Dealing with a Broken Tooth During Pregnancy: What You Need to Know

Tooth fracture?

Hello, doctor.
I am currently 7 months pregnant, but today while eating, a tooth next to my front tooth suddenly broke, leaving only a small piece and the root still in the gum.
Previously, my dentist mentioned that due to periodontal disease, I would need to wait until after delivery for treatment, including possible tooth extraction.
What should I do in this situation? The appearance is very unappealing, and it's inconvenient for biting and chewing.
I'm also worried that this issue will continue and that I might lose more teeth.
Is there any way to salvage this? I've heard many people say that taking calcium supplements can help, but does this really prevent further issues? I'm afraid of my teeth breaking or fracturing further.

Mi Mi, 20~29 year old female. Ask Date: 2009/07/25

Dr. Zhuang Suhui reply Dentistry

Generally speaking, teeth that crack as you described are often due to pre-existing cavities.
It is possible to receive dental fillings during pregnancy; you can ask your dentist to examine your teeth and fill any cavities to prevent similar situations from occurring.
Taking calcium supplements at this time will not prevent cavities.
It is also possible to have teeth extracted during pregnancy, or if you are hesitant to have an extraction, you can temporarily shorten the tooth and use a temporary denture for a while.

Reply Date: 2009/07/25

More Info

Dealing with dental issues during pregnancy can be particularly challenging, especially when it comes to broken teeth. As you are currently seven months pregnant and have experienced a fracture in one of your teeth, it’s essential to address this situation with care and consideration for both your health and that of your unborn child.

Firstly, it’s important to understand that dental health can significantly impact overall health during pregnancy. Hormonal changes can lead to increased susceptibility to gum disease and other dental issues. This is particularly relevant in your case, as you mentioned a history of periodontal disease, which can exacerbate dental problems.
When a tooth breaks, the immediate concern is to manage any pain or discomfort and to prevent further damage. Since you are in your third trimester, it is generally safe to seek dental treatment, but it is crucial to inform your dentist about your pregnancy. Most dental procedures, including fillings and crowns, can be performed safely during pregnancy, especially in the second and third trimesters when the risk of complications is lower.

In your situation, since the tooth has fractured and is causing you discomfort, it is advisable to see a dentist as soon as possible. They will assess the extent of the damage and determine the best course of action. If the tooth can be salvaged, they may recommend a filling or a crown. If the damage is too severe, extraction may be necessary. While extraction is often viewed as a last resort, it may be the best option if the tooth is beyond repair, especially to prevent further complications.

Regarding your concerns about aesthetics and functionality, dental professionals are skilled at providing solutions that can restore both the appearance and function of your teeth. Temporary solutions, such as a dental flipper or a temporary crown, can be used until a more permanent solution can be implemented after you give birth.

As for your question about calcium supplements, while calcium is essential for dental health, it is not a guaranteed preventive measure against tooth fractures. A balanced diet rich in vitamins and minerals, including calcium, is crucial during pregnancy. Foods high in calcium, such as dairy products, leafy greens, and fortified foods, can help maintain your dental health. Additionally, maintaining good oral hygiene practices—such as regular brushing and flossing—can help prevent further dental issues.

It’s also worth noting that stress and anxiety about dental health during pregnancy can exacerbate the situation. Therefore, it’s essential to communicate openly with your healthcare providers about your concerns. They can provide reassurance and guidance tailored to your specific needs.

In summary, you should seek dental care promptly to address the broken tooth. Discuss your options with your dentist, who can provide treatment that is safe for you and your baby. Maintain a healthy diet rich in calcium and practice good oral hygiene to support your dental health during this critical time. Remember, taking care of your dental health is an integral part of your overall well-being during pregnancy.

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