The American Academy of Pediatric Dentistry recommends that all pregnant adolescents seek professional oral health care during the first trimester. After obtaining a thorough medical history, the dental professional performs a comprehensive evaluation which includes a thorough dental history, clinical examination and caries risk assessment. The dental history should include a discussion of preexisting oral conditions, current oral hygiene practices and preventive homecare, previous radiographic exposures and tobacco use. The adolescent’s diet history should address frequency of carbohydrate intake, especially due to increased snacking.20
Specific questions asked during the oral health history may include the following questions:
After the medical, dental, dietary history and drug histories are obtained, a comprehensive oral examination is performed, which includes a risk assessment for dental caries and periodontal disease.
Based upon the adolescent’s oral health history, clinical findings and previous radiographic history, radiographs may be indicated to evaluate and definitively diagnose oral diseases and conditions.21