Considerations for the orthodontic treatment during pregnancy (original) (raw)

Orthodontic care and management in pregnant women

International Journal of Scientific Reports, 2022

This paper highlights the problems and the measures taken to overcome those issues in pregnant women. HISTORY TAKING Before initiating orthodontic therapy, a thorough and detailed medical history is required, especially when the patient is pregnant. However, if you are pregnant, you should consult a gynecologist to see whether any recognized issues are to be expected. 3 An orthodontist might learn about the patient's attitude toward dental care and his or her priorities by reviewing the patient's dental history. Gingival and periodontal diseases require orthodontists to be more active and skilled of diagnosing them. If the patient already has evidence of ABSTRACT Orthodontic treatment is a lengthy procedure and it requires lots of care towards oral hygiene. Pregnancy brings lot of physiologic changes in patient. Proper management during gestational phase will provide better results. Orthodontist should have proper knowledge about the changes and should plan the treatment accordingly to achieve best outcome. The present article highlights the changes and the essential knowledge of various factors that an orthodontist should take into consideration while treating pregnant patients. This article also focuses on the treatment objectives that should avoid during pregnancy phase and explains the role of the patient during the treatment procedure.

Considerations of the Pregnant Dental Patient

Journal of Dental Health, Oral Disorders & Therapy, 2014

There are many myths surrounding pregnancy and what is safe and what is not. The modifications necessary for the pregnant dental patient in each trimester will be discussed. Additionally, dental imaging and medications for each trimester will be reviewed. The dental provider must remember to keep both mother and fetus in mind when treating a pregnant patient. During the first trimester, routine preventive dental examinations and cleanings are safe while other procedures should be postponed; however, it is essential to promptly treat oral infections, pain, and emergency situations. Postponed procedures are usually considered "safe" to perform in the second trimester; though, minimization of exposure is essential and interprofessional communication with the patient's obstetric provider should be done prior to treatment. Through the third trimester, basic dental care is fine, and non-essential procedures should be postponed until after delivery due to the increased risk of preterm labor. If there is an indication for medication at any time during gestation, then FDA Pharmaceutical Pregnancy categories A or B are the safest options. Although there are many things to consider when treating the pregnant patient related to mother and fetus, regular dental care throughout pregnancy is safe and should be an essential part of a healthy pregnancy.

A review on safety Endodontic Management in Pregnancy

International Journal of Research in Pharmaceutical Sciences, 2020

The dental practitioner provides dental treatment to pregnant women to maintain their oral health. This is known as Intrauterine Dentistry. Dental treatment neither is cancelled nor be obstructed after confirming the pregnancy. Precautions should be taken while performing a dental procedure. During pregnancy number of physiologic and hormonal changes are taking place. Due to this, the oral cavity is more prone to infection. Also, increased consumption of carbohydrates leads to more acid formation. Also, vomiting and saliva are reduced. Also, pregnant women are always at high risk for caries than non-pregnant women. So proper dental health care of a pregnant patient is utmost necessary. Endodontic treatment comprises the use of radiographs, local anaesthetic agents, intracanal irrigants, intra-canal medicaments, and drugs. While performing an endodontic procedure, a radiograph should be taken with minimal exposure and only when it is required. Also, local anaesthesia has been chosen ...

Management of pregnant patient in dentistry

Journal of international oral health : JIOH, 2013

The purpose of this article is to update general dentists and maxillofacial surgeons in the perioperative management of the pregnant patient. Pregnancy results in physiologic changes in almost all organ systems in the body mediated mainly by hormones; which influences the treatment schedule. Understanding these normal changes is essential for providing quality care for pregnant women. The general principles that apply in this situation are discussed, followed by the relevant physiologic changes and their treatment implications, the risks of various medications to the mother and fetus, the management of concomitant medical problems in the pregnant patient, appropriate timing of oral and maxillofacial surgery during pregnancy, and management of emergencies during pregnancy. Information about the compatibility, complications, and excretion of the common drugs during pregnancy is provided. Guidelines for the management of a pregnant patient in the dental office are summarized. How to ci...

