Does Birth Control Affect Wisdom Tooth Extraction Recovery? - Obstetrics and Gynecology

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The impact of birth control pills on wisdom tooth extraction?


Hello Doctor, I have been taking the contraceptive pill (Desogestrel 0.15mg + Ethinyl Estradiol 0.02mg) for two years and am considering having my impacted wisdom teeth removed.
I have heard that contraceptive pills can affect postoperative wound healing and may even lead to dry socket.
I would like to know if contraceptive pills really impact the recovery after wisdom tooth extraction.
If so, how long before the extraction should I stop taking the pills? How many months should I discontinue them to be suitable for the extraction? Thank you.

Niming, 20~29 year old female. Ask Date: 2019/04/17

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the questioner: Some people believe that oral contraceptives increase fibrinolytic activity, leading to the breakdown of blood clots and causing complications after tooth extraction.
Currently, most contraceptives contain low doses, which reduces this risk.
If you are concerned, you may consider stopping the medication or scheduling the extraction during the later part of your cycle (days 23-28).
Additionally, it is important to note that taking antibiotics after tooth extraction may affect the efficacy of the contraceptive pill.
Thank you! Wishing you safety and health, Dr.
Zhang.

Reply Date: 2019/04/17

More Info


The relationship between birth control pills and recovery from wisdom tooth extraction is a topic of interest for many patients. Birth control pills, such as the one you mentioned (Desogestrel and Ethinyl Estradiol), primarily work by regulating hormones to prevent ovulation and manage menstrual cycles. However, they can also have effects on various bodily functions, including wound healing and inflammation.

When it comes to dental procedures like wisdom tooth extraction, the concern about birth control pills affecting recovery primarily revolves around the potential for increased risk of complications such as dry socket (alveolar osteitis). Dry socket occurs when the blood clot at the extraction site either fails to form or is dislodged, exposing the underlying bone and nerves. This condition can lead to significant pain and delayed healing.

Research indicates that hormonal contraceptives may influence the healing process. Estrogen, one of the hormones in many birth control pills, can affect blood flow and the inflammatory response, which are critical for healing. However, the evidence is not definitive, and many patients on birth control pills recover from dental procedures without any issues.

In terms of your specific situation, if you are concerned about the potential impact of your birth control on the healing process after wisdom tooth extraction, here are some considerations:
1. Consult Your Dentist or Oral Surgeon: Before making any decisions about stopping your birth control, it is crucial to discuss your concerns with your dentist or oral surgeon. They can provide personalized advice based on your medical history and the specifics of your dental procedure.

2. Timing of Stopping Birth Control: If your dentist advises that stopping the pill may be beneficial, they will likely recommend a specific timeframe. Generally, it is not necessary to stop taking birth control pills weeks in advance of a dental procedure. However, if you do decide to stop, it is advisable to do so at least a few days before the extraction to allow your body to adjust.

3. Post-Extraction Care: Regardless of your birth control status, following post-operative care instructions is vital for preventing complications. This includes avoiding sucking motions (like using straws), not smoking, and adhering to prescribed medications for pain and inflammation.

4. Monitoring for Complications: After your extraction, be vigilant for signs of dry socket, which typically manifests as severe pain that develops a few days post-surgery. If you experience this, contact your dentist immediately for evaluation and treatment.

5. Individual Variability: Keep in mind that everyone’s body reacts differently to medications and surgical procedures. Some individuals may experience no issues while on birth control, while others may have a more complicated recovery.

In summary, while there is some concern that hormonal contraceptives could affect recovery from wisdom tooth extraction, the evidence is not conclusive. It is essential to have an open dialogue with your healthcare providers to make informed decisions that prioritize your health and well-being. If you have any further questions or concerns, do not hesitate to reach out to your dental care team for guidance tailored to your specific circumstances.

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