100% Paced St Jude PM / 7 Months PREGNANT / Painful Broken Tooth

Easy Does It

by Grateful Heart - 2016-08-15 00:07:32

I was about to go to bed and saw your numerous posts so I had to answer.

You and your baby will be fine.....breath easy.  

You can go to the Dentist while pregnant and.....you can go to the Dentist with a pacemaker, don't worry.

Talk to your Cardio and OB about your condition and drugs, etc. for your baby for peace of mind first.....that's important, they know your condition.

Let your Dentist know you have a PM and of course that you are pregnant.  There are plenty of pregnant women with dental emergencies.

Regarding the PM, if the Dentist uses the cleaning tool (Cavitron) for cleaning teeth, they should let the cable run under the chair instead of across your body.  However, they will not be cleaning your teeth for an emergency visit..... that's for future reference, so no worries.

Good luck with the birth of your baby!

 Hope this helped.

Grateful Heart

Which tooth &...

by donr - 2016-08-15 02:04:17

...Where did it break?  There's a big difference between a chip off a front incisor and a rear molar that breaks below the gum line.

EDIT   EDIT   EDIT

Just asked MD Daughter what she would do in your boat.  She said that I was nuts for suggesting ice cubes - that would just add cold to a possibly exposed & sensitized nerve ending & hurt worse.  If someone suggests child's Oragel for teething babies - Don't do it.  Oragel has been determinmed to cause a potentially dangerous reaction in babies - & in adults w/ heart conditions (unspecified).  Unless your Dr. has cleared you for NSAID's stay away from them, along w/ any aspirin/aspirin-type products.  Sounds like the best approach is a generous dose of what is called TIF (Tincture of Intestinal Fortitude) Guts, to be succinct.

Even a rear molar w/ a break ABOVE the gum line is minor compared to the break below gum line.  Anything above the gum in a healthy tooth is merely an incovenience that can be restored w/ a crown.  general rule - below gum line requires an extraction.  Your overall health will determine whether you need anything done immediately, of course.

Unless you are in PAIN, as opposed to discomfort, it may not be an emergency And can wait a week or so to be worked on. 

I am 80 & have been through this situation many times - fluoride treatment did not exist when I was a kid, so I have a mouthful of fillings & crowns & two molars that had to be extracted - both below the gum breaks.  After the initial breaks on the two molars, I went about two weeks before I could get extrractions.  I have a PM & the dental surgeon needed me to be weaned off Warfarin & have a cardio clearance before he'd work on me.  That took time.  After the first few days, it reduced to an annoyance.  I just read your Bio - I'm betting that they will reduce your pain level to somerthing reasonable & tolerable and let you gut yopur way through till post baby.

You did not state what meds you are on - that could have a major influence on a decision about treatment. 

Too little info to really give an opinion about what might happen.

Right now, try sucking on ice cubes to reduce the immediate pain.  Works on a knee - why not a tooth.

Donr

Best Wishes

by Janenotarzan - 2016-08-15 08:07:23

Only one caution to add. Most local anesthetics now contain epinephrine  (adrenaline.)  This additive keeps the blood vessels dilated so the numbing agent stays close to the tooth longer.  Great concept, bad for some people.  The adrenaline causes a racing, pounding heart which is not ideal during pregnancy or for people with heart conditions.  It is a trigger for AFIB in many people, myself included.  So, ask for the kind of med without it.  I had emergency dental care during 2 pregnancies, each for a broken tooth.  I didn't have a PM back then, but I was on meds for arrythmias.  My babies were born beautiful, perfect, and with high intellects.  Relax, get through as calmly as possible, and enjoy your precious baby when he/she arrives. Congratulations on your little one! 

100% paced and tooth extracted.

by marylandpm - 2016-08-16 20:44:06

 I'm not pregnant but I'm 100 % paced. ( complete block ). I just had a tooth extracted and the only concern was going off of eliquis for a few days. 

epinephrine

by tammyjk1021 - 2016-08-23 00:49:30

As Janenotarzan mentioned ask about the novocaine.  3 mos after my pm I had 3 teeth pulled!  I had a fantastic dentist who did not use the epinephrine for the reasons she mentioned.  My dentist also monitored me while in the chair.  The nurse took my BP and monitored my heart rate.  Ask them to do that if it will put you at ease.  It helped me tons.  He also put me on antibiotics for a week before the appointment.  Good luck, you'll be fine and feeling much better without the tooth pain.