Considerations of the Pregnant Dental Patient (original) (raw)
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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...
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 management in pregnancy.pdf
Summary 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.
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.
Dentistry for the Pregnant Patient
IOSR Journal of Dental and Medical Sciences, 2014
Although not a diseased state, pregnancy has still been considered as an impediment to dental treatment. When dealing with a pregnant patient, the dental practitioner should keep in mind the various physiological changes that occur in the pregnant female and the potential effects on the fetus. The primary concern when providing dental care is to prevent genetic damage to the fetus. Two areas of dentistry have the potential risk for fetal damage, one being dental radiography and other drug administration. Other concerns are whether usage of LA with epinephrine is safe and which period is best for providing dental care. This article reviews the current considerations in the use of local anesthesia in the pregnant dental patient, their dosage, and any adverse effect on mother and fetus. It also discusses various dental procedures and the trimester during which they can be performed and the complications that could be encountered during dental treatment and their management.
Oral Health and Dental Care During Pregnancy
Dental Clinics of North America, 2013
A 2012 national experts' consensus statement concludes that dental care is safe and effective throughout all trimesters of pregnancy, and should not be withheld because of pregnancy. Research to date shows that routine preventive, diagnostic, and restorative dental treatment-including periodontal therapy-during pregnancy does not increase adverse pregnancy outcomes. The pregnant patient should be educated on the importance of oral health care for herself and her child and on expert recommendations for bolstering home oral hygiene care during pregnancy. Oral manifestations may be associated with pregnancy, including gingivitis, pregnancy epulis, and others. Research to date supports the safety of undertaking periodontal treatment during the perinatal period, with no associated adverse pregnancy outcomes. Whether perinatal periodontal treatment can reduce the risks for preterm birth or low birth weight has not been demonstrated thus far in US multicentered randomized controlled trials.
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...
Pregnancy and Dentistry: A Literature Review on Risk Management during Dental Surgical Procedures
Dentistry Journal, 2021
Background: Pregnancy is a unique moment in a woman’s life, accompanied with several physiologic changes that have an impact on oral health. Aim of the study: The purpose of the present study was to conduct a critical review of published literature regarding pregnancy and dentistry, the most frequent oral diseases that are encountered during pregnancy, their correlation to adverse pregnancy events, and safe dental treatments that can be performed during pregnancy. Methods: A Medline/COCHRANE search was carried using specific keywords and MeSH terms, combined with the boolean operators “OR” and “AND”. Results: The search led to 146 publications including guidelines, meta-analyses, systematic and non-systematic reviews, published between 2000 and 2021. Discussion and conclusions: Due to the increased inflammatory and immune body response that characterizes pregnancy, periodontal conditions are often aggravated during pregnancy and periodontal disease encountered frequently in pregnant...
Journal of the Turkish-German Gynecological Association
Pregnant women are susceptible to a wide range of oral health conditions that could be harmful to their own health and the future of their baby. There are lots of myths about the safety of dental care during pregnancy. As a result pregnant women recieve less dental care than when they are pregnant. In our review we tried to emphasise the importance and safety of routine dental care for pregnant women.