Toothache management Toothache is not a disease, but a pain that can really kill you. For women who have frequent toothaches, it is best to get them treated by a dentist before deciding to get pregnant to avoid the hassle of toothaches after pregnancy. To deal with toothache may require fillings, extractions, local anesthetic injections and antibiotics. In theory, it is best to avoid these operations and medications during pregnancy, but if you do have an indication to go for treatment, there is no need to worry too much because normally these operations and short term use of small amounts of medication will not have an adverse effect on the fetus. The dentist often refuses to treat you because he or she is worried that you will blame him or her for the miscarriage, premature birth or poor prognosis of the fetus, so you will have to ask around and find a dentist who is willing to treat you, or show my article to the TA and offer to sign an informed consent form for the procedure.