Impact of Dental X-rays on Early Pregnancy: What You Need to Know - Obstetrics and Gynecology

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Early pregnancy


Hello Dr.
Mao: I recently confirmed that I am over 5 weeks pregnant (last menstrual period: June 10, 2004).
However, on June 24, 2004, I underwent a full dental X-ray without knowing I was pregnant.
Will this affect the growth of the fetus? Thank you!

Mornica, 30~39 year old female. Ask Date: 2004/07/22

Dr. Mao Yikun reply Obstetrics and Gynecology


Hello: The date of the last menstrual period was June 10, 1993.
June 24 falls within the fertile window.
If pregnancy occurred, the X-ray exposure cannot guarantee that it won't have an effect, but early pregnancy is more likely to present with signs of miscarriage.

Reply Date: 2004/07/22

More Info


The concern regarding the impact of dental X-rays on early pregnancy is a common one among expectant mothers. It is understandable to worry about any potential risks to the developing fetus, especially in the first trimester when the fetus is most vulnerable.
Firstly, it is important to note that dental X-rays, including full-mouth X-rays, typically involve very low doses of radiation. According to various studies, the radiation exposure from a dental X-ray is significantly lower than that from other medical imaging procedures. For instance, a full-mouth X-ray may expose the patient to approximately 0.65 mGy, while a dental CT scan can expose the patient to about 23 mGy. In comparison, the threshold for concern regarding fetal exposure is generally considered to be around 100 mGy, which is much higher than the doses associated with dental X-rays.

In the case you mentioned, where the dental X-ray was taken at a time when you were unknowingly pregnant (approximately 5 weeks), the risk to the fetus is minimal. The American College of Obstetricians and Gynecologists (ACOG) states that the risk of significant harm from dental X-rays during pregnancy is very low, especially when proper precautions are taken, such as using lead aprons to shield the abdomen.

Moreover, the first trimester is indeed a critical period for fetal development, and while there is a theoretical risk of radiation exposure leading to potential developmental issues, the actual risk from a single dental X-ray is negligible. Most studies indicate that the likelihood of adverse effects, such as congenital anomalies or increased cancer risk later in life, is extremely low when the radiation dose is below the aforementioned threshold.

It is also worth mentioning that the body has mechanisms to repair DNA damage, and the doses from dental X-rays are unlikely to cause significant harm. The consensus in the medical community is that the benefits of necessary dental care during pregnancy far outweigh the risks associated with low-level radiation exposure.

If you have further concerns about the health of your pregnancy or the potential effects of any medical procedures you underwent prior to knowing you were pregnant, it is advisable to discuss these with your healthcare provider. They can provide personalized guidance based on your specific situation and medical history.

In summary, while it is natural to be concerned about the effects of dental X-rays during early pregnancy, the evidence suggests that the risk is minimal. The radiation exposure from dental X-rays is low, and the potential for harm to the developing fetus is very small. It is always best to communicate openly with your healthcare provider about any concerns you may have regarding your pregnancy and dental health.

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