BOX 1-25

Management of Patient Who Is Pregnant

1. Defer surgery until after delivery if possible.
2. Consult the patient’s obstetrician if surgelY cannot be
3. Avoid dental.radiographs unless information about
tooth roots or bone is necessary for proper dental care.
If radiographs must be taken, use proper shielding ..
:4. Avoid the use of drugs with teratogenic potential.
Use local anesthetics when anesthesia is necessary.
5. Use at least 50% oxygen if nitrous oxide sedation is
used. ‘
6. Avoid keeping the patient in the supine position for
long periods, to prevent vena caval compression.
1. Allow the patient to take frequent trips to the rest room.

breast-feeding a child. Avoiding drugs that are known to enter breast milk and to be .potentially harmful to infants . is prudent (the child’s pediatrician can provide guidance). Information about some drugs is provided in Table 1-2. However, in general, all the drugs common in oral surgical care are safe to use in moderate doses, with the exception of cortlcosteroids, aminoglycosides, and tetracyclines, which should not be used.

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