management of pregnant patients
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Management of Pregnant Patients
Bunyi, Bien Racquel Cathleen
Torres, Kathleen
DMD3-A
First trimester (conception to 14th week) most critical and rapid cell division and active organogenesis
occur between the second and the eighth week of post-conception
greater risk of susceptibility to stress and teratogens
educate the patient about maternal oral changes during pregnancy
emphasize strict oral hygiene instructions limit dental treatment to periodontal prophylaxis
and emergency treatment avoid routine radiographs
Recommendation
Second trimester (14th to 28th week) safest period for providing dental care during
pregnancy organogenesis is completed
oral hygiene, instruction, and plaque control scaling, polishing, and curettage may be
performed if necessary control of active oral diseases, if any elective dental care is safe avoid routine radiographs
Recommendation
Third trimester (29th week until childbirth) although there is no risk to the fetus during this trimester,
the pregnant mother may experience an increasing level of discomfort
it is safe to perform routine dental treatment in the early part of the third trimester, but from the middle of the third trimester routine dental treatment should be avoided
oral hygiene, instruction, and plaque control scaling, polishing curettage may be performed if use routine radiographs selectively and when needed short dental appointments with appropriate positioning to
prevent supine hypotension
Recommendation
Radiography
Procedure in making radiographs safer for pregnant patients
make only the film absolutely essential for diagnosing the conditions (i.e. root canal therapy, trauma)
use lead apron shielding use long cone use proper collimation & shielding limited to affected tooth care should be used while taking essential films to eliminate the need for repeated
exposure
Causes of dental health problems gum problems vomiting cravings for sugary foods retching while brushing teeth
Gum Problem during pregnancy, the gum problems that occur are not
due to increased plaque, but a worse response to plaque as a result of increased hormone levels
switch to a softer toothbrush brush your teeth regularly, at least twice every day use toothpaste that contains fluoride to help strengthen your teeth against decay
Recommendation
Vomiting can damage teeth
gastric reflux (regurgitating food or drink) or the vomiting associated with morning sickness can coat your teeth with strong stomach acids
repeated reflux and vomiting can damage tooth enamel and increase the risk of decay
Recommendation don’t brush your teeth immediately after
vomiting rinse your mouth thoroughly with plain tap
water follow up with a fluoridated mouthwash if you don’t have a fluoridated mouthwash,
put a dab of fluoridated toothpaste on your finger and smear it over your teeth
Food cravings while pregnant a regular desire for sugary snacks may
increase your risk of tooth decay
try to snack on low-sugar foods instead rinse your mouth with water or milk, or brush your teeth after havingsugary snacks
Recommendation
Retching while brushing some pregnant women find that brushing their teeth,
particularly the molars, provokes retching
use a brush with a small head, such as a brush made for toddlers
slow down your brushing action It may help to close your eyes and concentrate on your
breathing. try other distractions, such as listening to music if the taste of the toothpaste seems to provoke your gag
reflex, switch to another brand
Recommendation
Medication