Dental pain originating from infections or extensive carious lesions can be severe. Definitive dental care should be arranged as soon as possible, but short-term interim pain management may be needed. The following analgesics are appropriate to use during pregnancy, with caution:
Ibuprofen and other NSAIDs are generally avoided during pregnancy
FDA recommends avoiding use of NSAIDs in pregnancy at 20 weeks or later because they can result in low amniotic fluid. FDA Safety Communication. 10-15-2020. www.fda.gov/media/142967/downloadÂ
Oral Health During Pregnancy and Early Childhood: Evidence Guidelines for Health Professionals. California Dental Association Foundation. 2010.
Motherisk. Toronto, Ontario, Canada at www.motherisk.org (Included referencing National Collaborative Perinatal Project, 1959-1974, Record Group 443, National Institutes of Health.)
Hilgers KK, Douglass JM, Mathieu GP. Adolescent Pregnancy: A Review of Dental Treatment Guidelines. Pediatr Dent 2003;25:459-467.
US Food and Drug Administration Pregnancy and Lactation Labeling Final Rule
Oral Health Care During Pregnancy Expert Workgroup. 2012. Oral Health Care During Pregnancy: A National Consensus Statement-Summary of an Expert Workgroup Meeting. Washington, DC: National Maternal and Child Oral Health Resource Center.
Briggs GC, Freeman RK, Yaffe SJ. Drugs in Pregnancy and Lactation, Ninth Edition. Lippincott Williams and Wilkins, Philadelphia, PA 2011.