Pregnancy in dentsitry

Question 1

avoid dental care at what stages of pregnancy?

Answer 1

1st trimester and final part of 3rd

Question 2

when treating bacterial infections what drugs are harmful?

Answer 2

amoxicillin, clindamycin, co amoxiclav, erythromycin

Question 3

avoid high doses of what antibiotic in pregnancy?

Answer 3

metronidazole

Question 4

when treating viral infections give what?

Answer 4

acidovir

Question 5

when treating fungal infections give?

Answer 5

nystatin suspension

Question 6

treating pain?

Answer 6

paracetamol is ok

Question 7

what LA to use?

Answer 7

lidocaine with epinephrine

prilocaine

Question 8

caution with mepivicaine when?

Answer 8

early pregnancy

Question 9

use articaine if?

Answer 9

potential benefits outweigh risk

Question 10

oral manifestations be more likely to occur in pregnancy because?

Answer 10

• increased vascular permeability
• decreased immunocompetence
• increased susceptibility to infection

Question 11

what % of pt’s experience gingivitis when pregnant?

Answer 11

30-100%

Question 12

how does progesterone affect the gums?

Answer 12

changes to oral flora which are more pathogenic

Question 13

how many women experience a pregnancy epulis?

Answer 13

0.2-9.6% of pt’s in 1st trimester

Question 14

what is ptyalism?

Answer 14

excessive saliva production - linked to nausea

settles in 12-14 weeks

Question 15

why does erosion risk increase in pregnancy?

Answer 15

secondary to vomitting
secondary to GORD
hyperemesis gravidarium

Question 16

incidence of gestational diabetes?

Answer 16

4%

9x more likely to experience perio disease

Question 17

what type of anaemia is common in pregnancy?

Answer 17

iron

Question 18

what are some associations of periodontitis with pregnancy?

Answer 18

pre term birth
low birth weight
pre-eclampsia

Question 19

what can poor maternal OH cause?

Answer 19

increased risk of early childhood caries

Question 20

prevention in pregnancy?

Answer 20

topical antibacterials - xylitol, chx

reduce bacterial load and transmission of oral bacteria from mother to baby