MIHAI CONSTANTIN, CRISTIAN CONSTANTIN BUDACU, LILIANA PAVEL, SORANA ROSU, AURELIANA CARAIANE CHEMICAL STUDY OF ANTIBIOTICS IN TREATMENT OF NON-SECFIC PERIMAXIAL SUPPURATIONS IN PREGNANCY
Physiological changes caused by pregnancy favor the onset or aggravation of preexisting buccal dental lesions, which, untreated, may evolve into infectious complications. Perimaxilation should be treated immediately due to the risk of infection spread or disseminated at a distance. Pain relief is an important reason for immediate treatment, as the particular state of nervousness can trigger a neuro-hormonal reflex followed by a break in pregnancy. The treatment of perimaxial suppositions involves two main aspects: surgical management and medical management. Surgical management will apply as well as outside the pregnancy, recommending local or loco-regional anesthesia with 2% xylin and vasoconstrictor at very low doses. In medical management, it should be noted that the upcoming mother’s ingestion of various drug substances is a matter of maximum responsibility. Drug administration during pregnancy should be an exceptional attitude, but strict application of this principle could deprive pregnant women of the use of useful drugs resulting in maternal complications and embryo-fetal suffering. The study is a retrospective and was performed on a batch of 70 pregnant women who presented themselves in the Oral and Maxillofacial Surgery Clinic during 2014-2017, presenting perimaxial suppurations.Surgical treatment (opening and evacuation of the purulent collection), performed in all patients, was preceded by anesthesia, local or loco-regional. Preventive dental care should prevail over curative care in the case of dental treatments of women pregnant women, because all physiological changes caused by pregnancy aggravate the pre-existing oro-dental lesions. Prophylactic attitude will not allow the emergence of infectious complications of dental origin.