Dental considerations in pregnancy and menopause

López, Begonya Chaveli; Pérez, María Gracia Sarrión; Soriano, Yolanda Jiménez

doi:10.4317/jced.3.e135

Cited by 23 publications

(14 citation statements)

References 17 publications

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“…Fortunately, most of the drugs used in a dental clinic are generally considered safe for both expecting mother and the fetus [1], [2], [6], [7] Almost 43% of our interns were of the opinion that local anaesthesia is safe to be used in pregnant patients in any trimester, whereas 59% of the participants in a previous study conducted among interns had agreed that local anaesthesia has the least risk when used in pregnant females. Nearly 30% of our participants were mindful of the fact that periodontal infection can lead to preterm birth & low birth weight babies.…”

Section: Discussionmentioning

confidence: 99%

“…Different mechanisms have been suggested for this effect of periodontal disease on the fetus; one such proposed mechanism is seeding of urinary tract infections with bacteria from periodontal disease in mother. Dental hygiene procedures, such as prophylaxis, deep scaling, or root planning are permitted in any trimester of normal pregnancy [1], [6], [7], [8], [9]. In case of deep dental caries causing severe pain or acute infection in an otherwise healthy gestational woman, the dentist should offer required dental care no matter what the patient's phase of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Awareness of Dental Interns to Treat Pregnant Patients

Swapna¹,

Alanazi²,

Aldoji³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Pregnancy causes major changes in maternal physiology and metabolism, which may lead to increased susceptibility to oral infection. AIM: Aim of this study is to assess the awareness of dental interns regarding the management of the dental needs of pregnant patients. METHODS: A cross-sectional questionnaire survey was conducted among 188 interns of a private dental college in Saudi Arabia. The questionnaire comprised of 14 knowledge-based questions regarding their training, awareness and practice management of the pregnant patient in dental clinics. Four questions to record and evaluate their training, the number of pregnant patients treated by them and their confidence level in the dental management of the pregnant patient. Excel spreadsheet was used for mathematical calculations. RESULTS: Almost 62% of our participants never treated a pregnant female during their training. About 65% of the interns knew using antibiotics, almost 55% have a clear idea of the safest NSAIDS, and 43% regarded local anaesthesia to be safe when used among pregnant females. Conversely, about 50% of the participants had no clear knowledge of the FDA category of drugs. Only 24% considered dental radiographs to be safe in pregnant patients. 57% thought to postpone the dental treatment in an acute active dental infection in expecting mothers. Results also showed a lack of confidence among interns to provide dental care to gestating female. CONCLUSION: On analysing the results, we found that there is a need to improve the knowledge, awareness and confidence levels among the interns who are the future dentists treating these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Awareness of Dental Interns to Treat Pregnant Patients

Swapna¹,

Alanazi²,

Aldoji³

et al. 2019

Open Access Maced J Med Sci

View full text Add to dashboard Cite

show abstract

“…Local risk factors in turn include dentoalveolar surgery, the mandibular location, bone protuberances (torus, mylohyoid crest) and concomitant oral disease (periodontal or dental infections)(4,25,34-36). Regarding hereditary factors, ONJ has been related to polymorphisms of cytochrome P450-2C [CYP2C8] and to the COLIA-1, RANK, MMP-2, OPG, OPN, FPPS and FCEV genes (25,33,35,37).…”

Section: Oral Toxicity Produced By the Administration Of Chemotherapymentioning

confidence: 99%

Oral toxicity produced by chemotherapy: A systematic review

Chaveli-López¹

2014

J Clin Exp Dent

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Introduction: Antineoplastic chemotherapy remains one of the most widely used management strategies in cancer, either alone or in combination with other types of treatment. The main inconvenience of chemotherapy is its lack of selectivity, since it acts upon both tumor cells and rapidly multiplying normal cells such as bone marrow cells, hair follicle cells and oral and gastrointestinal mucosal cells. Material and method: An exhaustive search was made of the main oral toxic effects of chemotherapy in the PubMed-Medline, Cochrane Library and Scopus databases. A total of 1293 articles were identified, of which 333 met the study inclusion criteria. Results: The toxic effects of chemotherapy at oral mucosal level comprise mucositis, osteonecrosis of the jaws secondary to bisphosphonate use, susceptibility to infections, dental alterations, salivary and neurological disorders, dysgeusia and bleeding tendency. These complications have a negative impact upon patient quality of life, and in some cases can prove life-threatening. Conclusions: Evaluation of patient oral and dental health is essential before administering chemotherapy, in order to minimize the risk of oral and systemic complications of such treatment. Key words:Chemotherapy, oral complications, dental, saliva and osteonecrosis jaw.

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“…However, menopause is not synonymous of climacterium. [ 1 ] Menopause, an array of physiological effects, seen in the fifth decade of a woman's life owed to the diminution in estrogen output secondary to a bereavement of follicular function. It has been implied by disparate studies that menopause initiates a host of physiologic changes.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of carotid artery calcification in postmenopausal women and its correlation with atherogenic risk factors

Patil

2015

J Nat Sc Biol Med

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Aim:The aim of the present study was to determine the prevalence of carotid artery calcification (CAC) in postmenopausal females on panoramic radiographs and to study the correlation of CAC with possible risk factors such as hypertension, osteoporosis, and hypercholesterolemia, among others.Materials and Methods:Totally, 1214 panoramic radiographs of postmenopausal females attending the Department of Oral Medicine and Radiology were examined for the presence of CAC. The subjects were also assessed for the presence of various risk factors and the possible correlation to CAC. Statistical analysis was done using Chi-square test, and P < 0.05 was considered to be statistically significant.Results:Two hundred and seventy-eight postmenopausal females presented with CAC and a prevalence of 22.9%. These patients presented with a medical history that was laden with risk factors, of which hypertension (71.2%) was the most common risk factor. Hypertension, hypercholesterolemia, osteoporosis, and obesity were significantly (P < 0.05) related to the presence of CAC while age, diabetes, and smoking were not significantly (P > 0.05) related to CAC.Conclusion:The incidental finding of CAC on panoramic radiographs during the routine dental examination can provide life-saving information for the identification of postmenopausal females who are at a higher risk for stroke. Oral clinicians should, therefore, record a proper medical history of such patients to identify the atherogenic risk factors and refer such patients to the physician for careful evaluation and conformation of the disease.

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Dental considerations in pregnancy and menopause

Cited by 23 publications

References 17 publications

Awareness of Dental Interns to Treat Pregnant Patients

Awareness of Dental Interns to Treat Pregnant Patients

Oral toxicity produced by chemotherapy: A systematic review

Prevalence of carotid artery calcification in postmenopausal women and its correlation with atherogenic risk factors

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