Dental Treatment - a Dilemma for Pregnant Mothers – Part 1

Journal of Academy of Dental Education, 2014

Apprehension of a dentist to treat a pregnant woman is nearly reasonable considering the vast number of changes taking place in the body. These vast changes could pose a significant risk to the health of a pregnant woman undergoing dental treatment. This makes it mandatory for a dentist to be aware of the dos and don’ts of treating such patients to ensure maximum safety to the mother and her growing foetus. It is important to fully understand the specific changes occurring during each trimester to appropriately modify the treatment approach starting from scheduling of appointments and correct chair positions to major surgical procedures. Knowledge about the pharmacological actions and limitations of drugs administered during this period is essential. Each branch of dentistry has a distinct modality of treating expectant mothers. Hence, the purpose of this article is to emphasize on the dental services that a pregnant woman can receive without hesitation and to give a complete pictur...

Dental care of the pregnant patient: an update of guidelines and recommendations

Journal of the Pakistan Medical Association

Pregnancy is a dynamic state marked by several physiological changes. Oral healthcare in pregnancy is often avoided and misunderstood, with healthcare professionals struggling to interpret the safety and appropriateness of dental treatment during this period. Despite international guidelines and consensus reports indicating that preventive and restorative dental treatment are safe and essential, there is still a widespread belief among healthcare professionals and general population in Pakistan that dental treatment during pregnancy may pose damage to the foetus. Over the past three decades, as human knowledge of the biology behind periodontal diseases broadened, its systemic impact upon various physiological states is better understood and management protocols are accordingly formulated. Lack of knowledge among dentists regarding the timing of routine dental treatment, avoidance of certain medications and poor understanding of the clinical changes in the periodontium of the pregnan...

Examining the Safety of Dental Treatment in Pregnant Women

Journal of the American Dental Association, 2008

Background. Although clinicians generally consider it safe to provide dental care for pregnant women, supporting clinical trial evidence is lacking. This study compares safety outcomes from a trial in which pregnant women received scaling and root planing and other dental treatments. Methods. The authors randomly assigned 823 women with periodontitis to receive scaling and root planing, either at 13 to 21 weeks' gestation or up to three months after delivery. They evaluated all subjects for essential dental treatment (EDT) needs, defined as the presence of moderate-tosevere caries or fractured or abscessed teeth; 351 women received complete EDT at 13 to 21 weeks' gestation. The authors used Fisher exact test and a propensity-score adjustment to compare rates of serious adverse events, spontaneous abortions/stillbirths, fetal/congenital anomalies and preterm deliveries (< 37 weeks' gestation) between groups, according to the provision of periodontal treatment and EDT. Results. Rates of adverse outcomes did not differ significantly (P > .05) between women who received EDT and those who did not require this treatment, or between groups that received both EDT and periodontal treatment, either EDT or periodontal treatment alone, or no treatment. Use of topical or local anesthetics during root planing also was not associated with an increased risk of experiencing adverse outcomes. Conclusions. EDT in pregnant women at 13 to 21 weeks' gestation was not associated with an increased risk of experiencing serious medical adverse events or adverse pregnancy outcomes. Data from larger studies and from groups with other treatment needs are needed to confirm the safety of dental care in pregnant women. Clinical Implications. This study provides evidence that EDT and use of topical and local anesthetics are safe in pregnant women at 13 to 21 weeks' gestation.

Dental management in pregnancy: recent trends

This review analyzes the changes that occur during normal pregnancy and describes the main odontogenic infections, suggesting the actual best approach in dental management. Several studies support the hypothesis that periodontal disease is associated with preterm labour and other conditions complicating pregnancy, such as pre-eclampsia and fetal growth restriction. Appropriate dental care and prevention during pregnancy may reduce poor prenatal outcomes and eliminating risk factors. Dental examination before pregnancy is strongly suggested in order to act early on dental and periodontal diseases. Prevention means reducing the presence of bacterial plaque through professional hygiene sessions, education, and motivation to proper oral hygiene at home, education in proper nutrition, a balanced diet, and low intake of sugars. For these reasons, it is essential to have a more intense interdisciplinary collaboration between gynecologist and dentist in order to achieve an optimal women's health, during this particular time in their lives.