Few procedures are contraindicated during pregnancy, but root canal treatment is  SAFE.There is no contraindication to using necessary diagnostic procedures, such as xrays, as long as normal safety precautions are followed. According to the ADA, having dental X-rays during your pregnancy is considered safe with appropriate shielding. However second trimester considered safest for dental treatments.

Some women may avoid dental work during the first trimester thinking this is the most vulnerable time of development. However, there is no evidence indicating harm to the baby for those going to visit the dentist during this time.

Also, if non-emergency dental treatment is needed during the third trimester, it is postponed until after delivery. This is to avoid the risk of premature delivery and prolonged time lying on your back.

If dental caries is the source of pain or infection, invasive care such as root canal treatment should be provided regardless of the patient’s phase of pregnancy. Elective dental procedures may be sometime performed in the second trimester, when the pregnancy is mostly devoted to development of fetus. While some medications may be harmful to the fetus, safe alternatives are easily available.

Lidocaine local anesthetics have an FDA category B rating and consequently should be first-line choices for use with pregnant women. A common concern is over the use of local anesthetics containing epinephrine. Local anesthetic containing epinephrine should be relatively safe for use during pregnancy  and allow for greater duration of anesthesia as well as reduction of any potential body (systemic) effect of lidocaine.

If antibiotics are have to be prescribed, many first-line choices are rated by the FDA as category B for pregnancy risk. Pregnant lady may be more susceptible to infection, which may be partly due to physiological changes as well as alterations in hormones.