gently around the tooth extraction site and using an alcohol-free mouthwash can be effective. If you notice swelling or severe pain, you should see a dentist immediately. **Read more" The correct way to brush your teeth according to dentists** Important tips for tooth extraction during pregnancy - Before taking action, consult a gynecologist. - The best time for tooth extraction is the second trimester of pregnancy. - The use of lead protection during radiography is mandatory. - Permissible anesthesia such as lidocaine without epinephrine should be used. - Sit half-lying or leaning to the left during tooth extraction. - Reduce stress and anxiety by breathing calmly and being with a reliable person. - After pulling, do not manipulate the wound and apply an ice compress. - Take only prescribed medications such as acetaminophen. - Use soft and cool foods and drink enough water. - Rinsing the mouth with diluted salt water and avoiding brushing the wound area until recovery. - If you notice fever, chills, severe pain or abnormal bleeding, see a doctor immediately. **Read more" What is the difference between gum scaling and tooth scaling?** **Home remedies for toothache during pregnancy** During pregnancy, due to the limitation of drug use, home methods can be useful to reduce toothache. Using a cold compress on the cheek helps reduce inflammation and pain. Rinsing the mouth with a solution of water and diluted salt also has antibacterial properties and reduces gum inflammation. Gently chewing cloves or applying clove oil (in small amounts) on the teeth can have a soothing effect. Maintaining oral hygiene with a soft toothbrush and dental floss is also necessary. Of course, these methods are temporary and definitive treatment should be done as soon as possible under the supervision of a dentist. **Why is dental care important during pregnancy?** During pregnancy, hormonal changes increase gum sensitivity and make teeth susceptible to decay. Gum diseases during this period can increase risks such as premature birth or low birth weight. Morning sickness may also damage tooth enamel. For this reason, daily tooth care with a toothbrush, dental floss and alcohol-free mouthwash is particularly important. Regular dental checkups during pregnancy make it easier to identify and treat oral problems. Adhering to a diet rich in calcium and vitamin D is also necessary to maintain healthy teeth and healthy development of the fetus. ###