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Flashcards in Pregnancy in dentsitry Deck (20)
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1
Q

avoid dental care at what stages of pregnancy?

A

1st trimester and final part of 3rd

2
Q

when treating bacterial infections what drugs are harmful?

A

amoxicillin, clindamycin, co amoxiclav, erythromycin

3
Q

avoid high doses of what antibiotic in pregnancy?

A

metronidazole

4
Q

when treating viral infections give what?

A

acidovir

5
Q

when treating fungal infections give?

A

nystatin suspension

6
Q

treating pain?

A

paracetamol is ok

7
Q

what LA to use?

A

lidocaine with epinephrine

prilocaine

8
Q

caution with mepivicaine when?

A

early pregnancy

9
Q

use articaine if?

A

potential benefits outweigh risk

10
Q

oral manifestations be more likely to occur in pregnancy because?

A
  • increased vascular permeability
  • decreased immunocompetence
  • increased susceptibility to infection
11
Q

what % of pt’s experience gingivitis when pregnant?

A

30-100%

12
Q

how does progesterone affect the gums?

A

changes to oral flora which are more pathogenic

13
Q

how many women experience a pregnancy epulis?

A

0.2-9.6% of pt’s in 1st trimester

14
Q

what is ptyalism?

A

excessive saliva production - linked to nausea

settles in 12-14 weeks

15
Q

why does erosion risk increase in pregnancy?

A

secondary to vomitting
secondary to GORD
hyperemesis gravidarium

16
Q

incidence of gestational diabetes?

A

4%

9x more likely to experience perio disease

17
Q

what type of anaemia is common in pregnancy?

A

iron

18
Q

what are some associations of periodontitis with pregnancy?

A

pre term birth
low birth weight
pre-eclampsia

19
Q

what can poor maternal OH cause?

A

increased risk of early childhood caries

20
Q

prevention in pregnancy?

A

topical antibacterials - xylitol, chx

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