Trudnice i lijekovi u svakodnevnom radu doktora dentalne medicine

master's thesis

• Title (english): Pregnancy and medications in dental practice
• Author: Karolina Novoselnik
• Mentor: Ivana Šutej (mentor)
• Committee member: Ivana Šutej (predsjednik povjerenstva)
• Committee member: Kristina Peroš (član povjerenstva)
• Committee member: Lea Vuletić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Chair of Pharmacology); Zagreb
• Defense date and country: 2021-09-24, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract

Trudnoća je jedinstveno razdoblje u životu žene, praćeno mnoštvom značajnih anatomskih, fizioloških i hormonskih promjena. Tijekom trudnoće zapažamo funkcijske i strukturalne preinake u kardiovaskularnom, respiratornom, gastrointestinalnom, endokrinom i drugim sustavima. Sukladno tome, iznimno je važna stalna edukacija trudnica o oralnom zdravlju za vrijeme
trudnoće, segmentu njihovog zdravlja koje prolazi kroz značajne fiziološke i patološke promjene tijekom trudnoće, baš kao i ostali organski sustavi. Najčešće patološke promjene u usnoj šupljini odnose se na pojavu karijesa, parodontnih bolesti, promjena u sastavu sline i erozija zubi uslijed čestog povraćanja. Ova stanja važno je prevenirati ili liječiti, gdje do
izražaja dolazi znanje stomatologa o dentalnim intervencijama kod trudnica, ali i trudnoći općenito. Naglasak je stavljen na stručnost terapeuta u postavljanju točne dijagnoze i odabiru terapije, bilo intervencijske bilo medikamentozne. Također, podvrgavanje trudnice rendgenskim snimanjima mora uvijek biti kritički promišljeno i pravilno indicirano. Usprkos znanstvenim dokazima o štetnosti pojedinih lijekova u trudnoći, nemali broj trudnica koristi relativno velik broj lijekova u tom razdoblju. Nažalost, imamo najslikovitiji primjer neznanja i neopreza primjene lijekova u trudnoći koji nam je u nasljeđe ostavila Talidomidska katastrofa. Stoga je edukacija majki, ali i medicinskog osoblja o sigurnosti primjene lijekova u trudnoći postala imperativ. Dakle, važan element rada stomatologa je propisivanje lijekova, koje predstavlja dodatan izazov kada govorimo o razdoblju trudnoće. Stoga donosimo pregled najsigurnijih lijekova za uporabu u dentalnoj medicini, ali i pojašnjenje teratogenosti i istraživanja lijekova za primjenu u trudnoći.

Abstract (english)

Pregnancy is unique time in a womanʹs life, accompanied by a variety of significant anatomic, physiologic and hormonal changes. During pregnancy we observe functional and structural modifications of cardiovascular, respiratory, gastrointestinal and endocrine systems. Therefore, education of expectant mothers about importance of oral health during pregnancy is essential because that segment of their health goes through significant physiological and pathological changes, just as other organic systems do. Caries, parodontal diseases, changes in saliva composition and enamel erosions due to frequent vomiting are most common pathological alterations pregnant women encounter in oral cavity. Prevention and treatment of these conditions is necessary and that is where dentists’ knowledge about interventions during
pregnancy and knowledge about pregnancy in general, is shown. The emphasis is put on therapist’s competence in diagnosis and election of therapy, interventional or with drugs. Moreover, X-ray filming during gravidity should always be carefully contemplated and used only when necessary. Despite scientific evidence of harmful effects of certain drugs, that are used during pregnancy, considerable number of pregnant woman use relatively big number of medications during this
period of time. Unfortunately, the Thalidomide tragedy is an example of what happens when drugs are used carelessly and with ignorance. Therefore, education of future mothers and medical personnel about usage of drugs during gravidity becomes imperative. Likewise, prescribing drugs is an important part of dentists’ everyday work. It represents an
additional challenge during the gestation period. Therefore, the paper reviews the safest medicaments used in dental medicine, explanation of teratogenicity and researches of medicines used during pregnancy.

• Keywords: farmaceutski preparati; trudnoća; teratogen; usna šupljina
• Keywords (english): Pharmaceutical Preparations; Pregnancy; Teratogens; Oral Cavity
• Language: croatian
• URN:NBN: urn:nbn:hr:127:546325
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-10-28 09:14:19