Anestésicos locais e gestação – uma revisão da literatura

Abstract

Introduction: Weight gain and high levels of hormones during pregnancy can cause periodontal bacterial infections, caries, gingivitis and periodontitis. Objectives: to understand the particularities of care for pregnant women, the type of anesthetics, vasoconstrictors and their effects on these patients. Methodology: Bibliographic survey of materials available in conventional and virtual libraries, such as Pubmed / Medline, Scielo and Lilacs. The inclusion criteria were articles in Portuguese and English published in the last 10 years. Results: Unanimity among the authors regarding the safety of local anesthetics, the most suitable of which is 2% lidocaine, with adrenaline in the concentration of 1: 100,000. Regarding the class, amide-type agents are preferable to ester-type agents because they have less allergenic potential. No teratogenic effects have been identified in the fetuses of pregnant patients. It is recommended that consultations should preferably occur from the second trimester of pregnancy. Conclusion: It is concluded that pregnancy is not a contraindication for dental treatment or for the use of local anesthetics, as long as the patient is healthy and without systemic complications.