Particularities of oro-maxillofacial surgical treatment for pregnant women

Abstract

Pregnancy induces general changes that increase the susceptibility to diseases of the stomatognathic system, generating complications that can endanger the life of the mother and fetus. Purpose: Clinical-statistical evaluation of diseases in the oro-maxillo-facial region found in pregnant women, in order to increase the efficiency of diagnosis and surgical treatment. Data and methods: Have been studied 86 pregnant patients aged 17-40 years (mean 28.8 ± 2). Group 1, prospective study, ambulatory within the dental clinic “Omni Dent”, duration 1-year, clinical examination of 27 patients. Group 2, retrospective study, in the hospital, OMF surgery department of IMSP IMU, duration 6 years, 59 patients. Results: Group 1: consulted patients in trimesters: 1st — 5 (19.23%), 2nd — 11 (42.31% ), 3rd — 10 (38.46%). Diagnosis: pregnancy gingivitis — 8 (29.63%), caries — 7 (25.93%), pericoronitis — 4 (14.81%), root rot — 3 (11.11%). Group 2: treatment in the trimesters: 1st — 17 (28.81%), 2nd — 22 (37.29%) and 3rd — 20 (33.9%). The cause of infection, lower molars — 34 (82.92%), upper molars — 4 (9.76%), lower premolars — 3 (7.32%). Diagnosis: acute lymphadenitis — 7 (11.86%), pericoronitis — 17 (28.81%), and odontogenic abscess — 22 (37.29%) in the retromolar spaces — 12 (29%), subperiosteal — 9 (22%), the mandibulo-lingual groove- 7 (17%), submandibular5 (12%). Conclusion: Surgical treatment of dental diseases and their complications can be avoided by addressing patients in time.