drugs in pregnancy dental management of pregnancy local anesthesia for pregnancy

1. DentalManagement
ofPregnancy&Breastfeeding
12Questions&Answers
Dr. Haydar Munir Salih Alnamer
BDS, PhD (Board Certified)

3. Q1: whatdifferentinpregnantwoman?

4. Q1:/ A what different in pregnant woman ?

5. Q2:Did you hearabout supine hypotensive syndrome?
And asdentist whyshould I know about it?

6. Q2:/ A: Did you hear about supine hypotensive syndrome ?
And as dentist why should I know about it?
left side

7. It could be happened on dental chair !

8. Q3:why is folic acid soimportant for pregnant ?

9. Q3:/ A: why is folic acid so important for
pregnant ?

10. Q4:Dose pregnancy accelerate thecourse of dental caries?

11. Q4:/A: Dose pregnancy accelerate the
course of dental caries?

12. Q5: May dental procedure cause
abortion?

13. Q5:/A: May dental procedure cause
abortion?

14. Q6:What are the potential factors
should kept in your mind when treat
pregnant patient?

15. Q6:/A What are the potential factors should kept
in your mind when treat pregnant patient?
A
Antibiotics If antibiotics are required, consult with the physician.Use those with FDA
classificationA or B, unless otherwise approved by the physician.
Analgesics If analgesics are required, consult with the physician.Acetaminophen is the
drug of choice. If other analgesics are required, use with approval of
physician.
Anesthesia The usual local anesthetics with vasoconstrictors are safe to use,
provided that care is taken not to exceed the recommended dose.
Allergies No issues
Anxiety Avoid most anxiolytics. Short-term use of
nitrous oxide, if needed, is permissible, provided that 50% oxygen is used.

16. Q6:/AWhat are the potential factors should kept
in your mind when treat pregnant patient?
B
Bleeding No issues
Breathing Patient may have difficulty breathing in the
supine position.
Blood pressure Watch for supine hypotension if patient is in
the supine position; most likely in late third times

17. Q6:/AWhat are the potential factors should kept
in your mind when treat pregnant patient?
C
Chair position Patient may not be able to tolerate a supine chair position
in third trimester.
Cardiovascular Elevated blood pressure could be a sign of preeclampsia.
D
Drugs Avoid all drugs if possible. If drugs are needed, use FDA
category A or B, if possible
Devices No issues

18. Q6:/AWhat are the potential factors should kept
in your mind when treat pregnant patient?
Equipment Make only necessary x-ray exposures; use lead apron
and thyroid collar.
Emergencies Anticipate the possibility of supine hypotension if the
pregnancy has reached third trimester.
F
Follow up Follow-up evaluation after delivery is recommended, to
ensure resumption of needed dental care, with
radiographic assessment, as appropriate.

19. Q7:Which trimester is better for dental
treatment?

20. Q7:/A:Which trimester is better for
dental treatment?
1st trimester 2nd trimester 3rd trimester
Plaque control Plaque control Plaque control
Oral hygiene instruction Oral hygiene instruction Oral hygiene instruction
Scaling, polishing,
curettage
Scaling, polishing,
curettage
Scaling, polishing,
curettage
Avoid elective
treatment, urgent
treatment only
Routine dental care Routine dental care

21. Q8: Are dental radiographs safe for
pregnant patient?

22. Q8:/A: Are dental radiograph safe for
pregnant patient?
the safety of dental radiography

23. Q9: Are the drugs safe for pregnant
patient?

24. Q9:/A: Are the drugs safe for pregnant
patient?

25. Q10: Is the local anesthesia safe for
pregnant patient?

26. Q10:/A: Is the local anesthesia safe for
pregnant patient?

27. Q11: What is the most common oral
complication in pregnancy?

28. Q11:/A: What is the most common
oral complication in pregnancy?
“pregnancy tumor”

29. Pyogenic granuloma of pregnancy

30. Q12: Is pregnancy cause tooth loos?

31. Q12:/A: Is pregnancy cause tooth loos?