Should the tooth pulp be removed during pregnancy?

If a woman has severe caries, pulpitis with the following signs, a woman may need to undergo root canal treatment during pregnancy:
Prolonged toothache, dull pain, discomfort, affecting eating and daily activities. Toothache radiating to the head, especially pain at night. There are white pustules growing under the teeth causing bad breath. The teeth are loose or broken, chipped, and the pulp is exposed.

For every woman, pregnancy is an important period and health decisions must be weighed against harm to the unborn baby, including dental treatment.
According to dental and obstetrician-gynecologists, root canal treatment during pregnancy should be considered because treatment methods and techniques may affect the fetus. Women should put myelosuppressive drugs, instead of root canal treatment because during the marrow extraction process, anesthetic drugs will be used to affect the fetus in the abdomen.
In addition, during root canal treatment, the doctor may order X-rays of the teeth and this technique is known to be not good for the fetus. Therefore, depending on the health status of the mother and the baby, the dentist will advise whether or not to order a marrow-killing drug to achieve effective treatment.

If you have to take root canal treatment during pregnancy, dentists recommend that you choose the time of treatment in the 2nd trimester (the second 3 months of pregnancy).
This is the right time for marrow treatment because at this stage, the fetus has gradually stabilized and got used to the mother's body. Moreover, the mother's health is also better than morning sickness in the first trimester (first 3 months of pregnancy) and fatigue and discomfort are more common in the third trimester (last 3 months of pregnancy). ).

To prevent dental diseases in general, tooth decay, pulpitis in particular, causing women to have root canal treatment during pregnancy, during pregnancy it is necessary to pay attention to oral care issues as follows:
Brush teeth properly 2 times a day and rinse your mouth clean with diluted salt water after each meal. Limit the use of sharp toothpicks to pick up food stuck between the teeth, instead, use dental floss to remove food. Limit foods and snacks that are sweet, starchy, and sugary foods that cause tooth decay. Periodic dental visits to timely detect and treat dental problems. Root canal treatment during pregnancy should be considered in terms of the timing and method of treatment (using pulp killer or anesthetic to remove the pulp) to avoid affecting the fetus.
Dental - Maxillofacial Specialist at Vinmec International General Hospital has long become a prestigious address in the field of oral health care. Faculty of Dentistry - Maxillofacial - Facial is one of the major and important sub-disciplines of the clinical block. Is a specialty in charge of intensive and aesthetic pathological treatment of the entire tooth structure (teeth, bone, pulp,...), jaw (palatine, jawline, jaw joint, ...) and face (frontal bone, cheekbone, temporal bone,...).
In case a pregnant woman needs an oral examination, the Odonto-Stomatology specialist can consult and discuss with the Obstetrician and Gynecologist to come up with the best treatment plan, ensuring health and safety. for both mother and fetus.