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Louella is a 34 year old G3P2 patient who recently found out she is pregnant. She presents today for her first prenatal visit at 6 weeks gestation. She has moderate morning sickness. As part of your review of systems you inquire about her mouth and teeth. She has had many cavities in the past, but currently feels everything is well. Her last dental visit was 8 months ago. Your exam shows she has several existing restorations, but no untreated cavities. She has mild, generalized gingivitis (see photo).
Judith Skelton, MEd, PhD
What advice should you give Louella about dental care?
Louella calls the office two weeks later. Her morning sickness is considerably worse. She has been vomiting many times a day since she last saw you. She is also complaining of sensitivity of several of her teeth. She wants to know what she can do for her teeth while she is waiting to see the dentist next week.
Which of the following is good advice for Louella regarding her morning sickness?
Louella does go to see the dentist and you receive a follow-up phone call. Louella has a dental cavity. The dentist asks if it is safe to perform an x-ray. He is concerned that radiation might cause fetal anomalies. Further, if he finds a cavity he is unsure if it is safe to use lidocaine during pregnancy.
Which of the following is appropriate advice for the dentist regarding Louella’s dental cavity?