How to Relieve Tooth Pain When Pregnant
Physical changes during pregnancy can increase the risk of dental problems -- and pain -- due to infections, tooth decay, sensitive teeth or red, swollen gums 5. Getting this pain evaluated and treated can pose some challenges during pregnancy, since x-ray exposure should be minimized, and certain medications need to be avoided during pregnancy. However, there are some steps you can take to manage dental pain that develops when you are pregnant.
Evaluate
See your dentist if you are having tooth or gum pain. As long as your dentist knows you are pregnant, steps can be taken to ensure any dental procedures or treatment recommendations are safe for you and your unborn baby.
Brush and Floss
Toothache Remedies With Peroxide
Learn More
Dental care is important during pregnancy, since it can help prevent tooth decay and gum irritation that can lead to pain 5. Vomit contains acids that can also lead to tooth decay, making dental hygiene an even greater priority if you have morning sickness. Brush your teeth with a soft-bristled brush and fluoride toothpaste at least twice daily, and gently clean between your teeth at least once a day with floss or oral irrigation.
Rinse
If you struggle to regularly or thoroughly brush your teeth because of nausea, tooth pain or irritated gums, rinse your mouth after you eat -- using water or a fluoride mouthwash. The American Dental Association suggests that after vomiting, a rinse of 1 cup of water mixed with 1 teaspoon of baking soda can be used as an alternative to a commercial mouthwash 5. Just be careful to not swallow these baking soda or fluoride rinses.
Medicate
Tooth Pain & Nausea
Learn More
If you have tooth or gum pain that is not relieved by proper dental hygiene and rinses, your dentist or doctor may recommend a pain reliever or a topical numbing agent. Acetaminophen (Tylenol) is commonly recommended during pregnancy for pain relief. But since most medications have not been adequately studied for safety during pregnancy, discuss risks and benefits with your doctor and dentist before using numbing gels or pain relievers.
Tips
If you have sensitive teeth, pay attention to which foods worsen your pain. Hot or cold foods and beverages, for example, may aggravate this discomfort. Also, ask your dentist about toothpastes and mouthwashes that may help.
Warnings
Schedule an appointment with your dentist if the pain doesn't subside within a day or two, or right away if you have severe pain, making sure to alert the dental office that you are pregnant. Also see your dentist if you have bleeding gums, or if you also have gum or face swelling or drainage of pus, and let both your dentist and doctor know if you also have a fever. While some home strategies may be effective in reducing pain, you'll need to receive care if the source of your pain is an infection, abscessed or decayed tooth, or gum disease.
Reviewed by Kay Peck, MPH RD
Related Articles
References
- American Family Physician: Oral Health During Pregnancy
- The American Dental Association: Pregnant? 9 Questions You May Have About Your Dental Health
- American College of Medical Toxicology: Benzocaine Topical Products
- Canadian Family Physician: Treating Pain During Pregnancy
- American Dental Association: Is It Safe To Go To the Dentist During Pregnancy?
- Bader, J. (2005). Insufficient Evidence to Understand Effect of Routine Scaling and Polishing. Nature.com.
- ADA Center for Evidence-Based Dentistry. Clinical practice guidelines.
- Sen B, Blackburn J, Morrisey MA, et al. Effectiveness of preventive dental visits in reducing nonpreventive dental visits and expenditures. Pediatrics. 2013;131(6):1107-13. doi:10.1542/peds.2012-2586
- Bader J. Insufficient evidence to understand effect of routine scaling and polishing. Evidence-Based Dentistry. 2005;6(1):5-6. doi:10.1038/sj.ebd.6400317.
- Olson LB, Turner DJ, Cox GM, Hostler CJ. Prosthetic joint infection following dental cleaning despite antibiotic prophylaxis. Case Rep Infect Dis. 2019;2019:8109280. doi:10.1155/2019/8109280
- American Dental Association. Antibiotic prophylaxis prior to dental procedures.
- Weintraub JA, Stearns SC, Rozier RG, Huang CC. Treatment outcomes and costs of dental sealants among children enrolled in Medicaid. Am J Public Health. 2001;91(11):1877-81. doi:10.2105/ajph.91.11.1877
- US Preventive Services Task Force. Dental caries in children from birth through age 5 years: Screening. Updated September 29, 2014.
- Sambunjak D, Nickerson JW, Poklepovic T, et al. Flossing for the management of periodontal diseases and dental caries in adults. Cochrane Database of Systematic Reviews. December 2011. doi:10.1002/14651858.cd008829.pub2
- Walsh T, Worthington HV, Glenny A-M, Marinho VC, Jeroncic A. Fluoride toothpastes of different concentrations for preventing dental caries. Cochrane Database of Systematic Reviews. April 2019. doi:10.1002/14651858.cd007868.pub3
- American Dental Association. Dental Radiographic Examinations: Recommendations for Patient Selection and Limiting Radiation Exposure. U.S. Department of Health and Human Services.
- Bader, J. (2005). Insufficient Evidence to Understand Effect of Routine Scaling and Polishing. Nature.com.
- Christal, A. Dental Prophylaxis. The Edmonds Orthopedic Center.
- Cochrane. Drug treatments for Constipation Caused by Antipsychotic Medications.
- Gelber, S. (2016). Surprisingly Little Evidence for the Accepted Wisdom About Teeth. The New York Times.
- Sen, B., Blackburn, J., Morrisey, M.A., Kilgore, M.L... Menachemi, N. (2013). Effectiveness of Preventive Dental Visits in Reducing Nonpreventive Dental Visits and Expenditures. AAP News and Journals Gateway.
- The U.S. Preventative Services Task Force Staff. Final Recommendation Statement Dental Caries in Children from Birth Through Age 5 Years: Screening.
Resources
Writer Bio
Kay Ireland specializes in health, fitness and lifestyle topics. She is a support worker in the neonatal intensive care and antepartum units of her local hospital and recently became a certified group fitness instructor.