title: Local anesthetic use in the pregnant and postpartum patient.
abstract: The use of systemically absorbed drugs in the gravid and in the lactating patient is of concern to the dentist. This article reviews concerns for the health and safety of the mother, developing fetus, and neonate involving local anesthetics. The available literature on the use of local anesthetics for dentistry in the pregnant and postpartum patient is also reviewed. In addition, the physiology of the pregnant and postpartum woman is discussed because this is essential to understanding potential interplay with local anesthesia and the stress of a dental appointment.
authors.affiliation: Dental Anesthesiology Residency, Lutheran Medical Center, Brooklyn, NY 11220, USA. efayans@hotmail.com
authors.forename: Edgar P
authors.initials: EP
authors.lastname: Fayans
authors.forename: Hunter R
authors.initials: HR
authors.lastname: Stuart
authors.forename: David
authors.initials: D
authors.lastname: Carsten
authors.forename: Quen
authors.initials: Q
authors.lastname: Ly
authors.forename: Hanna
authors.initials: H
authors.lastname: Kim
mesh_terms: D000766:Anesthesia, Dental; D000779:Anesthetics, Local / Q000737:chemistry / Q000494:pharmacology*; D000818:Animals; D004952:Esters / Q000009:adverse effects; D005260:Female; D006801:Humans; D053210:Pharmaceutical Preparations, Dental / Q000494:pharmacology; D049590:Postpartum Period / Q000187:drug effects*; D011247:Pregnancy / Q000187:drug effects*; D011264:Pregnancy Trimesters / Q000187:drug effects / Q000502:physiology; D011297:Prenatal Exposure Delayed Effects; D014662:Vasoconstrictor Agents / Q000494:pharmacology*
chemical_list: D000779:Anesthetics, Local; D004952:Esters; D053210:Pharmaceutical Preparations, Dental; D014662:Vasoconstrictor Agents