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Forum Category: General Dentistry

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Oral Health During Pregnancy: Not As Tricky As You Might Think

A study released on September 11 by the Oral Health Research Center (ORHC) concluded that dental care and oral health are “safe and important” throughout pregnancy. Pregnant mothers may receive oral healthcare at any time in their pregnancy without fear of harm to the fetus or themselves. The report even provided a full pharmacological considerations chart for healthcare providers to consult when treating a pregnant woman. The chart details the effects of all drugs, from analgesics to antibiotics to anesthetics, and when they may and may not be used during a pregnancy. The document also contains tips for practitioners to give pregnant women about oral health during pregnancy, as well as resources for healthcare professionals and patients alike.

The full document may be found here:http://www.mchoralhealth.org/PDFs/OralHealthPregnancyConsensus.pdf 

Have you considered that you might be asked to treat pregnant women during your tenure as a dental professional? What are some accommodations or modifications that you might have to make to treat these patients in the future? We’re committed to addressing any questions you might pose herein!

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Oral Health During Pregnancy: Not As Tricky As You Might Think

01:45 PM | Mar 27,2016
This is an extremely interesting article. In dental school, we are taught the Pregnancy classification of the drugs we utilize in our office. We are taught that elective dental care can safely be performed during the second trimester. Lastly, that poor oral health care can lead to premature birth weight. These are things we all learn about in school, but what about the comments that my pregnant friends share with me about their oral health during pregnancy. A dental school classmate who recently had a baby complained that she saw orthodontic movement in her teeth during pregnancy and now her teeth were crooked again. Another friend shared that she thought her teeth were softer, and even got her first cavity during pregnancy. Obviously, there is a huge link in changes in oral health care during pregnancy. This research suggests it would be safe to treat these patients and help prevent negative oral health outcomes.

Oral Health During Pregnancy: Not As Tricky As You Might Think

10:52 AM | Feb 29,2016
This is a great topic. I think my classmates and I could benefit from further education, as well as our faculty needs clarification about pregnancy and the risks/benefits of receiving oral healthcare throughout pregnancy. Pregnant women need to continue to care for their oral health throughout their pregnancy. There are certainly necessary modifications to treatment when a patient is pregnant, but delaying care simply because a patient is pregnant seems shortsighted.

Oral Health During Pregnancy: Not As Tricky As You Might Think

09:49 PM | May 26,2015
This topic comes up weekly at the dental school. We are taught that elective oral health care should be done only during the 2nd trimester (1st is a time of high miscarriage rate and 3rd the woman is often too uncomfortable). Every time a pregnant patient comes into clinic, we panic and often want to air on the side of: "lets defer everything until after the baby is born." It is important for pregnant women to maintain their oral health! We as dental providers need to educate women that cleanings and regular dental care is safe and important during pregnancy. Of course we should keep in mind the radiation and anesthetic risks, but we know that 2nd trimester is a safe time for most dental work, especially disease control phase.

Oral Health During Pregnancy: Not As Tricky As You Might Think

09:27 PM | Mar 09,2015
This is such a great topic to discuss and bring to attention. I think patients who are pregnant pose different problems and require the healthcare provider to prepare for different emergency situations. I have had the opportunity to treat a couple of patients who are pregnant and I think there important things to consider such as the amount and type of anesthetic to use as well as the mother's apprehensions towards being exposed to radiation while taking radiographs. I once treated a woman who was in her third trimester and it was important that we take a radiograph on a potentially non-restorable premolar. We had already acquired a medical consult with the patient's PCP but despite the fact that her doctor stated there was no risk in have radiographs taken, the patient refused to be exposed to the radiation. She insisted that we restore her tooth (which was becoming symptomatic) without the use of a radiograph. In such a situation, it is important to explain to the patient all the benefits and risks associated. Another important thing to note is what, if anything, can be done during each trimester. It would be great to have a do's and don'ts list for this topic!!

Oral Health During Pregnancy: Not As Tricky As You Might Think

08:19 AM | Sep 20,2012