Dental Emergencies Flashcards
describe reversible pulpitis
- exaggerated by sweet, hot and cold
- pain stops when stimulus removed
- short duration
- early carious lesions
what does SOCRATES stand for?
Site
Onset - when did it start, constant, intermittent
Characteristic - sharp or dull
Radiation - localised or generalised
Associations
Time
Exacerbating factors
Severity
describe irreversible pulpitis
- constant toothache
- relieved by analgesics
- caries close to pulp
how can you provide pain relief for reversible pulpitis?
remove caries
dress with GIC or zinc oxide eugenol paste
what are the options for treatment?
restoration
pulp therapy + stainless steel crown
pulpotomy
extraction
who can give consent?
- birth mother
- birth father - if married to mother at birth or acquired parental responsibility
- legal guardian
- local authority with a protection order
what is pericoronitis usually associated with?
an erupting tooth
describe pericoronitis
swelling of the operculum of an erupting tooth
- localised pain
- hurts when swallowing
- unpleasant taste
- pyrexia
- limited mouth opening
how would you treat pericoronitis?
- analgesias
- OHI
- rinse after eating
- irrigation with 0.2% chlorhexidine gluconate under LA - antiseptic agent
signs of a teething baby
- rosy cheeks
- want to bite
- dribbling
- red gums
- disturbed sleeps
- not happy to put things in their mouth
teething tips
- cool teething rings in the fridge
- sugar free teething gels
- massage gums
- calpol
what are natal and neonatal teeth?
- natal are teeth which erupt at birth
- neonatal erupt in the first 30 days
- both are rare
why are natal and neonatal teeth extracted?
- danger of inhalation
- difficult to breastfeed
- cause trauma to ventral surface of tongue
describe eruption cysts
- well circumscribed
- dome shaped
- asymptomatic
is herpes contagious?
yes
give some antibiotics to prescribe
amoxicillin
erythromycin
metronidazole
describe the prescription for erythromycin
1month-2 year = 125mg
2-8 years = 250mg
8-18 years = 250-500mg
- can cause nausea
- can’t be prescribed if the patients on warfarin
describe the prescription of amoxicillin
1 month-1 year = 125mg for 5 days
1-5 year = 250mg
5-18 - 500mg
describe the prescription for metronidazole
1-3 years = 50mg every 8 hrs
3-7 = 100mg every 12 hr
7-10 = 100mg every 8 hr
10-18 = 200-250mg every 8 hr
- can’t use with warfarin
describe the prescription for paracetamol
1 month - 12year = 15-20mg every 4-6
12-18 = 1g every 4 hours
when should you avoid advising patients to take ibuprofen?
when they have coagulation defects and asthmatic
why should you avoid prescribing aspirin?
the chance of getting Reyes Syndrome
