Dental care during pregnancy is very important.  All patients should be screened for dental problems and referred for care as indicated.

 

 

If dental care is necessary, the following guidelines should be used.

 

1.               Shield X-ray is required.

2.               For fillings or extractions, local anesthesia may be used.

3.               Antibiotic therapy may also be used as indicated except for tetracycline, doxycycline, and fluroquinolones.  Questions regarding medication may be directed to the patient’s obstetrical group.

4.               For pain relief, oral Tylenol, codeine, or oxycodone may be prescribed.

 

 

 

 

Prepared in conjunction with the

Division of Maternal-Fetal Medicine

Duke University Medical Center

 

                                                           

 

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                                                            Director

 

 

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The Clinical Care Guidelines Development Committee of the Perinatal Improvement Board of Duke University Health System has developed a series of multi-disciplinary protocols to offer guidance to health care providers who are caring for pregnant women with high risk conditions.

 

These protocols are designed to assist health care providers in the management of a variety of problems that occur in pregnancy and the time of delivery. They should not be interpreted as standard of care, but instead represent only general guidelines for the care of pregnant women with high risk conditions.  We recognize that services offered by individual providers depend not only on their training, experience and institutional resources, but on the medical facts and circumstances of the specific care situation.

The protocols remain the intellectual property of the Duke University Health System.  They cannot be reproduced in whole or part without the expressed permission of the Health System.

 

These protocols are reviewed by the Department of Obstetrics and Gynecology Division of Maternal-Fetal Medicine, the Department of Pediatrics Division of Neonatology and the Department of Anesthesiology Division of Women’s Anesthesia.  Please contact Andra H. James (andra.james@duke.edu), Chair, Clinical Care Guidelines Development Committee of the Perinatal Improvement Board with ideas for additional protocols.