Oral Health

Question 1

what is common in the first trimester due to hormone changes?

Answer 1

inflammation - gingivitis

can lead to periodontitis in susceptible patients

Question 1

what time period is the first trimester?

Answer 1

1-12 weeks

Question 2

which trimester is the riskiest time?

Answer 2

1st trimester weeks 1-12 due to high risk of miscarriage

Question 3

remember
morning sickness and snacking makes the oral environment more acidic

think erosion and caries

Question 4

remember

leaky pockets can lead to the ingress of bacteria and toxins in to the blood stream

Question 5

what are the best treatments during the 1st trimester?

Answer 5

prevention
OHI
fluoride
diet

Question 6

when is the second trimester?

Answer 6

12-28 weeks

Question 7

in the second trimester the patient has a scan where they are told if things are normal. what impact does this have on the patient?

Answer 7

they are more reassured

Question 8

what LA cant u use during pregnancy?

Answer 8

articaine
prilocaine with felypressin

Question 9

can you take out teeth in the 2nd trimester?

Answer 9

yes

Question 10

when is the third trimester?

Answer 10

28-37/42 weeks

Question 11

in the third trimester the patient is uncomfortable. how does this impact clincallu?

Answer 11

Patient can’t lie back for long periods of time.
Elevate right hip so lying more on left hand side so don’t compress the vena cava

Question 12

what shouldnt you use if a patient is breastfeeding?

Answer 12

amalgam and articaine

Question 13

why is giving OHI important postpartum?

Answer 13

important as they can pass on good habits to child

Question 14

is PMPR safe postpartum?

Answer 14

yes

Question 15

remember in 4th trimester and breastfeeding

patient is tired and has less time for self care
Prevention out the window and toothbrushing disrupted

Get a true representation of their oral health and standards

Question 16

what is a pregnancy epulis?

Answer 16

Red/purple swelling, readily bleeds/ulcerates, usually regresses after birth

Reassure patient its normal and should go away on its own postpartum

caused by hormones
bad OH predisposes patient

Question 17

Increased ? of periodontal tissues to ?? are caused by:

? increases vascular ?

? and ? reduce the thickness of the ? in the ?? so less effective ? to bacteria

Answer 17

sensitisation

plaque bacteria

progesterone
permeability

progesterone
oestrogen
keratin
gingival epithelium
barrier

Question 18

gingival inflammation can also occur outwith pregnancy. when is this?

Answer 18

puberty due to steroid hormones

ovulation -> only in a small number of cases

Question 19

what is the link between perio disease and adverse pregnancy outcomes?

Answer 19

Perio disease can cause systemic levels of cytokines to rise which could lead to preterm labour

More research is required tho

Question 20

remember

Question 21

remember

Question 22

remember