A toothache is considered a dental emergency. Infections, which often cause toothaches, can spread systemically and potentially complicate a pregnancy if left untreated. Any elective dental procedures should be postponed until after delivery. Elective treatments include cosmetic dentistry. Other dental treatments are best completed during the second trimester.
Most antibiotics used by the dentist during pregnancy are safe.
However, dentists should avoid prescribing tetracycline and narcotic pain medication during pregnancy. Penicillin, clindamycin, and amoxicillin are generally acceptable medications. If you are already pregnant, it is still not too late to optimize your oral health. If you suspect you are pregnant, inform your dentist before your next appointment. Continuing care, including a professional teeth cleaning, is best scheduled during the second trimester.