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Management of Pregnant Patients
Management of Pregnant Patients
Management of Pregnant Patients
Management of Pregnant Patients
Management of Pregnant Patients
Management of Pregnant Patients
Management of Pregnant Patients
Management of Pregnant Patients
Management of Pregnant Patients
Management of Pregnant Patients
Management of Pregnant Patients
Management of Pregnant Patients
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Management of Pregnant Patients

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  • 1. Management of Pregnant Patients Bunyi, Bien Racquel Cathleen Torres, Kathleen DMD3-A
  • 2. 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
  • 3. 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
  • 4. 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
  • 5. 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
  • 6. Causes of dental health problems  gum problems  vomiting  cravings for sugary foods  retching while brushing teeth
  • 7. 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
  • 8. 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
  • 9. 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
  • 10. 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 having sugary snacks Recommendation
  • 11. 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
  • 12. Medication

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