Placental Abruption With Delayed Fetal Compromise in Maternal Acetaminophen Toxicity
Maternal oral hygiene status is well-known to influence early childhood caries—the most common chronic disease of early childhood.3 Given the preventable nature of this disease, we should capitalize on the teachable moment of pregnancy and improve both maternal and child health. Maternal education on oral health and dental hygiene as well as early referrals to dentists can make a critical difference. Equally important is health care provider education on the safety of virtually all dental procedures during pregnancy. Identifying dentists willing to care for women insured by government-sponsored programs is also critical, because lack of health care providers is another stumbling block to care.
In summary, oral health evaluation in the first trimester is recommended by both the American College of Obstetricians and Gynecologists and the American Dental Association. Given the consequences of acetaminophen toxicity, these cases emphasize the importance of incorporating oral health assessment into prenatal care with timely referrals to prevent poor maternal and fetal outcomes.