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KNOWLEDGE, ATTITUDE AND PRACTICE OF DENTISTS IN OFFERING DENTAL TREATMENT TO EXPECTANT WOMEN

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Background: Expectant women presenting as patients in dental clinics are a special
group of patients who should be treated with utmost caution as any dental procedure
carried out on them may not only affect them but also the child they are carrying.
Objective: The broad objective of this study was to determine the knowledge, attitude
and practice of dentists towards offering dental treatment to expectant women.
Materials and methods: Data was collected using self-administered structured
questionnaire with open-ended and closed questions. It entailed collecting sociodemographic
details of the dental surgeons and information on the surgeon's knowledge,
attitude and practice towards offering dental treatment to expectant women.
Results: Out of the questionnaires distributed, 70questionnaires were collected
(1OO%response rate). Most of the participants were general practitioners, of Kenyan
nationality, with less than 5 years clinical experience, who obtained their degree from
University of Nairobi and practiced in the public and private sectors. Majority of the
participants had carried out dental procedures on expectant women in the last 12 months,
with most of them having seen 11-15 patients. Over half of the participants stated that
they would do radiographs in a pregnant patient who was suffering from pain from a
tooth with doubtful diagnosis with maximum radiation protection measures into place. All
said they would extract a non-restorable painful tooth.
The majority of the participants (98%) said they would prescribe a mouthwash and most
of them (47.1%) would choose povidone iodine over other mouthwashes. Eighty six
percent of the participants said they would do root planning on a pregnant patient with
gingival bleeding and calculus deposits. In respect to antibiotics, the majority of the
dentists (75%) would prescribe amoxicillin to an expectant woman. Of the four analgesic
agents surveyed, paracetamol was the most popular analgesic agent (80%). On the use of
local anesthetics, the majority of the dentists (49%) would use lidocaine without
vasoconstrictor and would not use prilocaine without felypressin vasoconstrictor. Eighty
six percent of the participants recommended that the first trimester would be inadvisable
to perform dental procedures.

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KNOWLEDGE, ATTITUDE AND PRACTICE OF DENTISTS IN OFFERING DENTAL TREATMENT TO EXPECTANT WOMEN.pdf16.92 MB

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