Does birth control affect wisdom teeth?
Hello Doctor, I have been taking oral contraceptives for two years now, and I am considering having four horizontal wisdom teeth extracted.
I have heard that oral contraceptives can affect the healing process after wisdom tooth extraction.
Do I need to stop taking the medication before the extraction? How long before the extraction should I stop taking the pills? Thank you.
S, 20~29 year old female. Ask Date: 2019/04/11
Dr. Lin Jiayong reply Dentistry
Hello: Please consult your gynecologist about prescribing contraceptive pills or check the medication leaflet of the pills you are taking.
It will indicate the number of days the drug is metabolized in the body, which is usually the metabolism days plus 1 to 2 days, equating to the duration of discontinuation.
However, considering your overall condition and the effectiveness of contraception, it is advisable to discuss with your gynecologist whether it is appropriate to discontinue use.
Thank you!
Reply Date: 2019/04/11
More Info
When considering the impact of birth control pills on the recovery from wisdom tooth extraction, it is essential to understand how hormonal contraceptives can influence various physiological processes, including healing and inflammation. Birth control pills primarily contain synthetic hormones, which can affect blood clotting, inflammation, and tissue healing.
Firstly, it is important to note that while there is no direct evidence suggesting that birth control pills significantly hinder the healing process after wisdom tooth extraction, some studies indicate that hormonal contraceptives may influence the body’s inflammatory response. This could potentially lead to a slightly altered healing process, but the clinical significance of this is often minimal for most patients.
In general, the recovery from wisdom tooth extraction involves several stages, including the formation of a blood clot, inflammation, and tissue regeneration. Hormonal changes induced by birth control pills could theoretically affect these stages, particularly in terms of inflammation. However, the majority of dental professionals agree that the benefits of continuing birth control pills typically outweigh any potential risks associated with their use during the recovery period.
Regarding your specific question about whether you should stop taking birth control pills before the extraction, it is generally not necessary to discontinue them. Most oral surgeons and dentists will advise patients to continue their regular medications unless there is a specific contraindication. If you have concerns about your hormonal contraceptive and its potential effects on your healing, it is best to discuss these with your dentist or oral surgeon. They can provide personalized advice based on your medical history and the specifics of your dental procedure.
If you do decide to stop taking birth control pills, it is advisable to consult with your healthcare provider to determine the best time frame for discontinuation. Stopping the medication too early may lead to unintended consequences, such as hormonal fluctuations or the risk of pregnancy if you are sexually active.
In summary, while there may be some theoretical concerns regarding the influence of birth control pills on the healing process after wisdom tooth extraction, the consensus among dental professionals is that it is generally safe to continue taking them. If you have specific concerns or underlying health conditions, it is always best to have an open discussion with your healthcare provider to ensure that you make the most informed decision regarding your health and recovery.
Lastly, remember that post-operative care is crucial for a smooth recovery. Follow your dentist’s post-operative instructions carefully, including managing pain, keeping the extraction site clean, and attending follow-up appointments. This will help ensure that your recovery is as quick and uncomplicated as possible, regardless of your birth control use.
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