Q: Please doctor, can tooth decay/toothache cause miscarriage? What can someone do if pregnant and have toothache?
A: Forcing dental floss in between your teeth can cause periodontal disease, which can cause a dull toothache. Where periodontal disease is not caused by wrong ‘hygiene’ techniques, it could be due to gum disease. Gum disease arises due to lack of good dental hygiene, which causes plaque forming bacteria to accumulate in the mouth and lead to swollen and bleeding gums. If this happens and is noticed early, it can be reversed before it starts causing tooth loss and weakening of the gum and bone structure holding the teeth (periodontitis). Other culprits could be hormones (during pregnancy or menstruation) and chemotherapy.
In pregnancy, the high level of hormones can make gums become more sensitive than usual and thus prone to gingivitis. If this is untreated, it can progress to periodontal disease with release of bacterial toxins that cause infections in the gums. As a result, the teeth may become loosened with subsequent loss of bone and entry of bacteria into the blood stream. The bacteria can potentially be transported to the placenta where pre-term labour may be precipitated.
A systematic review of about 25 cases, some years back suggested an association between periodontal disease and adverse pregnancy outcomes like miscarriage, pre-term labour etc. While no evidence for a causal relationship between periodontal disease and pregnancy exists (that is, it has not been proven that periodontal diseases causes pre-term labour or miscarriage), good oral hygiene improves general health of mother and ultimately, baby.
So, if you’re pregnant and you have toothache, please see your dentist and also let your obstetrician know. Don’t go taking painkillers by yourself. Remember that every medication is a potential toxin and when pregnant, you have to be even more careful as whatever you take in could affect your baby. Your medical team will weigh benefits of immediate treatment against that of potential risk to pregnancy, if any.
For more on this topic, pleased click on this link: https://chatwithdrketch.com/2015/11/06/daily-health-tips-what-causes-bleeding-gums/
I hope this helps.
Goodnight, y’all 😀