Progress in the treatment of oral diseases during pregnancy

doi:10.3877/cma.j.issn.1674-1366.2024.05.010

Abstract

Abstract:

Changes of the physiological status and dietary habits of pregnant women can lead to changes in oral hygiene, making some diseases more susceptible (e.g. gingivitis, periodontitis and periodontitis etc.). At the same time, concerns about the safety of gravidas and fetuses often prevent appropriate treatment of oral diseases. Based on the physiological status and characteristics of oral diseases during pregnancy, this article summarizes the progresses in the treatment timing, medication and radiation examination of oral diseases during pregnancy, and reviews the clinical strategies of oral diseases during pregnancy. Pregnant women and dentists should cooperate in oral hygiene controlling and diseases treatment, following the principle of "prevention before pregnancy, controlling promptly and treatment after pregnancy". The appropriate treatment strategy based on the physiological characteristics of different stages of pregnancy is helpful for the maintaining of oral health and more effective treatments of oral diseases, to avoid adverse effects on pregnant women and fetuses from oral diseases.

Key words: Pregnancy, Oral diseases, Treatment timing, Medication, Radiological examination

Jing Zhang, Chang Liu, Chengge Hua. Progress in the treatment of oral diseases during pregnancy[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2024, 18(05): 340-344.

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药物名称	分级
阿莫西林、氨苄西林、各代头孢菌素、派拉西林他唑巴坦、阿莫西林（含或不含克拉维酸）	B
阿奇霉素、甲硝唑、克林霉素	B
对乙酰氨基酚	B/C/D^a
利多卡因、丙胺卡因、阿替卡因（注射或表面麻醉）	B
丁卡因（仅用于表面麻醉）	C

药物名称	分级
阿莫西林、氨苄西林、各代头孢菌素、派拉西林他唑巴坦、阿莫西林（含或不含克拉维酸）	B
阿奇霉素、甲硝唑、克林霉素	B
对乙酰氨基酚	B/C/D^a
利多卡因、丙胺卡因、阿替卡因（注射或表面麻醉）	B
丁卡因（仅用于表面麻醉）	C

药物名称	用途	安全性
牙体牙髓局部常用药
多聚甲醛/三聚甲醛	牙髓失活剂	相对安全
氢氧化钙	牙髓封药	相对安全
矿物三氧化物聚合物（MTA）	牙髓封药	不明确
次氯酸钠	根管冲洗液	相对安全
氯己定	根管冲洗液	相对安全
1% ~ 3%过氧化氢溶液^a	根管冲洗液	相对安全
氢氧化钙	根管消毒剂	相对安全
碘仿氢氧化钙糊剂（Vitapex糊剂）	根管消毒剂	不明确
牙周局部常用药
氯己定	含漱药	相对安全
聚维酮碘	牙周袋用药	不安全
碘甘油	牙周袋用药	不安全
盐酸米诺环素	牙周袋用药	不安全

药物名称	用途	安全性
牙体牙髓局部常用药
多聚甲醛/三聚甲醛	牙髓失活剂	相对安全
氢氧化钙	牙髓封药	相对安全
矿物三氧化物聚合物（MTA）	牙髓封药	不明确
次氯酸钠	根管冲洗液	相对安全
氯己定	根管冲洗液	相对安全
1% ~ 3%过氧化氢溶液^a	根管冲洗液	相对安全
氢氧化钙	根管消毒剂	相对安全
碘仿氢氧化钙糊剂（Vitapex糊剂）	根管消毒剂	不明确
牙周局部常用药
氯己定	含漱药	相对安全
聚维酮碘	牙周袋用药	不安全
碘甘油	牙周袋用药	不安全
盐酸米诺环素	牙周袋用药	不安全

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