Adolescent pregnancy: a review of dental treatment guidelines

More than 6% of adolescent females become pregnant in the United States per year, yet there is no concise guide for their dental treatment. The principles for medical management of these patients are not unlike those used for adult females, but the higher incidence of complications coupled with social and consent issues make their overall management more complex. Whether treating a pregnant adolescent or an adult, the primary goal is to maintain a safe environment for both the fetus and mother. Untreated dental disease can compromise the health of the mother and unborn child; therefore, dental treatment should not be withheld. In complicated pregnancies, dental practitioners should contact the patient's obstetrician prior to providing treatment or prescribing medication. With proper technique, dental radiographs do not place the fetus at risk and should be taken if they are of potential benefit. Preventive care should be delivered throughout pregnancy, and elective routine care is best delivered during the second trimester.