Clinical considerations of emergent oral manifestations during pregnancy

Abstract

Pregnancy is a special period for developing and treating oral diseases. Oral emergencies during pregnancy need to be handled appropriately. Changes in the physiological environments and personal habits of pregnant women increase susceptibility to some oral diseases. However, clinical treatment strategies are limited due to the need to ensure the safety of pregnant women and fetuses. Pregnant women should obtain oral health knowledge and enhance their awareness. Dentists should adhere to the principle of "prevention before pregnancy, controlling symptoms during pregnancy, and treating diseases after pregnancy" for different pregnancy periods. They should also formulate appropriate treatment plans to control emergencies, prevent disease progression, and avoid harmful effects on pregnant women by using the safest, simplest, and most effective strategies that avoid adverse effects on fetuses. Pregnant women and dentists should combine prevention and treatment while collaborating in maintaining oral health during pregnancy. This article focuses on the principles of treatment during pregnancy, and the treatment timing, clinical management, and treatment strategies of different diseases causing oral emergencies during pregnancy are reviewed.

Keywords: clinical management; emergency; oral diseases; pregnancy; treatment strategy; treatment timing.

图 1. 妊娠期口腔疾病治疗原则

Fig 1 Treatment principles for oral diseases during pregnancy

图 2. 妊娠期常见口腔急症的临床决策树

Fig 2 Clinical decision tree for emergent oral manifestations during pregnancy