Tooth Loss: Impact of Wisdom Teeth During Pregnancy

Q: Tooth Loss: Impact of Wisdom Teeth During Pregnancy

Hello： The second molar had braces during childhood, but after the braces fell off, it was not redone, resulting in increasingly severe decay. <br>Additionally, the eruption of the wisdom teeth has pushed the second molar forward, causing gum inflammation. <br>During pregnancy, n

Molar tooth loss

Hello, doctor: I have an issue with my lower left molar (the second to last tooth) which I had a crown placed on during elementary school.
After the crown fell off, I didn't have it reattached since it wasn't painful, so I left it alone.
Unfortunately, it has decayed significantly over time, and the root is now almost gone.
I also have a wisdom tooth that erupted at the back of that row of teeth.
Since the molar is missing, the wisdom tooth is pushing the last remaining tooth forward, causing it to press against the gum of the molar.
I am currently in the late stages of pregnancy.
During the second trimester, I experienced pain in that area and visited a dentist, who informed me that my wisdom tooth was completely decayed and that the last tooth also had cavities.
They ground down both decayed teeth and filled them, stating that I couldn't undergo any other treatments during my pregnancy.
Now that I'm close to my due date, the gum around the missing molar is painful again.
Could the pain be related to the wisdom tooth pressing against the last tooth, which in turn is pushing against the gum of the molar? After I give birth, I would like to restore the missing molar, but what will happen to the last tooth that has been pushed forward by the wisdom tooth? Additionally, if I plan to breastfeed, will I be able to undergo treatment?

Xiao Miao, 20~29 year old female. Ask Date: 2012/08/13

Dr. Zeng Guanghui reply Dentistry

Hello: The second molar had braces during childhood, but after the braces fell off, it was not redone, resulting in increasingly severe decay.
Additionally, the eruption of the wisdom teeth has pushed the second molar forward, causing gum inflammation.
During pregnancy, no aggressive treatment was performed, but the gum inflammation has recurred.
This may be due to severe misalignment of the entire molar region, leading to oral difficulties and increased plaque accumulation on the gums.
It is recommended to undergo root canal treatment after the pregnancy.
If the decay is too severe to restore, extraction should be considered.
It is advised to consult a dentist for further treatment.
Wishing you peace and happiness.

Reply Date: 2012/08/13

More Info

Tooth loss and dental issues during pregnancy can be quite concerning, especially when compounded by the presence of wisdom teeth. In your case, it appears that the loss of your second molar (the tooth that had a crown) has led to complications with your wisdom tooth, which is pushing against the remaining molar. This situation can indeed cause discomfort and pain in the gums, as the pressure from the wisdom tooth can lead to inflammation and irritation of the surrounding tissues.

During pregnancy, hormonal changes can affect your dental health. Increased levels of hormones such as progesterone can lead to changes in the gums, making them more susceptible to inflammation and infection, a condition known as pregnancy gingivitis. This could explain the recurrent pain and discomfort you are experiencing in your gums. The pressure from the wisdom tooth may exacerbate this condition, especially if the second molar is already compromised and unable to provide adequate support.

Regarding treatment options, it is generally recommended to avoid invasive dental procedures during pregnancy, particularly in the first and third trimesters. However, if you are experiencing significant pain or infection, it is crucial to consult with your dentist. They may recommend a conservative approach, such as monitoring the situation until after delivery, or they may suggest less invasive treatments to alleviate your discomfort.
After giving birth, you will have more options available for treatment. If your second molar is still in a state where it can be restored, your dentist may suggest a root canal treatment if the tooth is salvageable. If the tooth is too damaged, extraction may be necessary. The wisdom tooth may also need to be evaluated for extraction, especially if it continues to cause problems for the adjacent teeth.

As for breastfeeding, most dental treatments can be safely performed while breastfeeding. Local anesthesia used during dental procedures is generally considered safe, and most medications prescribed for pain management or infection are compatible with breastfeeding. However, it is always best to discuss any concerns with your healthcare provider to ensure that both you and your baby remain healthy.

In summary, the pain you are experiencing is likely related to the pressure from the wisdom tooth on the remaining molar, compounded by hormonal changes during pregnancy. After delivery, you should seek dental care to address the issues with both the wisdom tooth and the second molar. In the meantime, maintaining good oral hygiene and managing any discomfort with safe pain relief methods, as advised by your healthcare provider, is essential. Always consult your dentist for personalized advice and treatment options tailored to your specific situation.

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