T/F a pregnant woman is considered medically compromised
FALSE!
T/F a pregnant woman needs special considerations during dental treatment
you bet she does!
when all organ systems are formed, this is called:
organogenesis
T/F an embryo is highly susceptible to injuries and malformations during organogenesis
true!
at which week does the fetus move and swallow?
12th week
At which trimester(s) does:
Organ formation is complete and
Growth and maturation continues
2nd and 3rd trimester
On the 4th to 7th week, ______ form
lips
During the 5th to 6th week ______ ______ develop
tooth buds
The 8th to 12th week is when the _______ forms
palate
the first ultrasound can detect what two things?
cleft lip - 8th week
cleft palate - 12th week
The 4th to 5th month is _________ _________
initial mineralization
an infant can result in low birth weight, premature, or higher risk for caries if the mother has an _______ or maternal ________
infection
maternal periodontitis
infectious diseases a mother can have and pass on to her infant are ______, _______, ________, and ________
HIV
Varicella
Herpes
Hep B
T/F nearly all drugs can cross the placental barrier
true
the first 14 weeks is at risk for ________
teratogenicity
when a fetus lacks of oxygen, mental disabilities result. this is known as: _______ _______. what type of depressant is it?
fetal hypoxia
respiratory depressant
at what month of gestation can tetracycline staining occur?
4th month
T/F tetracycline can cause bone growth inhibition
true
Tetracycline can cause the ___th cranial nerve damage
8
toxic action on ear- ear malformations (deaf) can result from the mother taking ________
tetracycline
when is it best for HIV therapy if necessary?
after 14th week
Alcohol abuse during pregnancy can lead to:
fetal alcohol syndrome
low birth weight
cocaine use during pregnancy can lead to _______
seizures
Minimum dosages
No fetal abnormalties shown
2nd trimester optimal time to use anes
this is:
local anesthetics B,C
Acetaminophen: drug of choice (Tylenol, Suddafed)
Aspirin: avoid in 3rd trimester-risk of miscarriage
Difficulties w/prolonged use
these are catagorized as:
Analgesics B, C/D
radiation is controversial but should be avoided during the ______ trimester
1st
Is radiation sometimes necessary to benefit a pregnant pt?
yes, the benefit far outweighs the risk!
the risk of fetal defect from radiographs is __ in ____ billion!
9 in 1 billion!
what is the maximum amount needed for taking the xrays of a pregnant woman?
1,000 FMR series need to be taken for radiation to take effect
Fetal dose of 2 PA’s is 700x less than 1 day average exposure to natural background radiation in the US
just a little FYI!
name 5 ways to reduce the risk of radiation
Rectangular collimation
E-speed film or digital
Front and back lead shield w/thyroid collar
High kV
Ongoing quality assurance program
what trimesters are the safest for N2O to be used?
2nd and 3rd trimester
during pregnancy, what is the max time for nitrous administration recommended?
no more than 30 minutes
the oxygen when using nitrous must be set at ___% the whole time!
50%
avoid _____ and _____ exposure to nitrous with a pregnant woman
repeated and prolonged
exposure of nitrous of a woman 3 hours per week can increase the chance of decreased _______ and increased rate of _______
fertility
miscarriage
name four oral findings of a pregnant woman
Pregnancy Gingivitis-bleed, tender
Gingival Enlargement-pyogenic granuloma
Enamel erosion
Dental Caries
what is the most common oral complication in pregnancy?
pregnancy gingivitis
why is pregnancy gingivitis common?
it makes the pt want to gag to brush or vomit
poor oral hygiene leaves ______ on teeth
biofilm
changes in hormones may alter _______ reactions
tissue
what leads into “pregnancy tumors” or pyogenic granuloma?
pregnancy gingivitis
what is a pyogenic granuloma? does it go away with proper oral hygiene?
overgrowth of tissue
yes!
where does a pyogenic granuloma usually occur?
in the labial aspects of the interdental papilla
what is also known as a benign inflammatory lesion?
pyogenic granuloma
Eat small noncariogenic food throughout the day
Use a sodium bicarbonate rinse
Chew sugarless gum containing xylitol-helps remineralize
Use low abrasive toothpaste/no toothpaste
Rinse mouth with water
these tips will help prevent _______
erosion!
enamel erosion can be caused by: _______________________ on _______ surfaces of teeth. _________ and acid ______ occur
morning sickness with vomiting.
Palatal surfaces of teeth
Demineralization and acid erosion
Author
jackiedh
ID
61836
Card Set
ch 18 wk 2 compromised pt
Description
pregnancy and breastfeeding compromised pt wk 2 (up to slide 23)