Can you have root canal treatment during pregnancy?

Many people with toothache during pregnancy worry about whether treatment could harm their baby. Root canal treatment can be performed during pregnancy when clinically needed; the decision follows an examination and review of your health.^{1, 9}

Should treatment wait until after birth?

Treatment needed for infection or pain should not be postponed solely because you are pregnant. Urgent needs can be assessed in any trimester. Appointment length and chair position are adjusted to your stage of pregnancy and comfort.^{2, 10, 11}

Can local anaesthesia and dental X-rays be used?

Appropriate local anaesthesia can be used during pregnancy. When essential for diagnosis or treatment, a low-dose periapical radiograph may be taken using appropriate radiation-protection measures and protective equipment where indicated. The dentist determines the need for imaging and the method.^{1, 12, 13}

How is treatment planned?

An examination identifies the cause of pain; not every toothache needs root canal treatment. If needed, diseased tissue inside the tooth is removed and the canals are cleaned and filled. Visits and the final restoration are planned individually.^{5, 6}

Should I take painkillers or antibiotics?

Do not start or change medicines yourself. During pregnancy, NSAID painkillers such as ibuprofen should not be used without medical advice. Consult your clinician before stopping medicines prescribed for your pregnancy.^{3, 7}

What should I tell the dental team?

Share your pregnancy week, any high-risk pregnancy concerns, medicines, supplements and allergies. Particularly in a high-risk pregnancy, your dentist can coordinate treatment with your obstetric clinician.^{2, 4}

When should I seek urgent help?

Increasing facial swelling or fever needs prompt dental attention. Get emergency help if you have difficulty breathing or swallowing.⁸

This article provides general information and does not replace an individual examination, diagnosis or treatment plan.