This presentation contains precautions and advisable medication in pregent patient in dental clinic You can ask about any quarry to my Instagram account.

1. Pregnency
And
Dental
Treatment
By Dr.Sunil Kumar

2. Safe Throughout Pregnency
● Diagnosis
● Preventive treatment (Scaling,Fluoride)
● Restorative

3. If there is no emergency- Avoid Dental treatment till
baby birth
If there is emergency don’t avoid treatment because
delayed treatment cause more complex problems

4. We Can do Dental treatmnet any time during
Pregnency but 2nd trimester is ideal time.
Because
1st Trimester - Nausea vomating are frequent,
developing baby
2nd Trimester - Safe (osteogenesis is complete)
3rd Trimester - Hard to sit Stationary for mother
for long time and stress due to pain can lead to
premature child birth.

5. Diseases and Treatment

6. Patient may have
● Pregnency hypertension (B.P. Monitor)
● Gestrational Diabetes(More likely in 3rd
Trimester)
Ask for HbA1C report(3months Hb test)(usefull in
1st trimester).
<6%= Normal
>6%= Diabetes
FPG(Fasting plasma glucose)
Not eaten for 8 hrs

7. Pregnency induced
gingivitis
More common in 8th
month(due to hormonal
changes)
Treatment
Oral prophylaxis
Mouthwash(don’t use alcohol
containing mouth wash)

8. Pyogenic granuloma
● Resolve itself after Pregnency
● Surgical excision
Pt complaint of bleeding in granuloma
● Clean the bleeding site with hydrogen peroxide or
povidon iodine and then apply
● Silver nitrate

9. Erosion of lingual surface of
Anteriors
● Don’t brush the teeth for 15
min. After vomating(due to
acid production)
● Rinse with, 1 cup water+ 1
teaspoon backing soda =
Neutralize the acidity

10. Patient postion
Left lateral
position,Right hip
elevated
(In supine position
there is increase in
pressure from uterus
on inferior vena cava
leads to Supine
hypotensive
syndrome)

11. Radiographs

12. Ideal is 2nd trimester but in
emergency can take at any time
● Lead apron
● Thyroid collar
Are Must!

13. Drugs and Medication

14. Categories of Drugs by FDA
Category A - Animal and human studies- no risk-✓
Category B - Animal and human studies- - no risk-✓
Category C - No adequate studies-✓
Category D - Risk evident - Therapy>Risk- x
Category X - Risk evident - Risk> Therapy - Never

15. More Drug Studies were expected to come in
2020

16. Lidocaine is safe throughout Pregnency
Lidocaine does cross the placenta after
administration. The amount of L.A. should be as
little as possible, but effective.
When pt. Is comfortable= Less stress on baby,
easier for anesthesia to work.
● Mepivacane- x ( cause fetal bradycardia)
● Bupivacane - x (Not safe)
● Articane - x (Not safe)

17. Antibiotics in Pregnency
C - Clindamycin ✓ x (Increased concentration)
A - Amoxicillin. ✓ ✓
M - Metronidazole ✓ x ( increased concentration)
P - penicillin VK ✓✓
Contraindication
Tetracycline

18. Analgesics in Pregnency
● Acetamenophane(PCM) ✓✓
● Aspirin- C/D (3rd Tri) Cause post
Partum bleeding - ✓x
● Ibuprofen - B/D (Teritogenic effect)
(We can give only in 2nd tri.) -✓×

19. Contraindicated in breast feeding
● Erythromycin
● Codine
● Diazepam

20. Audio Analgesia

21. Question for you

22. What is difference between
Gagging and Nausea?

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