Wisdom Teeth Removal During Pregnancy: Risks, Timing, and Precautions

Elective extraction is generally postponed unless urgent (infection, severe pain, cyst). If necessary:

Key Considerations

1. Trimester: 2nd trimester (14–20 weeks) is safest; 1st trimester—organogenesis risk; 3rd—discomfort/preterm labor risk.
2. Dual Consultation: Dentist + OB/GYN for coordinated plan.
3. Imaging: Avoid X-rays if possible; if essential, use lead apron/thyroid collar.
4. Anesthesia: Local anesthetics (lidocaine with epinephrine) are safe in pregnancy.
5. Medications: Only OB-approved antibiotics/analgesics (avoid NSAIDs, tetracyclines).
6. Infection Prevention: Rigorous oral hygiene; chlorhexidine rinse; follow-up.

Shared decision-making with both providers ensures maternal-fetal safety.