what increases during pregnancy and contributes to severity?
Prevotella intermedia
how many pregnant women are affected by pregnancy gingivitis?
25-100% in the 2nd to 8th month
t/f at parturition, inflammation from pregnancy gingivitis will continue if treated
FALSE! if UNtreated
t/f inflammatory mediators may adversely affect the placenta and fetu
true (not clearly defined)
perio disease in a pregnant patient significantly ________ the risk for low birth weight and preterm birth
increase
t/f there is no convincing evidence that tx of perio disease will REDUCE the risk of low birth weight or preterm birth
true
t/f treatment of perio disease will help reduce the risk of low birth weight or preterm birth
true
pregnancy tumor occurs in what percentage of pregnant patients?
9.6%
what is a pyogenic granuloma
pregnancy tumor
t/f tooth mobility is unrelated to periodontitis, it appears to resovle after parturition
true
when is a pyogenic granuloma most frequently occurring?
during the 2nd trimester
where is the pyogenic granuloma going to occur?
interdental papilla in the max anterior
describe a pyogenic granuloma
bright red to blue
bleeds easiily
usually painless
t/f your teeth become soft when you are pregnant
false! the diet changes
t/f there is tooth calcium lost during pregnancy from the mom
false! there is NOT
t/f dietary changes may result in increased caries
true
vomiting with morning sickness and xerostomia are both ________ factors for enamel _________
contributing
demineralization
t/f prenatal fluoride supplementation is recommended by AAPD or AAP
FALSE! is NOT recommended
doxycycline is contraindicated during pregnancy because why?
think tetracycline. intrinsic staining of decidious teeth
when meds are necessary during pregnancy, ________ dosages may need to be administered during critical pregnancy
INCREASED
t/f if community water is fluoridated then supplements are not needed
true
what is the local anes of choice for a pregnant patient?
lidocaine
early pregnancy the placenta is _____ and has a _____ permeability
thick
reduced
late in pregnacy the placenta as a ____ thickness and the surface area ____...what effect does this have on drugs?
reduced
increase
increased passage of drugs
t/f a vasoconstrictor keeps anesthetic localized
true (without it, it can go throughout the bloodstream)
how do drugs cross the placenta?
by simple diffusion
what category of anes can be used for pregnant women?
CATEGORY B ONLY (lido and prilocaine)
t/f lido and prilocaine can be administered up to max dosage, using aspiration, and slow administration
true
which category has the GREATES risk?
category X
MOST drugs used in dentistry is category ___
B
what is the major malformation in the first trimester that is a teratogenic effect?
Major malformation during organogenesis
what drug is available that can cause teratogenic affects for placental transfer?
FREE, UNBOUND drugs
what does prilocane affect?
methemoglobinemia in predisposed individuals
when is ASA unsafe to use on a pregnant woman?
3rd trimester ONLY
what causes premature closure of patent ductus arteriosis when taken in the third trimester?
ASA
t/f acidic drugs will enter the milk easily
FALSE, will not enter easily
what can be secreted in breast milk in concentrations similar to levels in maternal plasma (same effect for mother as for infant)
metronidiazole
when during pregnancy is the IDEAL time for elective care?
2nd trimester
what is important for OHE of a pregnant woman? 5
need for effective biofilm removal
possible gingival changes
myth of tooth loss and removal of enamel
benefits of xylitol
caries prevention
during pregnancy, there is an increased pressure (compression) on the _______ and ______ _____ ______ causing reduced ____ _____ in the supine position
aorta and inferior vena cava
cardiac output
how should a patient be placed that is pregnant in the dental chair?
place on LEFT side at an angle of 15 degrees
when should you most definitely minimize the use of diagnostic radiography?
1st trimester
when should OHE for pregnancy begin?
EARLY
what can someone rinse with after vomiting?
sodium bicarbonate solution
what can prilocaine cause in predisposed people?
methemoglobinemia
what is the failure of the duct between teh pulmonary artery and aorta to close by birth
patent ductus arteriosus
what drugs cause premature closure of patent ductus arteriosus in the last trimester? 3
ibuprofen
naproxen
codeine
t/f all local anesthetics are considered safe to use in lactating female
FALSE-all except BUPIVACAINE (marcaine)
____ and ____ antibiotics are compatible with breastfeeding
