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Stomatologia 2000, 57(3):108-117
Review
PREGNANCY AND DENTISTRY
J. FANDRIDIS, N. KAMPAS, J. LAMPADAKIS
SUMMARY Pregnancy is a situation in which dentistry should be closely present and alert, in order to avoid any negative consequences to the mother and the foetus from pathological oral conditions. In general, all necessary dental treatment can be done during pregnancy, except surgical procedures which are best left after parturition. Dental treatments are best performed in the second trimester, but in case of an emergency problem treatment should be offered immediately, in order to relieve the pregnant patient from pain, stress or infection. Reasonable use of dental x-rays and local anesthetics do not pose a foetal risk. As a precaution, amalgam fillings should not be removed or put into the mouths of pregnant patients. Drugs should only be used when necessary. Penicillin V, amoxicillin and paracetamol appear to be the safest drugs available. Recent studies indicate that periodontal disease may represent a risk factor for preterm low birth weight infants. All these underline the importance of proper oral hygiene and in general of oral health maintenance during pregnancy, which require a close follow up of the pregnant woman by the dentist.
KEY WORDS: Pregnancy, Dental care, Drugs, Amalgam, X-rays, Preterm low birth weight infants.
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