Pregnancy and Odontogenic Lesions. Recommendations for Managing Pregnancy With Simultaneous Difficult Eruption of Wisdom Teeth.
Objectives: The aim of the research work is to clinically analyze the indications for surgical removal of wisdom teeth in pregnant women. Methods: 45 pregnant women in stages I, II and III took part in the clinical study. The study group was divided into three subgroups, depending on the trimester of pregnancy in which the patient presented. The course of pregnancy was described as normal in 42 respondents, 3 cases were complicated. All subjects were assessed for the oral hygiene status index, periodontal health index and CPITN. Results: Among the respondents in the first trimester, the most common indicator was CPITN 1 and 2, affecting 5 people respectively, followed by CPITN 3 - 4 people and 1 person with CPITN 4. In the second trimester, the predominant index was CPITN 3 - 9 subjects, followed by CPITN 2 - 3 subjects, CPITN 4 - 2 subjects, and CPITN 1 - 1 subject. In the third trimester, 10 people with CPITN 3, 4 people with CPITN 4, 1 person with CPITN 2 and no CPITN 1. Statistical analysis showed a strong association between trimester of pregnancy and CPITN. Most patients with symptoms are observed in the second and third trimester of pregnancy, with a CPITN index of 3. Additionally, a shift in the indicator was observed with the trimester of pregnancy. The later the trimester, the higher the index and, consequently, the greater the depth of the pocket. Conclusions: 1. In the case of pregnant women, pain is observed particularly often in patients with a CPTIN index of 3, in the second trimester of pregnancy and with wisdom teeth located in the mandible. 2. Pregnancy is not a contraindication to dental treatment. Only highly burdensome surgical procedures should be postponed, if possible, until the third trimester.