Department of Dentistry, Ziauddin University, Karachi, Pakistan.
Dental Excellence Athlone, Ireland.
J Pak Med Assoc. 2023 Oct;73(10):2041-2046. doi: 10.47391/JPMA.8400.
Pregnancy is a dynamic state marked by several physiological changes. Oral healthcare in pregnancy is often avoided and misunderstood, with healthcare professionals struggling to interpret the safety and appropriateness of dental treatment during this period. Despite international guidelines and consensus reports indicating that preventive and restorative dental treatment are safe and essential, there is still a widespread belief among healthcare professionals and general population in Pakistan that dental treatment during pregnancy may pose damage to the foetus. Over the past three decades, as human knowledge of the biology behind periodontal diseases broadened, its systemic impact upon various physiological states is better understood and management protocols are accordingly formulated. Lack of knowledge among dentists regarding the timing of routine dental treatment, avoidance of certain medications and poor understanding of the clinical changes in the periodontium of the pregnant patient needs to be addressed so that timely treatment is provided. The current narrative review was planned to highlight the physiological and pathological changes that may occur in the oral cavity of a pregnant patient.
妊娠是一种动态状态，其特点是有几个生理变化。妊娠期的口腔保健常常被忽视和误解，医护人员在这一期间难以判断牙科治疗的安全性和适当性。尽管国际准则和共识报告表明预防和修复性牙科治疗是安全且必要的，但在巴基斯坦，医护人员和普通大众中仍普遍存在一种观点，认为妊娠期的牙科治疗可能会对胎儿造成损害。在过去的三十年中，随着人类对牙周病生物学的了解不断加深，人们更好地理解了其对各种生理状态的系统性影响，并相应地制定了管理方案。牙医对常规牙科治疗时间、避免使用某些药物以及对孕妇牙周组织临床变化的理解不足，需要加以解决，以便及时进行治疗。本综述旨在强调可能发生在孕妇口腔中的生理和病理变化。
