Dental Care During Pregnancy and Breastfeeding

Baby - Dental Care During Pregnancy and Breastfeeding - Temple Family DentistryBeing pregnant with a child can be a very exciting time, but women are also faced with new and sometimes unforseen issues. Gum inflammation is often one of these issues. This is called pregnancy gingivitis and will typically resolve after pregnancy. However, during pregnancy it is important to consult with your dentist as more frequent cleanings are often recommended to manage the condition while pregnant.

The best time for dental work while pregnant is during the second trimester. Normally during the third trimester it can be uncomfortable to sit for long visits. Radiographs are typically postponed until after pregnancy, but if a dental emergency does happen all precautions will be taken to keep the baby safe.

After pregnancy, if you are breastfeeding most dental work can still be completed with minimal changes in breastfeeding. A great app to use for medications while breastfeeding is “Mommy Meds” which allows you to search for medications and read information regarding the safety of the medication. Of course, it is always best to consult with your dentist, pharmacist or physician prior to taking any medication. Below is a list of common medications used during or after dental treatment to help you prepare for a dental procedure.

Local Anesthetic

Young Baby - Dental Care During Pregnancy and Breastfeeding - Temple Family DentistryThese medications are what is given when you are getting numb, they are given locally via injection and may also have a small amount of epinephrine in them. Typically minimal dosage is used of these medications, but if you are concerned ask your dental professional how much of each drug was used during a procedure.

Epinephrine is produced by the body and at the usual dental dosage and is considered compatible with breastfeeding

Lidocaine

  • Is present in breast milk
  • In usual dental dosage is considered compatible
  • Typical dosage for a dental procedure is 36mg

Articaine

  • Unsure if it is present within breast milk
  • Based on low excretion of other local anesthetics it is unlikely to adversely affect infant, but if any doubt pumping and discarding milk for 4 hours could be considered
  • Typical dosage for dental procedure is 72mg

Antibiotics

These medications are typically given if there is an infection of a tooth. The use of many antibiotics is considered compatible with breastfeeding, simply tell your dental provider that you are breastfeeding and we can find the appropriate antibiotic for you.

Pain medication

Non-opioid pain mediation is preferred for dealing with pain while breastfeeding. Tylenol and Ibuprofen are the preferred medications to deal with pain. Both of these are found in breast milk, but the levels are low and result in minimal side effects with the infant.