| Amy's Class Notes
on Pregnancy (1999)
I don't know if these will
help you out but just in case, I added them onto the site. These are just
notes that I took in class in different formats.
Physical
Characteristics of Pregnancy
-
Morning sickness.
Can last all day, may be nauseous.
-
Moody. *touchy
-
Fatigue
-
Weight gain.
-
Breast enlargement.
-
Back aches
-
Cravings / Food
Avoidance.
-
Increased
urination.
-
Increased
sensitivity to tastes and smells. May not want to get polished due to
taste of polish.
Oral
Characteristics of Pregnancy
-
Gingivitis (not
every case)
- Exaggerated response to plaque
- enlarged
- shiny
- bleed easily
- color change
-
Pyogenic Granuloma
( pregnancy tumors -- not malignant)
- isolated gingival enlargement
- color: purple red to blue
- bleeds easily
- painless
-
Enamel Erosion --
prolonged period of vomiting due to morning sickness.
- max. anterior teeth
- Do not immediately brush after vomiting, tell patient to rinse to neutralize.
-
Caries - Hx. of
previous neglect
- not result of pregnancy
Dental
Treatment Modifications
-
Recall may be
needed 2-3 months. Last trimester is usually more exaggerated. Can
see 2-3x during pregnancy.
-
Frequent
appointments
-
Complete hygiene tx.
before baby is born in possible (not sc/rp procedures)
-
Short appointments.
-
allow extra time
for treatment if needed.
-
No Radiographs.
-
MD consultant -- if
indicated.
-
Change patient
position.
-
Easy access to
chair and cuspidor.
-
Sensitive gag
reflex. May be exaggerated during pregnancy.
-
Postural
hypotension. May get dizzy if gets up too fast.
-
No Nitrous.
-
Stress plaque
control.
-
Dietary
modification. Reduce sweet sugar-laden foods.
-
fluoride
-
educate on newborn
dental health
- systemic fluoride @ 6 months.
- baby bottle syndrome -- have pamphlet if available.
- juice can be just as bad as milk in a bottle at night.
- use gauze / washcloth to swab baby's gums.
-
If observe problems
during pregnancy, have come back ASAP after baby is born for recall.
If you would like
to add your class notes, please
send me an email and I
will add them to the site and credit you for your help!
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