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Estella, a 32 year old Hispanic woman, presents to your office for a first prenatal visit. She is excited to be 7 weeks pregnant. She quit smoking recently because she heard from her sister who had a preterm delivery that smoking can contribute to preterm labor. She wants to know if there is anything else she can do to reduce her risk of a preterm birth. She has struggled to care for her teeth. She has not seen the dentist in several years because few dentists in your area take her Medicaid insurance. As part of the visit you perform an oral examination and discover that she has periodontitis (see photo):
Which of the following is true?
Estella returns two weeks later concerned about a rapidly growing lesion in her mouth. She has never had anything like this before. It bled last night after eating corn chips. Her sister says she had a similar lesion once when she was on birth control pills. Her doctor told her not to worry about it and it eventually went away on its own.
Brad Neville, DMD
What would be the best advice for Estella?
Estella returns to see you for a routine prenatal visit at 32 weeks of gestation. Dental treatment for her periodontitis went well and she is happy to have her mouth feeling good again. The dentist mentioned that because of her history of cavities, she should consider taking measures towards the end of her pregnancy to reduce her oral bacterial load to reduce her child’s risk of cavities. Estella is skeptical and asks your opinion.
Which of the following would be the best advice for Estella?