Final Flashcards
if you miss a block and have to go back with more anesthetic, what do you go back with
carbocaine
what use carbocaine after missing a block
it has a different pH that keeps the injection from becoming too acidic and being ineffectiev
what way is the incision made in the tissue
perpendicular
why not cut an incision at an agle
cuts tissues away from the blood supply and it wont heal
should an incision be made of attached gingiva or healthy bone
yes
do incisions heal the same way
yes
how do incisions heal
edge to edge, not end to end
what is important to consider in flap design
where the nerves are and where the blood supply runs
lidocaine’s brand name
xylocaine
what is the max dose of lidocaine
4mg/kg
what is the max cartridges of lidocaine
10
what is the max cartridges of lidocaine with epi
10
what is the max cartridges of mepivacaine
6
what is the max cartridges of mepivacaine with neo
8
what is the max cartridges of prilocaine
6
what is the max cartridges of bupivacaine w. epi
10
what is the max dose of mepivacaine
5mg
what is the max cartridges of bupivacaine w. epi
1.5mg
what do you need to be midful of when working in the premolar region
mental foramen
what is the protocol for dead space
avoid it!
how do you avoid dead space
suture tissue together
pressure dressing
place packing to eliminate void
place drain
local anesthetics are stored as
a basic salt
local anesthetics become active in the presence of
neutral pH of body fluid
local anesthetics do not work will in the presence of
inflammation
which local anesthetic is more likely to cause an allergic response
ester
local anesthetics that are amides
lidocaine
mepivacaine
prilocaine
bupivicaine
local anesthetics that are esters
benzocaine - topical
tetracaine
how to you manage post-op extraction pain
long acting anasthestic (bupivicaine)
pain meds and Q4H PRN
Ice Pack on and off every 20 min
do NOT chew on lip
Nitrous start with what percent of oxygen
100%
what is the minimal oxygen rate in nitrous
30%
what are some pre-op sedative medications
diazepam (valium)
midazolam (versed)
teeth with large carious lesions are mildly to fracture making it more ____
difficult
teeth with large amalgam are likely to be fragile to fracture when extraction forceps are applied
indications for tooth removal
careies
pulp necorsis
perio
ortho
impacted teeth
supernumerary
associate with pathology
associated with jaw fracture
radiation therapy
financial issues
what are contraindications of tooth removal
health of pt
radiation of tx in the area of extraction
teeth associated with severe pericorinitis
teeth associated with a malignant tumor
should you take out an infected lower 3rd
no - get antibiotics and wait
what type of radiographs are minium
PA and Pan
what radiograph helps see condylar fracture
townes
what radiograph do you order when you suspect fracture
waters projection
good for seeing orbital bones, maxilla, and zygomatic areas
what its the concern with maxillary teeth to vital structure
sinuses
what its the concern with mandibular teeth to vital structure
mandibular canal
nerves can run through the roots of 3rds
never do what to a lingual flap
turn…always do a buccal flap
how should a patient be for an extraction
upright
where is the occlusal plane during an extraction
parallel to the floor
most maxillary teeth can be removed with what kind of foce
rotational
mandibular teeth should be extracted with what kind of directional force
rocking
what teeth have the longest roots
mandibular canines
what is the hardest portion of bone
roots of madibular canines
the mental foramen is at the apex of what tooth
2nd premolar
use your nondominant hand to do what during an extraction
stabilize patient jaws
reflect soft tissue
protect teeth from forceps
what dictates how to remove a tooth
the roots
what is the first step to an extraction
detach the gingival attachement
what is the second step to an extraction
luxate the tooth
luxation is a wedge between what structures
tooth and PDL
what is the third step in tooth extraction
use the forceps to remove the tooth
always bring the tooth in what direction during extraction
to the buccal
big part of post op instruction
do not risnse and dont spit
what are you trying to maintain after an extraction
blood clot
you have to really loosen what during extraction of baby teeth
epithelial attachment
