Management of Pregnant Patients

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Management of Pregnant Patients

  1. 1. Management of Pregnant Patients Bunyi, Bien Racquel Cathleen Torres, Kathleen DMD3-A
  2. 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. 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. 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. 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. 6. Causes of dental health problems  gum problems  vomiting  cravings for sugary foods  retching while brushing teeth
  7. 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. 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. 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. 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. 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. 12. Medication

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