Is local anesthesia possible during pregnancy? | Toothache during pregnancy

Is local anesthesia possible during pregnancy?

It is quite possible to receive a local anaesthetic during pregnancy, but care must be taken to ensure that only certain local anaesthetics are used so as not to harm the unborn child. Only local anaesthetics with a high protein binding rate are used, which means that only traces of them get into the bloodstream and most of the protein remains bound. As a result, only a very small percentage can enter the bloodstream at all and reach the unborn child at all.

High levels of adrenaline should be avoided. Local anesthetics with norepinephrine, octapressin or felypressin are not indicated because they can trigger premature labor and are therefore not used during pregnancy. Local anesthetics that may be used during pregnancy include articaine and bupivacaine.

Nevertheless, the first trimester, the first third of pregnancy, is considered the most vulnerable period for both mother and child, where restraint with medications and dental treatments should be exercised. The second trimenon is considered the most stable phase of pregnancy (from the 4th month), when dental procedures are most likely to be performed. To date, there are no studies and no scientific evidence whether the use of Tea Tree Oil is completely safe for the unborn child in case of toothache during pregnancy. However, if the treatment is carried out in the oral cavity by gargling and rinsing, an increased concentration in the maternal bloodstream is not to be expected, as the diluted oil only reaches it in traces. Before use, however, a clarification should be made with the treating physician.

Can toothache be a sign of pregnancy?

The tissues become softer during pregnancy, which is why inflammation in the oral cavity can develop more easily, which can be a sign of pregnancy. If these inflammations cause pain in the teeth, the discomfort is a consequence of the changes during pregnancy. Since gum or periodontal inflammation, such as so-called pregnancy gingivitis, often feels like generalized toothache for the person affected, these complaints can be interpreted as signs of pregnancy.

Nevertheless, toothache in a particular tooth or group of teeth is never a sign of pregnancy, nor is every inflammatory disease in the oral cavity a cause for concern.If you want to be absolutely sure, you should visit your gynecologist to have a pregnancy test done. Furthermore, the dentist should also be consulted to relieve the symptoms and to treat the cause of the pain. Because the old folk wisdom that one tooth is lost per pregnancy definitely does not have to apply.