Discussions that mention erythromycin

Dental Health board


If you're in significant pain, have infection or there is the likelihood of infection if you don't take care of this NOW, you can undergo tooth extraction during pregnancy under most circumstances.

If you are not in pain and there is no urgency about this, (i.e. yes, they are there but causing no problems) I would put it off until after the baby is born.

Normally, especially if you are having all 4 removed simultaneously, the extractions are done under general anesthesia. When PREGNANT however, experts recommend local anesthesia. With General, there is too much risk to the baby especially in the first trimester. Under local however, it can be a very anxious-making procedure, although painless.

If you opt for local, Novocaine and lidocaine... in fact, all of the "-caines"--can be used.

After the extraction, it's likely you'll need some form of pain meds for a few days.
Acetaminophen (Tylenol) is believed to be safe throughout pregnancy. Non-steroidals like ibuprofen generally are considered safe until around 32 weeks. If the dentist prescribes something like Vicodin or anything narcotic like codeine or Percodan, these can be used safely SHORT TERM...i.e. for no more than a couple of weeks. But it's unlikely you'd need them for that long anyway. Narcotic use in pregnancy only becomes an issue when you have to take it long term... (months).

Dentists often prescribe antibiotics to prevent an infection post-op.
The penicillins and cephalosporins are safe to take.
Also Erythromycin, although a lot of folks find this hard on the stomach. Under no circumstances should you take Tetracycline at any time during your pregnancy because it can harm teeth and bones of your baby. But dentists don't usually prescribe this med.

Definitely co-ordinate with your dentist and obstetrician before you embark on this and make sure they are both on the same page!

Again, if this is not urgent and totally necessary, my feeling is hold off... the less drugs the better for your baby, even if deemed "safe". Obviously, if the impacted teeth are in danger of becoming infected, you'd be wise to take care of it now, rather than risk infection during pregnancy.

zuzu xx