Pregnancy

Question 1

What are the changes to the body during pregnancy

Answer 1

Hormonal – increased oestrogen and progesterone - can get insulin resistance
Lower oesophageal sphincter relaxes
Haematological
Relaxation of vascular smooth muscle
Vascular compression by uterus - difficulty with venous return when supine

Question 2

What should pregnant px not eat

Answer 2

Raw fish/meat
Raw eggs
Non-pasteurized milk and cheese
Spicy, grilled and fried food
Marlin, tuna and shark
Internal organs of animals

Question 3

How does pregnancy effect oral health

Answer 3

During pregnancy, hormonal changes can increase the risk of developing gum disease, as well as other dental problems such as tooth decay, erosion, and sensitivity

Question 4

What should you consider when providing dental tx to pregnant women

Answer 4

Pregnant women should inform their dentist about their pregnancy and any medications they are taking. Certain dental treatments, such as X-rays and elective procedures, should be postponed until after the first trimester or until after delivery. Felypressin/octapressin should be avoided in pregnant people (felypressin is a derivative of oxytocin which has the potential to cause uterine contractions)

Question 5

What medical considerations should we give to pregnant patients

Answer 5

Certain medications used in dentistry, such as tetracycline antibiotics, should not be used during pregnancy due to potential harm to the developing fetus. Any medications prescribed during pregnancy should be carefully selected and monitored by a healthcare provider.

Question 6

What are the positioning considerations for pregnant px

Answer 6

Pregnant women may be more comfortable in a semi-seated position during dental treatment to avoid the pressure on the vena cava, a major blood vessel that can be compressed when lying flat on the back.