Dental Management of the Pregnant and Breast Feeding Patient
You will receive 2 unit(s) of continuing education credit upon successful completion of this course. The registration fee is only $82.00

Description:

The pregnant patient presents a number of complex management issues for the dental practitioner. It is our responsibility to provide safe and effective care for the mother while considering the optimal health of the fetus.


Author:
Dr. Gregory Naylor, DDS
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Learning Objectives:

Upon completion of this course, participants should be able to do the following:

  1. Understand the most current guidelines for the management of the pregnant and breast-feeding patient.
  2. Understand the unique management problems that the pregnant and breast-feeding patient poses and how to determine when to provide treatment.
  3. Understand the variety of other medically complex issues concerning these patients and the importance of a preventive dental care program.


Abstract:

The pregnant patient presents a number of complex management issues for the dentist. It is the dentist’s responsibility to provide safe and effective care for the mother while considering the optimal health of the fetus. The judicious use of medications and ionizing radiation is a prime concern. The multiple physiological changes that occur during pregnancy cause a number of maternal oral changes. In addition, if the mother decides to breast-feed the infant, certain drugs may be transmitted through the breast milk and expose the infant to the medication. The dentist should review the physiology of pregnancy, the course of fetal development, and the postpartum period to ensure that appropriate dental management guidelines are followed.



Outline:

COURSE OUTLINE

  1. Physiology and Pathophysiology of Pregnancy

    1. Endocrine changes

    2. Cardiovascular changes

    3. Hematologic changes

    4. Gastrointestinal and dietary changes

    5. Respiratory changes

    6. Liver and kidney changes

  2. Physical, Psychological, and Emotional State of the Patient

  3. Medical Evaluation

    1. Normal pregnancy

    2. Complications of pregnancy

  4. Dental Management

    1. Medical consultation

    2. Patient education

    3. Dental care during pregnancy

    4. Dental radiographs

    5. Drug administration during pregnancy

      1. Local anesthetics

      2. Analgesics

      3. Antibiotics

      4. Sedatives/hypnotics

      5. Miscellaneous drugs

    6. Drug administration during breast-feeding

  5.  Oral Complications During Pregnancy

    1. Pregnancy gingivitis

    2. Pregnancy tumor

    3. Hypersensitive gag reflex

    4. Dental caries

    5. Tooth mobility

    6. Melasma gravidarum

References:
  1. Bricker SL, Langlais RP, and Miller CS. Oral Diagnosis, Oral Medicine, and Treatment Planning. 2nd ed. Philadelphia, PA: Lea and Febiger; 1994.
  2. Little JW, Falace DA. Dental Management of the Medically Compromised Patient. 4th ed. St Louis, MI: Mosby; 1993.
  3. Sonis ST, Fazio RC, Fang L. Principle and Practice of Oral Medicine. 2nd ed. Philadelphia, PA: Saunders; 1995.
  4. The report of the panel to develop radiographic selection criteria for dental patients. Gen Dent. 1991; Jul/Aug 264-270.






American Dental Association is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.