Pregnancy and periodontitis Flashcards
1
Q
What can we do?
A
- Biofilm disruption
- Non-surgical periodontal therapy
- Education
- Establish pregnancy status
2
Q
It is important to…
A
a. Identify stage of pregnancy
b. Confirm medical history
c. Assess risk factors
d. Perform comprehensive oral evaluation + decide what to do next
3
Q
If a pregnant women has healthy periodontium then…
A
Give OHE + general health advice
Stress prevention
Any concerns = GP
4
Q
If a pregnant women has gingivitis then…
A
Give OHE + general health advice
Emphasise all oral health procedures are safe
Monitor throughout and step in if needed
5
Q
If a pregnant women has periodontitis then…
A
Give OHE + general health advice
Professional intervention
6
Q
Things that are SAFE for pregnant women are…
A
- Non-surgical periodontal therapy (PMPR)
- Extractions
- Radiographs
- Local anaesthsia
- Common painkillers
- Most antibiotics
7
Q
Things in dentistry to AVOID when pregnant…
A
- Tetracyclines
- Metronidazole
8
Q
Facts about pregnancy and dentistry…
A
- Oestrogen and progesterone receptors in the gingiva explains when there is an increased gingival response to plaque
- Everything is heightened!
9
Q
Associations with pregnancy…
A
- Specific localised lesion (pregnancy epulis)
- More generalised pregnancy periodontitis
- Usually reverts after pregnancy*
10
Q
Risks in pregnancy…
A
- Higher risk of low birth weight, preterm birth and preeclampsia
- Bacteria colonising and taking over/controlling the foeto-placental unit
- Could cause an immune/ inflammatory response to the foeto-placental unit
- Pregnancy epulis
