MANAGEMENT OF ACUTE D ENTAL CONDITIONS
If mild cellulitis is present, penicillin, amoxicillin,
and cephalexin (Keflex; all FDA pregnancy category B) are reasonable first-line
antibiotics. Erythromycin base (not erythromycin
estolate, which is associated with cholestatic
hepatitis in pregnancy) or clindamycin
(Cleocin; both FDA pregnancy category B)
can be used in the type 1 hypersensitivity
penicillin–allergic patient. For severe cellulitis,
the patient should be hospitalized and
treated with intravenous cephalosporins or
clindamycin. To manage dental pain, acetaminophen
(FDA pregnancy category B),
ibuprofen (Motrin; FDA pregnancy category
B in the first and second trimesters, category
D in the third trimester), and limited use of
oxycodone (Roxicodone; FDA pregnancy
category B in the first and second trimesters,
category D in the third trimester) are appropriate
depending on the gestational stage.
MANAGEMENT OF ACUTE D ENTAL CONDITIONSIf mild cellulitis is present, penicillin, amoxicillin,and cephalexin (Keflex; all FDA pregnancy category B) are reasonable first-lineantibiotics. Erythromycin base (not erythromycinestolate, which is associated with cholestatichepatitis in pregnancy) or clindamycin(Cleocin; both FDA pregnancy category B)can be used in the type 1 hypersensitivitypenicillin–allergic patient. For severe cellulitis,the patient should be hospitalized andtreated with intravenous cephalosporins orclindamycin. To manage dental pain, acetaminophen(FDA pregnancy category B),ibuprofen (Motrin; FDA pregnancy categoryB in the first and second trimesters, categoryD in the third trimester), and limited use ofoxycodone (Roxicodone; FDA pregnancycategory B in the first and second trimesters,category D in the third trimester) are appropriatedepending on the gestational stage.
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