wk 2 compromised pt cont...
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T/F Being pregnant increases caries
False! the habits of a pregnant woman might change and cause the caries
what is the diet like of a pregnant woman?
- they eat more often,
- more sweets,
- more cariogenic foods
being more lax because of nausea and brushing may cause gagging are considered ______ of oral care
what planning for dental hygiene care for the 1st semester is recommended? (2)
- assess and instruct
- baseline prophy
T/F the second trimester is best for general dental hygiene tx
what causes babies to grow faster, diabetes in the future, and/or hypertension?
gestational diabetes during pregnancy
when do you need an OBGYN consultation?
for high risk patients
T/F it is best to use permanent restorative materials for a pregnant woman so they get it all taken care of before they have a baby and find out they don't have time
T/F a pregnant woman should have fewer prophys and longer appointments
FALSE! MORE prophys and SHORTER appointments :)
Second trimester is _______ for the fetus and _________ for tx. Elective Tx beginning of _____ trimester
in pt positioning of a pregnant woman, which side will they want to lay on?
LA LA LA LEFT side!
why would a prego woman need frequent breaks?
because they have to pee all the time! baby sits on the bladder
what emergency preparedness should you be ready for if a prego woman is in your chair?
syncopy. make sure they have eaten and they are not hypoglycemic
what should you tell someone to do at home when they are pregnant?
brush and floss more!!!
what kind of sensitivity should you be aware of with someone prego?
pt chair modification should be for the ___ trimester
T/F pregnancy causes tooth loss
FALSE! its an old wives tale
T/F calcium is leeched from teeth by fetus
False! calcium is stable in teeth
T/F Calcium is present in teeth in a stable crystalline form and is unavailable to systemic circulation
of course it's true, do you think i made that one up?
T/F tooth mobility is common during pregnancy
T/F Mobility is a sign of gingival disease which may be exacerbated by pregnancy and vitamin deficiencies
Vitamin D: Is good for _________ __________.
Vitamin A: Helps prevent ________ _______
if taken excessively may cause ______ _______
- calcium metabolism
- preterm birth
- birth defects
what prevents spina bifida?
vit B9 or folate (folic acid)
systemic fluoride benefits the ______ and ______
mother and child
2.2 NaFl tablet given to mothers in 2nd and 3rd trimester resulted in ___% of offspring being _____ free for up to __ years. This study was done by _____ and ______ associates
- Glenn and Glenn
Fluoride provides an ________ birth weight and decrease in ______ births.
T/F most meds have little significance to an infant during breast feeding
___-___% of maternal dose of drugs taken is excreted in breast milk
what are two things to take into consideration in concerning breast milk and drugs?
- take meds right AFTER breast feeding
- avoid nursing for 4+ hours if possible
what are 5 cx drugs to breast feeding?
- Anti-cancer drugs
- Radioactive drugs
- SedativesPhenindione—anti coagulant
- Excessive alcohol
What is the Primary vehicle for transfer of cariogenic streptococci
Should you clean a pacifier with your mouth before putting it in your childs mouth?
no! it just introduces more bacteria to them that they didn't have already
Click for the conclusion!!! yay!!!!
- Dental Management Considerations for Patients Who Are Pregnant:
- -Evaluate patient; determine trimester and health status.
- -Confirm that medical prenatal care was provided, or facilitate entry into medical care.
- -Provide periodontal therapy and oral hygiene instructions.
- -Educate the patient: Discuss the importance and benefits of good plaque control and fluoride. -Minimize radiographic exposure
- -Minimize drug use.
- -Drug selection should be based on safety profile, risk to mother and fetus, and potential for interactions and adverse effects.
- -Avoid prolonged appointment time in the dental chair.
- -The safest time for provision of dental treatment is in the second trimester
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