Emergency Dental Care Flashcards
what conditions would come under emergency dental care
trauma including facial/oral laceration and/or dentoalveolar injuries
orofacial swelling
post-op bleeding
dental conditions resulting in systemic illness
severe trismus
oro-dental conditions likely to exacerbate systemic medical conditions
who provides emergency dental care
dental practice during working hours
evening or weekend dental access clinic out of hours
what is the timescale for a dental emergency (when do they need to be seen)
within 60 minutes
what conditions are under urgent care
dental and soft tissue infections without systemic effect
severe dental and facial pain
fractured teeth or tooth with pulpal exposure
what is the timescale for urgent care
provide self help advice and treat patient within 24hrs
what conditions come under routine care/self help
mild/moderate pain responding to pain relief
minor dental trauma
post-op bleeding which can be controlled
loose or displaced crowns/bridges
fractured or loose dentures
fractured posts
fractured, loose or displaced fillings
bleeding gums
what is the timescale for routine care
within 7 days
what advice can we give people to manage their dental pain
avoid stimuli which worsen this
hold cooled water or crushed ice around tooth
try lying propped up
use painkillers which work for you
avoid aspirin if there is bleeding
what is the recommended dose for ibuprofen
1 x 400mg (2x 200mg) tablet 4-6 hourly
what is the recommended dose for paracetamol
2 x 500mg tablets 4-6 hourly
what is the ibuprofen max dose
6 x 400mg (2400mg) in a 24hr period
what is the paracetamol max dose
8 x 500mg (4000mg) in a 24hr period
what do you ask if a patient says they have broken/fractured teeth
are they sensitive to heat or cold - work out if dentine is exposed
what do you do if a patient says they have avulsed permanent teeth
advise patient to handle by crown only and store in milk
what do you do if a patient has an avulsed primary tooth
do not replant and arrange an urgent appointment
