Should painless wisdom teeth be removed before pregnancy?

May 12, 2023 Source: Cainiu Health
Dr. Zhang Liwen
Introduction
In general, asymptomatic wisdom teeth are recommended to be removed before pregnancy, because if problems arise with wisdom teeth during pregnancy, treatment may affect the health of both the mother and the fetus. Wisdom teeth are a product of human evolution; not everyone develops them, and for many people, they do not cause any issues. However, this is not absolute—some painless wisdom teeth may suddenly develop problems.

Generally, it is recommended to remove asymptomatic wisdom teeth before pregnancy, because if problems with wisdom teeth arise during pregnancy, treatment may affect the health of both the pregnant woman and the fetus. Specific details are as follows:

Wisdom teeth are a product of human evolution; not everyone develops them, and for many people, wisdom teeth do not cause any issues. However, this is not absolute—some painless wisdom teeth can suddenly develop problems. Wisdom teeth may lead to swelling, pain, and discomfort. If these symptoms significantly interfere with daily life and work, extraction becomes necessary. If the gums or oral tissues surrounding the wisdom teeth become infected, tooth extraction is one of the standard treatments for such infections. Additionally, abnormally growing wisdom teeth may cause displacement, twisting, or crowding of adjacent teeth, which usually necessitates their removal. In summary, when wisdom teeth cause problems, they generally need to be extracted. However, tooth extraction during pregnancy is very risky and may negatively impact the health of both the mother and the fetus. Yet, leaving problematic wisdom teeth untreated could result in severe pain or serious oral complications. Therefore, it is advisable to have wisdom teeth removed prior to pregnancy to avoid these risks.

If dental extraction is required during pregnancy, it is recommended to consult both a dentist and an obstetrician. They can provide more specific advice, assess the condition of the teeth and the pregnancy, and make the most appropriate decision. Under any circumstances, close attention should be paid to oral health, good oral hygiene should be maintained, and infections or other complications arising from dental problems should be prevented.