Ch 46 Patients With Special Needs Flashcards
All organs are formed (organogenesis) during the ___ trimester
By week __ the fetus moves
Swallows at approx week ___ to __
First
8th
10 to 12
Tooth buds develop between the __ and __ weeks
Initial mineralization occurs from the __ to __ month
5th and 6th
4th to 5th month
What forms during the 4th-7th week ? Bw 8th and 12th?
Cleft lip is apparent by the __ week
Cleft palate by the __ week
Lips
Palate forms
8th
12th
What trimester is the ideal time for treatment.
Baby’s organs are completed and growth and maturation continue
Second
T/F
There is a strong relationship between periodontal disease and adverse pregnancy outcomes (not confer causality)
True
What 2 meds to never use during pregnancy
Ciprofloxacin
Tetracycline
When does tetracycline effect fetus
During mineralization of primary teeth beginning at about 4 months of gestation
And permanent teeth near and after birth
Is antiretroviral therapy (cART) considers face and effective for HIVinfected pregnant women
-maternal viral suppression and decrease mother to child transmission and infant mortality
Yes
Used for upper respiratory infections. Associated with numerous infant complications including cleft lip, heart conditions, hydronephrosis, and trisomy 18
Echinacea
Increased proportions of which oral microbiota have been found during pregnancy
Also increases biofilm formation
AA
P gingivalis
Prevotella
Campylobacter recuts
Isolated discrete soft round enlargement near GM usually with interdental margin
Mushroom shaped, smooth, glistening
Pressure of lip or cheek tends to flatten
Colors depends on what?
Pyogenic granuloma
Color depends on age of lesion
Newer is increase vascularity-purple, red, deep blue
Older is pinker color
Symptoms of Pyogenic granuloma
Bleeds easily with slight trauma
Painless unless interferes with occlusion and mastication
Is periodontal treatment safe during pregnancy
Yes. Pregnant women should undergo routine perio exams
PMT and perio therapeutic services if needed
Where does erosion from vomiting primarily occur ?
Max anterior lingual
Max and mand occlusal
Posterior region of mand buccal surfaces
What can be used for erosion prevention
Sodium bicarbonate rinse after vomiting (1 cup water to 1 tsp sodbicarb)
Consult during pregnancy is only needed if the women has
Not required for other routine dental care
Hypertension.
An abnormal blood pressure or underlying health condition
Factors for radiology
As low as reasonably acheivable (ALARA)
Safe throughout pregnancy, cover with apron and thyroid collar
What is contraindicated during pregnancy and first 6 months of breastfeeding
Potassium iodide
Restorative materials (amalgam and composite) are recommended when
elective esthetic tx?
Anytime during the pregnancy
Should be postponed until after delivery
What position should pregnant women be placed
On left side, or supine or trendelenburg
Monthly or appt three times during the 9 Month period may be required
Appt frequency depends on pts needs as well as
True
Ability and motivation to maintain good oral self care
Hyperemesis gravidarum
Morning sickness
- What happens is pt placed in supine position
- The venous return is decreased and causes
- Weight of fetus is placed directly on major vessels (aorta and inferior vena cava)
Pressed bw spinal column and uterus
- Circulatory insufficiency
Lying in supine
Fall in BP
Bradycardia sweat nausea weak air hunger
Reduced cardiac output and loss of consciousness
Supine hypotensive syndrome emergency
Pressure of uterus with baby on inferior vena cava
