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N2O while pregnant

I just found out I’m pregnant, only ~5 weeks. How do you all handle pre-appointed nitrous patients? I don’t want to tell anyone yet. Has anyone continued to work on nitrous patients while pregnant? Any good literature you can share?



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The studies I have found are mostly for patients who are pregnant and the use of nitrous oxide on them – contraindicated. Here is an article related to the dental practitioner and working with nitrous: http://www.dimensionsofdentalhygiene.com/2011/11_November/Departments/Tips_on_Technique.aspx
Here is another link you may find useful: http://www.cdc.gov/niosh/docs/94-100/
I have heard many stories of hygienists who worked with nitrous (administered to patients in their care) and had a spontaneous abortion; sometimes more than once. Personally, I wouldn’t risk it. It’s like you are in between a rock and a hard spot if you don’t want let your office know. For the safety of your little one, it may be a good idea to disclose. I would recommend getting a nitrous indicator (like a radiation badge) if you choose not to disclose – immediately. This is just my opinion! Do what you feel is right in your heart and your gut, but please lean toward “better be safe than sorry.”

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Do Not use N2O while pregnant. If there is more than one hygienist in your office, try switching providers. If you have a good relationship with a front office member, talk to them in confidence, ask them to watch for ant N2O pts and have them put in another schedule. You could offer the appt with tac-gel to help with sensitivity. Good luck and Congratulations!

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