Consent for Extractions Flashcards
Triangulation for history for exodontia?
(Clerking)
Your history/exam findings
Referral letters details
Pts understanding of why they attended
= if everything matches up, can take tooth
Do you check who referred the pt?
Yes, when we are finished you need to refer back
Dentist
Orthodontist
A and e
Doctor
Student resto clinic
Review of systems?
Heart, lung, kidney
Excessive bleeding
Delayed/non healing
Collapse
Haemophelia types? - extensive bleeding
A and B
Haemophelia A?
Factor 8 in clotting cascade
Haemophelia B?
Factor 9 in clotting cascade
What to give pt with Haemophelia A?
Factor 8 precipitate
or plasma
What is Von Willebrand factor?
stabilises factor 8
Missing factor 8, doesn’t last as long so less of it
Can’t make fibrin mesh, wont stop bleeding
cant produce clots quickly
What to give pt with Von Willebrands factor?
desmopressin
Role of desmopressin?
which increases levels of Von Willebrand Factor and Factor VIII in the blood by releasing them from storage (endothelial cells).
This is given as an injection under the skin or into a vein or as a ‘sniff’ up the nose.
acquired blood disorders? - anticoagulants
Warfarin
DOACs:
rivaroxaban (brand names include Xarelto)
dabigatran (brand names include Pradaxa)
apixaban (brand names include Eliquis)
edoxaban (brand names include Lixiana).
Blood thinners - antiplatelets?
Aspirin
clopidogrel = newer
DH?
Regular/ irregular attender
Previous LA
Last visit and on going treatment e.g. denture/bridge/implant to replace extracted tooth
For EO exam, at would you play partiular attention to?
TMJ - will be putting a lot of pressure on this
Lymph nodes
Do you need to pay attention to teeth either side of the tooth you want to extract?
Yes, is it heavily restored, crown etc
apply a lot of pressure during extraction - if they are heavily restored they may not be able to cope
