Can You Get Your Wisdom Teeth Removed While Pregnant? Safety, Risks & Alternatives

TLDR;

Yes, wisdom teeth can be removed during pregnancy, but it is generally safest to do so during the second trimester. If the wisdom teeth are not causing severe pain, infection, or complications, dentists may recommend postponing extraction until after delivery. Always consult your dentist and OB-GYN to determine the best course of action.

Pregnancy brings about many changes in the body, including increased sensitivity in the gums and a higher risk of infections. Dental health is critical during pregnancy, not just for the mother but also for the baby’s well-being. While wisdom teeth removal is a common procedure, its necessity and timing during pregnancy require careful evaluation.

How Pregnancy Affects Your Oral Health

Pregnancy hormones can lead to several dental issues, including:

Increased gum sensitivity and swelling – This can worsen wisdom tooth pain.
Higher risk of gum infections – Poor oral health has been linked to pregnancy complications such as premature birth.
Heightened response to pain and discomfort – Many women experience increased discomfort from existing dental problems during pregnancy.

Understanding these changes can help you decide whether wisdom tooth removal is necessary or if alternative pain management methods should be explored.

When Should You Consider Wisdom Tooth Removal During Pregnancy?

When Extraction is Necessary

In some cases, wisdom tooth removal cannot be delayed, such as when:

Severe pain is affecting your ability to eat, sleep, or function normally.
An infection is present, leading to swelling, pus, or fever.
The tooth is impacted and causing damage to nearby teeth or gums.
There is an increased risk of developing a more severe oral infection that could affect overall health.

When Extraction Can Be Delayed

If your wisdom teeth are not causing major issues, dentists typically recommend waiting until after delivery, especially in the following cases:

The tooth is not causing active pain or infection.
It is late in the third trimester when lying on your back for extended periods becomes uncomfortable.
The risks of surgery outweigh the immediate benefits.

Is It Safe to Remove Wisdom Teeth While Pregnant?

Yes, but safety measures must be followed.

Dental X-Rays During Pregnancy

X-rays are often needed to evaluate wisdom teeth before extraction. While dental X-rays are generally safe during pregnancy, extra precautions are taken:

A lead apron is used to shield the abdomen and baby.
Dentists minimize X-ray exposure to reduce any potential risks.

Anesthesia and Pregnancy

The type of anesthesia used is a crucial consideration.

Local anesthesia (like lidocaine) is considered safe and is commonly used for dental procedures.
General anesthesia is usually avoided due to potential risks to the baby.
Sedation options are limited—most dentists avoid strong sedatives during pregnancy.

Risks of Wisdom Tooth Removal During Pregnancy

Tooth extraction carries some risks, including:

Increased bleeding due to hormonal changes.
Higher sensitivity and discomfort during the procedure.
Increased stress and anxiety, which may not be ideal during pregnancy.

A skilled dentist, such as Buford Dentist, will carefully evaluate these factors before recommending wisdom tooth extraction.

Best Time for Wisdom Tooth Removal During Pregnancy

First Trimester – Avoid if possible. The baby’s organs are still developing, and the risk of miscarriage is higher.
Second Trimester – Considered the safest time for dental procedures.
Third Trimester – Avoid if possible, as lying flat can be uncomfortable, and stress should be minimized before delivery.

Alternative Ways to Manage Wisdom Tooth Pain During Pregnancy

If removal is not urgent, several safe pain relief methods can help:

Natural Remedies

Warm saltwater rinses – Reduce inflammation and fight bacteria.
Cold compress – Helps numb pain and reduce swelling.
Clove oil – A natural antiseptic that can relieve pain when applied to the affected area.

Safe Pain Medications During Pregnancy

Acetaminophen (Tylenol) is generally safe, but aspirin and ibuprofen should be avoided.
Always consult your OB-GYN before taking any medication.

Dietary Adjustments

Avoid hard or crunchy foods that may aggravate the pain.
Eat soft foods like yogurt, soup, and mashed potatoes.

Consulting Your Dentist and OB-GYN

Before making a decision, schedule a consultation with both your dentist and obstetrician. They can assess your specific situation and determine whether extraction is necessary or if alternative pain management strategies should be used.

Questions to Ask Your Dentist

Is my wisdom tooth infection severe enough to require removal now?
What pain management options are safe for me?
Can the extraction be postponed until after delivery?

Questions to Ask Your OB-GYN

Are there any pregnancy-related risks I should be concerned about?
Are there any medications I should avoid?
How will this procedure affect my pregnancy?

Post-Extraction Care & Recovery During Pregnancy

If you undergo wisdom tooth removal while pregnant, follow these aftercare tips to ensure a smooth recovery:

Stick to soft foods – Avoid spicy, crunchy, or acidic foods that may irritate the extraction site.
Keep the area clean – Rinse with warm salt water (but avoid vigorous spitting).
Manage pain safely – Use approved medications like acetaminophen.
Avoid excessive physical activity – Rest as much as possible.
Drinking Soda After Extraction – Carbonated beverages can interfere with healing, so it’s important to know when and how to safely reintroduce them into your diet.

Following your dentist’s and OB-GYN’s advice will help minimize complications and ensure a smooth recovery.

Preventive Measures: Maintaining Oral Health During Pregnancy

The best way to avoid the need for wisdom tooth removal during pregnancy is through preventive dental care.

Tips for Healthy Teeth and Gums During Pregnancy

Brush twice a day with a fluoride toothpaste.
Floss daily to remove plaque buildup.
Use pregnancy-safe mouthwash to prevent infections.
Visit your dentist regularly for cleanings and checkups.

Maintaining good oral hygiene can help prevent wisdom tooth infections and the need for extraction during pregnancy.

Conclusion

Wisdom tooth extraction during pregnancy is sometimes necessary but should be approached with caution. If removal is required, the second trimester is the safest time. If possible, non-surgical pain management strategies should be used until after delivery.

Buford Dentist recommends consulting with both your dentist and OB-GYN to make an informed decision about your oral health. If you’re unsure whether you need wisdom tooth removal, schedule an appointment today to discuss your options.