1. Prenatal, perinatal and early childhood oral health Flashcards
Caries affects _ in 4 children by Kindergarten.
1 (25%)
Mean duration of pregnancy
280 days (40 wks)
Preterm specifies the period of pregnancy from _ weeks/days to _ weeks/days of gestation.
20 weeks and zero days to 36 weeks and 6 days
Term specifies the period of pregnancy from __ weeks/days to __weeks/days of gestation.
37 weeks and 0 days to 41 weeks and 6 days
(handbook says 36 weeks and zero days,
Term referring to mother and/or fetus from 20th week of gestation through four weeks postpartum (or 28 days of extra-uterine life)
Perinatal/Neonatal
Definition of infant
Child ages one moth through 12 months
Toddler definition
Child age 1 through 36 months (originated as term to describe child learning to walk)
Steps involved in oral healthcare during pregnancy
(1) understanding implications of pregnancy on oral health
(2) implications of oral health on pregnancy
(3) protocol for prenatal providers
(4) protocol for dental professionals
Pregnant women are more susceptible to oral disease secondary to _______ during pregnancy
endocrinological fluctuations
Associations of poor oral health and pregnancy
decreased birthweight, growth restriction, preterm delivery, preeclampsia, early pregnancy loss, intrauterine fetal demise
Use of ______ and avoidance of _______ and ______ during pregnancy is protective for orofacial clefts
use of FOLIC ACID
avoidance of TOBACCO and ALCOHOL
How should a pregnant patient be positioned during treatment?
semi-seated, and pillow placement under right hip maintains uterus off of vena cava
Aspirin use in pregnant women may affect the the fetus in these 2 ways and thus, should be avoided.
- may affect fetal growth
2. may cause premature closure of ductus arteriosus
Analgesis and antipyretic of choice in pregnant women
Acetaminophen
Ibuprofen should be avoided during 1st and 3rd trimesters due to following neonatal effects
premature closure of ductus arterioles
neonatal effect including renal failure, increased risk of necrotizing enterocolitis or intraventricular hemmorhage