Part 1: Case Study

Sorry - that response is incorrect.

Other options that exist that are viable adjuncts for control of caries and bacterial levels in the mother include all of the options EXCEPT the prescription of systemic fluoride supplements for the pregnant mother.

Most clinicians are not prescribing supplemental fluorides to pregnant women due to lack of evidence of efficacy for the unborn child. Also, it is important to note that current scientific evidence has demonstrated that prenatal fluoride supplements are not beneficial in preventing caries in the child's primary dentition, and therefore are not prescribed to pregnant women.

Xylitol Chewing Gum: This type of gum may also be a viable adjunct for the control of caries in a mother when three to five pellets per day are chewed for five minutes.

Prenatal Topical Fluoride Treatment: These treatments may also be useful in treating a pregnant women with a number of carious lesions to the extent that it can reduce caries activity and reduce the reservoir of cariogenic microorganisms in her oral cavity. This cannot be a one-shot deal, however. The effectiveness of topical fluorides is directly related to the frequency of exposure, so these mothers should receive topical treatments weekly for at least one month and then often after their child is born during the period the child's primary dentition is erupting. Her regular use of a fluoridated toothpaste with the seal of approval from the American Dental Association is also advocated.

next