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dental work in early pregnancy

Caitie81490Caitie81490 member
in 1st Trimester
Hello ladies,

I just found out I am pregnant today.  I had a miscarriage 11/6 and was told to not worry about getting pregnant again so we could start trying whenever we felt ready.  It looks like things were ready for us to be pregnant again because I am about 3 weeks now.  

I have a dentist appointment scheduled for Monday morning bright and early at 8 am to have a crown fitted and attached.  I have a temporary on there now and have read that having non-necessary dental procedures should be avoided until the 2nd trimester in order to avoid infection.  Since I would be getting local anesthesia, this makes me nervous.  Especially since I read that the injection site is typically the cause of infection.  Should I cancel the appointment or just tell them that I am pregnant when I get there to see if that changes the pain control?  I also read that by not bring properly numbed, I am putting myself at risk for miscarriage due to unnecessary stress.  Not sure what I should do since I have already suffered through a miscarriage and I am terrified of going through it again.  I know it is out of my control and I cannot go the entire pregnancy thinking this way but if it is something I can avoid, I sure would like to avoid it.

Anyone else have crowns or any other procedure other than a cleaning done early in their pregnancy? 
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Re: dental work in early pregnancy

  • soxfan9968soxfan9968 member
    edited December 2015
    Don't cancel your appointment but tell your dentist. I broke a tooth and needed an emergency root canal, temp crown, and then the actual crown fitting. Local anesthetic was more than enough (excess saliva from pregnancy + numb mouth = messy messy face! Haha!). I also had a MC before this pregnancy but as long as you let your dentist know. You will be fine and it's perfectly safe. Some dentist will prefer to wait until the second trimester so you may need to reschedule. Letting your dentist know will help them decide which type of anesthetic to use, probably double up on lead aprons and make sure to take a minimal amount of X-rays.

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  • jmknoxjmknox member
    As a dentist myself it is generally considered safe. Many times we can seat a permanent crown without needing local anesthetic. If you do need local, there are short acting Epi free versions that we can use but the regular lidocaine is just as safe (as I have seen this in many a OB's referral). Also everything @soxfan9968 said is accurate. Just be honest with them and let them know your concerns. I have a feeling you will find a compromise that will help you feel better about the situation while still allowing your work to be completed.
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  • katie121209katie121209 member
    Great question i have a crown procedure scheduled for the first week of January and was wondering if I should postpone it- it's an old crown that cracked and needs replacement so not an emergency
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  • huskypuppy14huskypuppy14 member
    I'm curious why you need Novocain if you already have a temporary. When I got my permanent crown last year, I think I didn't need to get numbed because they did all the measurements already with temporary. If they need to fix anything they can file it down without it being in your mouth. I actually had to get my top teeth (the crown was on the bottom) filed because the crown has to be so thick, so in order for my bite to be correct they had to file the teeth that touched it. That would be the only reason why you might need anesthetic. I don't think I needed it, but I don't quite remember. 



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  • clairemwalkerclairemwalker member
    Working in dental - they sometimes give local for the fitting becuase it requires blowing air on the tooth to dry it, and other things (depending on the type of cement) which can be quite
    Sensitive if there is a nerve in the tooth. The local we use is absolutely fine for pregnant women, but if your tooth has had a previous root canal, then you could opt to go ahead without it.
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  • e&a+mommae&a+momma member
    I just had a crown done a couple of months ago. I only had the numbing shot for the first part where they drill and take the mold. The second part where they put the crown on I did not have anything. There was a little pain but nothing that I would say caused an undue amount of stress (this could depend on your pain tolerance also).

    I don't believe getting the numbing shots are harmful during early pregnancy but I would ask your dentist. The risk of infection due to the shot is very low. Leaving a temp crown on could also increase your risk for infection because food can get trapped underneath since they become loose overtime. I would told you don't want to leave the temp on longer than necessary.

    Good luck!
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  • Caitie81490Caitie81490 member
    My dentist was able to do all the work without any Novocain.  I didn't mention the pregnancy (looking back maybe I should have) because I didn't need x-rays or any other additions to the procedure.  He filed down the tooth, took some pictures with the 3D camera, molded the new tooth and cemented it on.  He said everything looked great and that there shouldn't be any issues.
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  • stayinhealthy15stayinhealthy15 member
    For the final crown you should not even need to be numbed up.  It may irritate your gums a little but that is it.   Just tell the dentist when you get there.   There should also be no need for X-rays for the final step in a crown. It is a fast and easy appointment compared to others  As the name implies the temporary crown is not made to last a long time.  I say get it done and then if you need any other dental work wait until the 2nd trimester.  Thats is what I am doing as far as getting filling.  I know I will need lidocaine for those.
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  • purplefan1purplefan1 member
    Ditto-i just recently had a crown down and the second part where they seated the crown I had no numbing agent. None was needed and was better because I could tell if it fit right. Even when they cleaned up the area and ground a little on surrounding teeth to smooth everything out and make it fit right it didn't bother me at all. I HATED the smell of the cement though. YUCK!
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