darryl- pregnant pt Flashcards
(8 cards)
1
Q
What are some dental considerations for pregnant patients
A
- treating both the mum and the baby
- radiation
- medications
- procedural
- position
2
Q
What are some general considerations for pregnant patients
A
- avoid medications/elective treatment in 1st trimester
- stressed mother=stressed baby
- increased risk of infection
- radiographs
- medications crossing placental barrier, breastmilk
3
Q
What are some considerations regarding radiographs for pregnant patients
A
- thyroid shield and lead apron
- clear indications for imaging
- image in area concerned only
- pts may refuse at any point
4
Q
describe considerations for pregnant pts and LA
A
- watch vasoconstrictor dose
- avoid articaine due to category C risk
- avoid prilocaine due to methaemoglobinaemia risk
- avoid felypressin
5
Q
describe how to manage procedures for pregnant patients
A
- need to do basis
- temporise and defer complex/extensive tx
- minimise stress for pt
- good LA
- short appts
- rest periods/time outs
- flexible appts
6
Q
How should a pregnant patient be positioned
A
- avoid lying supine
- extra padding/supports
- theoretically left side down
- heartburn/reflux issues
- abdominal bulk
- getting in and out of chair
7
Q
What are some other things pregnant pts may experience and need to be acknowleged?
A
- gestational diabetes
- reflux/heartburn
- lower back pain
- ankle oedema
- pressure on bladder
- general discomfort
- fatigue
- morning sickness
labile mood
8
Q
What are some effects of pregnancy on oral health
A
- pyogenic granuloma
- increased incidence of periodontal disease
- high emotions
