[Dental care during pregnancy].

Egea Luc, Nadin Coulibaly, Julien Demoersman, Hervé Boutigny, Assem Soueidan
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Abstract

Aim: to understand and analyze knowledge and practices of dentists regarding dental care during pregnancy using a questionnaire which focuses on the knowledge of the relationship between oral infections and complications of pregnancy, the attitude of practitioners on the implementation of dental care during pregnancy and the training of practitioners.

Results: 53.9% of pregnant women are not referred by an obstetrician. Only 59.8% of practitioners believe that dental anesthesia is not contraindicated, and most practitioners believe that the best time for care is the second trimester or after pregnancy. During pregnancy, practitioners realize the motivation for hygiene (90.7%), drainage of an abscess (82.2%), scaling (76.1%), the placement of a splint (74.1%), the treatment of caries (70%), and the removable prosthesis (67.2%).

Conclusion: these results indicate the existence of a gap between the care of pregnant women and the state of the art in dental science, despite current clinical recommendations to deliver all necessary care to pregnant patients during the first, second and third trimester. Moreover, the results highlight the need to reinforce the initial training of dental students, but also to develop the training for practitioners in this field.

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[怀孕期间的牙齿护理]。
目的:通过对口腔感染与妊娠并发症关系的认知、从业人员对妊娠期牙科保健实施的态度、从业人员培训等方面的问卷调查,了解和分析牙科医生对妊娠期牙科保健的知识和实践情况。结果:53.9%的孕妇未经产科医生转诊。只有59.8%的从业者认为牙科麻醉无禁忌,大多数从业者认为护理的最佳时间是妊娠中期或妊娠后。在怀孕期间,从业者实现了卫生动机(90.7%),脓肿引流(82.2%),洗牙(76.1%),夹板放置(74.1%),龋齿治疗(70%)和可移动假体(67.2%)。结论:这些结果表明,尽管目前的临床建议在妊娠早期、中期和晚期提供所有必要的护理,但孕妇的护理与牙科科学的最新水平之间存在差距。此外,结果强调需要加强对牙科学生的初步培训,同时也需要发展对该领域从业人员的培训。
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[The state of the art of endodontics]. Patients with oral tumors. Part 1: Prosthetic rehabilitation following tumor resection. Nonsurgical treatment of aggressive periodontitis with photodynamic therapy or systemic antibiotics. Three-month results of a randomized, prospective, controlled clinical study. [Infection after dental intervention. Iatrogenic or general medical cause? Case report]. Patients with oral tumors. Part 1: Prosthetic rehabilitation following tumor resection.
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