Post # 1
My husband and I are TCC again after a miscarriage. We are eager to get pregnant again ASAP. However, I have to get a filling in my tooth to treat a painful cavity. The dentist told me that novacaine is “perfectly safe” during pregnancy, but I’ve received conflicting information from different sources. I am a little bit nervous about receiving novacaine during early pregnancy. The appointment is in two and a half weeks. If I conceive this cycle, I’d be 4 wees pregnant (2 weeks past ovulation) at the appointment. On the other hand, if I decide to hold off on TTC until after the appointment, that would set us back 2 more cycles. We already feel set back by the miscarriage, and we don’t want to wait any longer. I’ve heard dental work is generally safer later in pregnancy, but I’m not sure I can tolerate the pain in my tooth for months to come. This is more of a vent than a question. But just for kicks, what would you do in this situation?
Post # 3
the first trimester is already filled with aches and pains…a tooth ache may just be too much to handle. I would take care of the tooth first. A happy mamma is a happy baby!
Post # 4
What does your OB say? If the OB says to go ahead, you should. Infections, even minor dental infections, can decrease the ability to conceive.
Post # 5
Fix it while it is still relatively minor. Waiting will increase your chance for pain, infection and much more expensive and extensive treatment.
Post # 7
Talk to your OB but I would fix it asap. Having it get infected & abscess would not be good during pregnancy either and could require something more than a basic filling.
Post # 8
I agree with PP’s and think you should talk to your OB. Online information is conflicting about most things and when it comes to pregnancy it’s 100x worse.
I don’t know where you live but in our area we have a phone number you can call and speak directly to a nurse. It is supposed to slow down emergency room wait times- my FSIL used it throughout her pregnancy for questions like this. If the nurse doesn’t know an answer to your question they tell you they will call you back at a set time after speaking to a doctor who works in the field your calling about.
Either way- seek out a professional. It will put your mind at rest!
Post # 9
Thanks for the responses. I feel like even doctors give confusing advice. When I was pregnant (before the miscarriage), I asked my OB about the possibility of dental work. At the time I was 4 weeks along. When I asked if it would be safe to have a filling, he at first nodded yes. Then he seemed to reconsider and said, “It would be best to have it done either tomorrow, or 10 weeks from now” because of the crucial stage of development that was coming up. It seems there are no yes or no answers to these questions, but I wish there were!
Post # 10
I had a filling done in my first trimester and it was no problem. My midwife told me that there was one specific kind of numbing agent the dentist couldn’t safely use – I really don’t remember what it was now, sorry, but novacaine is fine.
Honestly, you’ll find some sources that say pretty much EVERYTHING is dangerous during pregnancy. Some is legitimate but much of it is just hype and completely over the top. I made sure I picked a good doctor whose opinion I trusted, and just went with what she said.
Post # 11
take care of it asap before it gets worse. most dental work is safe during pregnancy with the exception of complete sedation/general anasthetic. local ones are generally fine (any exceptions would be known by the dentist)
Post # 12
I called my OB office and the nurse said novocaine is fine. I also discovered Motherisk.org, which provides research-based information to respond to common medical concerns during pregnancy. If anybody is interested, here is a link to the article about dental work: http://www.motherisk.org/prof/updatesDetail.jsp?content_id=909′ defer=’defer.
Post # 13
I had a cavity filled when I was at about 7-8 weeks. I talked to my midwife and my dentist and they both said it was fine. Just be sure to tell your dentist that you’re pregnant and he/she will take extra precautions.
Post # 14
- Wedding: November 2013 - St. Augustine Beach, FL
@mysterybee123: I would wait. If you are lucky and get pregnant right away then you might end up having to wait until after the pregnancy to treat the tooth pain. Can you handle 10+ months of tooth pain? It might be even more if you are planning to breastfeed. I just wouldn’t take the chance with dental procedures and pregnancy.
Post # 15
I’m a dental hygienist and licensed to administer local anesthesia. There are certain types of anesthetics that are perfectly safe to use on pregnant women and will have no side effects. I would not be worried about anything 🙂 If you think you are pregnant or trying to conceive, just let the doctor know as you should not get any x-rays. Also, do not use nitrous oxide in a dental office during pregnancy. Hope that helps 🙂
Post # 16
Just going by what I was told – my dentist would not preform dental work in the first trimester. I just got a root canal at 27 weeks and he was fine doing that because I was further along. MY OB faxed a list of safe meds to him and that was about it, If you’re concerned about having it done in the first trimester I would put off TTC for another cycle and get this taken care of first.