Ace Pregenant Patient

Front 1

What issues regarding dental care can negatively impact a fetus?

Back 1

X-Rays
Medications

Front 2

Provision of select dental care can benefit the fetus - What are those procedures?

Back 2

Prophy - there is a connection between periodontal disease and low birth weight

Front 3

What is the ethical dilemma present when you are treating a pregnant patient?

Back 3

Beneficence and Non-malfeasance

Front 4

What are some basic physiological changes that occur in pregnant women?

Back 4

1) Endocrine - maternal and placental hormones
2) Fatigue
3) Tendency toward syncope and postural hypotension
4) Anemia
5) Gestational diabetes & Hypertension

Front 5

Why might pregnant patients experience anemia?

Back 5

Iron deficiency
Blood volume increases more rapidly than RBC mass

Front 6

What types of treatment do you want to make sure gets accomplished for a pregnant patient throughout their entire gestation period?

Back 6

Plaque control, OHI, Scaling, Polishing, Curretage

Front 7

What type of dental care should be accomplished for the first trimester?

Back 7

Avoid elective treatment (except prophy) urgent care only

Front 8

What type of dental care is accomplished during the 2nd & 3rd trimesters?

Back 8

Routine dental care

Front 9

What are lidocain and prilocaine and are they safe for pregnant patients to take?

Back 9

Local Anesthetics
Yes they are safe

Front 10

What type of drugs are aspirin and NSAIDs and are they safe for pregnancy?

Back 10

Analgesics
No caution/avoid

Front 11

What type of drug is acetaminophen and is it safe for pregnant women?

Back 11

Analgesic
Yes it is Safe

Front 12

What type of drugs are cephalosporins, clindamycin, penicillins and are they safe for pregnancy?

Back 12

Antibiotics and they are Safe

Front 13

What type of drugs are articaine and bupivicaine and are they safe for pregnancy?

Back 13

Local Anesthetics and NO
Use Caution

Front 14

What types of drugs are tetracycline and are they safe for pregnancy?

Back 14

Antibiotics
NO AVOID

Front 15

Are narcotics safe to use on pregnant patients?

Back 15

No
Use caution/avoid

Front 16

What types of drugs cause gingival overgrowth?

Back 16

Anticonvulsants
Immunosuppressants
Ca++ Channel Blockers

Front 17

What other condition does geographic tongue mimic?

Back 17

Lichenoid Drug Reactions

Front 18

What are lichenoid drugs used for?

Back 18

Heart drugs, antibiotics, or drugs that lower blood glucose

Front 19

What type of drugs are Aldomet, Chloroquine, Diabenese, Orinase, Tetracycline, Furosemide, Quinidine, Tirprolidine, and Chlorothiazide?

Back 19

Lichenoid Drugs

Front 20

How can
Angioedema, due to allergic reactions, manifest in the oral cavity?

Back 20

Angioedema can manifest as sweeling that goes to the back of the throat

Front 21

What are some drugs that can cause angioedema?

Back 21

Local Anesthetic, NSAID -Indomethicin, & ACE inhibitors

Front 22

What drug side effects can cause color changes in teeth?

Back 22

Tetracycline during development
Fluorosis

Front 23

What drug side effect can cause color changes in the mucosa?

Back 23

Quinilone

Front 24

What are some categories of drugs that cause Dry Mouth?

Back 24

Anticholinergic or Sympathomimetics
Diuretics

Front 25

What is a specefic anticonvulsant that can cause gingival overgrowth?

Back 25

Phenytoin

Front 26

Which thyroid condition that is untreated should you avoid using epinephrine or pressure amines?

Back 26

Hyperthyroid patients poorly controlled

Front 27

Which untreated thyroid condition should you avoid CNS depressants, like narcotics and barbituates?

Back 27

Hypothyroidism poorly controlled

Front 28

What kind of dental treatment should you provide poorly controlled hyperthyroid patients?

Back 28

Avoid surgery
Treat any acute infection

Front 29

How should you treat a well controlled hyperthyroid patient?

Back 29

Treat acute infection, but avoid if possible
Treat Chronic infection
Normal management

Front 30

What should you do in the case of hyperthyroid crisis?

Back 30

Wet Ice Packs
Hydrocortisone 100-300 mg
CPR, IV glucose
Propythiouracil

Front 31

How should we approach treatment of a poorly controlled hypothyroid patient?

Back 31

Avoid surgery
Treat any infection
Avoid CNS depressants (narcotics, barbiturates)

Front 32

How should we approach treatment of a well controlled Hypothyroid patient?

Back 32

Avoid oral infections
Normal treatment/management

Front 33

What is an example of a Hypothyroid medical crisis?

Back 33

Myxedema coma

Front 34

How should we respond to a patient undergoing a Hypothyroid medical crisis?

Back 34

Conserve heat
hydrocortisone 100-300 mg
CPR, IV glucose
Parenteral Levothyroxine

Front 35

What is an example of a thyroiditis disease?

Back 35

Chronic Fibrosing Thyroiditis (Riedel's)
Hashimoto's Thyroiditis

Front 36

What type of thyroid condition is Hashimoto's thyroiditis considered?

Back 36

Thyroiditis & Hypothyroidism

Front 37

What type of disease is Graves disease?

Back 37

Hyperthyroidism

Front 38

What type of disease is Cretinism, myxedema, and Hashimoto's Thyroiditis?

Back 38

Hypothyroidism

Front 39

What thyroid condition involves cardiovascular complications, like CHF and arrhythmias, protruding eyeballs, and interactions with epinephrine?

Back 39

Hyperthyroidism

Front 40

What thyroid condition involves exaggerated response to CNS depressants?

Back 40

Hypothyroidism

Front 41

Which thyroid condition can lead to thyrotoxic crisis due to infection and surgery?

Back 41

Hyperthyroidism

Front 42

Which thyroid condition involves a coma precipitated by CNS depressants, infection, or surgical procedures?

Back 42

Hypothyroidism

Front 43

Which thyroid condition involves thyrotoxic crisis due to infection and surgery?

Back 43

Hyperthyroidism