Trahan Marie-Julie, Nicholls-Dempsey Laura, Richardson Keith, Wou Karen
Department of Obstetrics and Gynecology, McGill University, Montréal, QC.
Department of Obstetrics and Gynecology, McGill University, Montréal, QC.
J Obstet Gynaecol Can. 2020 Oct;42(10):1267-1270. doi: 10.1016/j.jogc.2020.03.014. Epub 2020 Apr 13.
Physiologic changes in pregnancy may predispose pregnant women to oral health problems. However, most women are not counselled on oral health during pregnancy. Lack of proper oral health care predisposes pregnant women to odontogenic infections, which can lead to severe complications.
A 34-year-old multiparous woman presented at 40 weeks gestation with a 3-day history of severe, progressive neck swelling, jaw pain, and trismus. She was diagnosed with Ludwig's angina secondary to an untreated dental cavity. She required emergency fiberoptic intubation to secure her airway, urgent delivery via cesarean section, and subsequent surgical drainage performed by otolaryngology.
Ludwig's angina during pregnancy is associated with severe morbidity. Dental care should not be denied or postponed due to pregnancy, and dental infections should be treated promptly. Health care providers should counsel women on the importance of maintaining good oral health during pregnancy.
孕期的生理变化可能使孕妇易患口腔健康问题。然而，大多数女性在孕期未接受口腔健康方面的咨询。缺乏适当的口腔保健使孕妇易患牙源性感染，进而可能导致严重并发症。
一名34岁经产妇在妊娠40周时就诊，有3天严重、进行性颈部肿胀、颌部疼痛和牙关紧闭的病史。她被诊断为继发于未治疗龋齿的路德维希咽峡炎。她需要紧急纤维支气管镜插管以确保气道安全，紧急剖宫产分娩，随后由耳鼻喉科进行手术引流。
孕期路德维希咽峡炎与严重发病相关。不应因怀孕而拒绝或推迟牙科护理，应及时治疗牙齿感染。医疗保健提供者应向女性咨询孕期保持良好口腔健康的重要性。
