Hello, hopefully I can help.

One of the risks of performing dental treatment on a woman in the third trimester of pregnancy is that the stress from an extraction can 1: induce labor, 2; the pt cannot physically lie back on the dental chair, causing difficulty in completing the procedure. Risk to the baby is also real, however this has more to do with the types of medications used and their interaction with the baby's blood supply than anything. Epinephrine is not recommended and is typically not used (other forms of safe anesthetics are used that do not contain epinephrine). The long and short of it is that each case is different and the relative risks vary individually. It would be wise at this stage in your pregnancy to obtain a medical consult from your treating MD prior to any work being done (your dentist would send a form to your MD requesting his or her opinion as to whether it is safe to treat you at this stage in your pregnancy). Dental infections are not to be taXXX XXghtly, as I am sure you understand or you would not be writing this question. Thant being said, the pimple you are noticing is called a parulis and is due to an infected tooth and depending on if it is restorable or not, two courses of action are needed: 1: initial root canal procedure (the infected nerve and vascular supply are removed, and the completion of the procedure would be done after delivery of your child) or 2: extraction. The relative need to get this completed now or waiting until after birth of your child will depend on your dentist's evaluation of the tooth in question and your symptoms. Antibiotics might be prescribed (they should be) as well as acetaminophen to manage your pain.

I hope this helped.

Dental infections while pregnant are a real concern, primarily because bacteria can enter the bloodstream from bleeding gums and this in turn can enter the placenta. This being said, at this point in your pregnancy, it might more prudent to wait a few weeks until you deliver. this all depends on your dentist's opinion of course. Make sure to rule out the possibility of a fracture with your dentist. I wish you the best and a speedy and uneventful pregnancy.

You should be evaluated by your dentist for that. I cannot evaluate it over the internet. Does your dentist feel comfortable leaving not treating you for 4 weeks?

The fracture in and of itself is not the concern (yes, you would have pain, but that is manageable). The concern is the active infection.

If the tooth ends up being fractured, an extraction would most likely be required. I can understand that you want a definitive answer as to whether you will be fine not treating the tooth for 4 weeks, and most likely you would, however, your dentist is ultimately the one who should evaluate this, and give you the proper recommendation as to whether to proceed now or wait until delivery. I hoep this has helped you.