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Flashcards in Pregnancy in dentsitry Deck (20):
1

avoid dental care at what stages of pregnancy?

1st trimester and final part of 3rd

2

when treating bacterial infections what drugs are harmful?

amoxicillin, clindamycin, co amoxiclav, erythromycin

3

avoid high doses of what antibiotic in pregnancy?

metronidazole

4

when treating viral infections give what?

acidovir

5

when treating fungal infections give?

nystatin suspension

6

treating pain?

paracetamol is ok

7

what LA to use?

lidocaine with epinephrine
prilocaine

8

caution with mepivicaine when?

early pregnancy

9

use articaine if?

potential benefits outweigh risk

10

oral manifestations be more likely to occur in pregnancy because?

- increased vascular permeability
- decreased immunocompetence
- increased susceptibility to infection

11

what % of pt's experience gingivitis when pregnant?

30-100%

12

how does progesterone affect the gums?

changes to oral flora which are more pathogenic

13

how many women experience a pregnancy epulis?

0.2-9.6% of pt's in 1st trimester

14

what is ptyalism?

excessive saliva production - linked to nausea
settles in 12-14 weeks

15

why does erosion risk increase in pregnancy?

secondary to vomitting
secondary to GORD
hyperemesis gravidarium

16

incidence of gestational diabetes?

4%
9x more likely to experience perio disease

17

what type of anaemia is common in pregnancy?

iron

18

what are some associations of periodontitis with pregnancy?

pre term birth
low birth weight
pre-eclampsia

19

what can poor maternal OH cause?

increased risk of early childhood caries

20

prevention in pregnancy?

topical antibacterials - xylitol, chx
reduce bacterial load and transmission of oral bacteria from mother to baby