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CTP 6th Edition > CTP > Flashcards

CTP Flashcards

1
Q

SRP if

A

CAL is 5 or more, or if its 4 with BOP

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2
Q

RPD

A

What teeth will be replaced and where rest will be

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3
Q

RPD distal extension

A

put rest on mesial

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4
Q

Perio prognosis good

A

health or slight CAL, no mobility, no furcation, and control of etiological factors

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5
Q

perio prognosis fair

A

Moderate CAL, class 1 mobility, class 1 furcation

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6
Q

perio prognosis poor

A

severe cal, class 2 or 3 furcation, class 2 or 3 mobility

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7
Q

perio prognosis hopeless

A

therapy is unlikely to improve situation

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8
Q

what you must say with restorations

A

tooth, surface, indirect or direct

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9
Q

specialist referrals

A

must include diagnosis and proposed tx plan

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10
Q

rheumatic fever

A

Ask if the patient has a history of endocarditits, has ever had a heart valve replacement, or have any other heart conditions.

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11
Q

heart mumor

A

physcians consult

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12
Q

heart surgery

A

abx prophylaxis

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13
Q

valve replacement

A

abx

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14
Q

pacemaker

A

dont use cavitron or elecrosurge

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15
Q

stroke

A

check for blood thinners, dont treat if stroke was less than six months

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16
Q

HBP

A

Reduce stress
Do not treat when patient is over 160/100
Medical consult may be wanted – refer to physician as needed
limit anesthetic to .04 mg epi?

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17
Q

bleeding disorder

A 
Check INR (ok to treat <3)
Medical consult on how to control bleeding if dental procedure will cause bleeding.
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18
Q

tb

A

dont treat if active

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19
Q

asthma

A

Determine last asthma attack (hospitalized?)
Determine medications that are being taken for control – use prophylactically
Determine triggers for asthma

Administer O2 or Nitrous Oxide
Have fast acting bronchodilator on hand in case of emergency (not steroid – takes too long to act)

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20
Q

COPD

A

dont use nitrous

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21
Q

diabetes

A

Check HBA1C - > 10 treat with caution
Check fasting blood glucose - <160
Make sure patient ate prior to apt if Type I
-Normal HbA1c <6.5 (for diabetics, goal is <7)

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22
Q

kidney failure

A

reduce amount of LA used, treat on non dialysis days

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23
Q

hepatitis

A

Check liver function
Limit acetaminophen and LA amount with decreased liver function
Use univerisal precautions
DONT PRSCRIBE NORCO-> ibuprofen

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24
Q

HIV

A

Use universal precaustions
Check statuse of HIV virus
Check white blood cell count – if low may require antibiotics for treatments.

25
Q

epilepsy/seizure

A

med consult

26
Q

joint replacement

A

abx if orthopedic presccribes and recommend or history

27
Q

cancer

A

Chemotherapy –> pre-medicate, wait 7 days following chemotherapy, avoid extractions

28
Q

ulcerative colitis

A

avoid clindamycin

29
Q

depression/anxiety

A

monitor for xerostomia

30
Q

schizphrenia

A

med consult, early morning appointments if patient is taking antipsychotics

31
Q

pregnancy

A

do not do elective treatment in 1 or 3 trimester, avoid nitrous, limit LA

32
Q

hyperthyroidism/graves

A

Take caution with using epinephrine. May cause hypertensive crisis if patient has a heigtened sympathetic nervous system.
(HR, anxiety, sweating, palpatations – fight or flight)

33
Q

hypertenisve crisis

A

risk for stroke or heart attack

34
Q

addisons disease

A

Give them a boost of corticosteroid prior to treatment – to avoid an adrenal crisis

35
Q

cushings disease

A

Med consult – no speciific treatment modifications

36
Q

chronic steroid treatment

A

act’s like Addison’s Disease - natural ability to produce corticosteroid is decreased)
Give them a boost of corticosteroid prior to treatment – to avoid an adrenal crisis.

37
Q

propranalol and lidocaine

A

LA last longer bc propranalol slows heart

38
Q

bisphosphonatees -aldronate

A

IV (history) – refer patient to oral surgeon
Oral – 6 months wait period prior to extensive treatment
Wait 6 months before and 6 months after treatment

IV Bisphosphonates: Refer to oral surgeon, avoid surgeries at all cost
Breast and Prostate Cancer – will typically take for inhibition of metastasis to bone (high risk)
Oral Bisphosphonates: 6 months delay for treatment
Taken less than 3 years – not high risk
More than 3 years – high risk
If patient has been taking bisphosphonates for 10 years refer to primary care physician – patient really shouldn’t be taking it for that long.
Emergent treatment  educate patient of risk of oral bisphosphonates

39
Q

blood thinners

A 
Coumadin (Warfarin) -- INR below 3
Avoid erythromycin and ketoconazole
Plavix – affects platelets
Dabigatran (Blocks Thrombin) -- Pr
Eliquis (Block Factor Xa) – get supplemental factor Xa from physician
Chronic Ibuprofen
40
Q

Amoxicillin premed

A

2 g

4 x 500mg tabs

41
Q

amoxi course

A

500 mg 30 tabs

Sig: Take 2 tabs stat, 1 tab QID until gone

42
Q

clinda premed

A

600 mg

4 x 150mg tabs

43
Q

clinda course

A

300 mg 21 tabs

Sig: Take 1 tab TID 7 days

44
Q

azithromycin permed

A

500 mg

(2 x 250 mg tabs

45
Q

axithro course

A

500 mg 3-6 tabs

Sig: Take 1 tab 1x a day for 3-5 days

46
Q

premedicate

A 
Heart valve replacement 
History of endocarditis 
Heart transplant 
Congenital heart defects cyonotic
Not repaired 
Repaired - first 6 months
Repaired with continued defects
47
Q

anesthetic adult

A

lidocaine 4.4 mg/kg

48
Q

premed child

A

50 mg/kg  Amoxicillin
20 mg/kg  Clindamycin
15 mg/kg  Azithromycin

49
Q

pedo abx course

A

-Amoxicillin 20-40 mg/kg/day
In 3 divided doses
-Clindamycin 8-20 mg/kg/day
In 3-4 divided doses

50
Q

pedo anesthetic

A

1 kg=2.2 lbs
1 carpule per 25 lbs
lido 4.4mg/kg
arti 7 mg/kg

51
Q

norco

A

norco 5/325 8 tablets take 1-2 every 4-6 hrs prn

52
Q

metabolism of nsaids

A

all in liver except ibuprofen-> kidney

53
Q

allergic to cephalosporins

A

dont do penicillins or cephalosporins

54
Q

sulfa allergy

A

dont give sulfonamides (articaine)

55
Q

sulfites/bisulfites allergy

A

avoid LA with epi

56
Q

anesthetic amounts in carpule

A

lido 36 mg per carpule

arti 72 mg per carp

57
Q

children anelgesics

A

ibuprofen 8 mg/kg/dose every 8 hours

58
Q

ibuprofen max

A

800 mg 3 times a day (give this to liver issue patients)

59
Q

abx pill sizes

A

amoxi - 500 mg
clinda - 150 mg
azithro- 250 mg

CTP 6th Edition (64 decks)

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