guidelines Flashcards
which guidance should you use for endodontic diagnosis?
Americal association of endodontics
AAE 2013
what guidance should you use for orthodontic referrals?
British orthodontic society
BOS
what guidelines should be used for periodontal disease classification and management?
BSP 2017
what are the guidelines for bitewing intervals for differing caries risks?
FGDP 2018
high caries risk:
* every 6 months until no new or progressing carious lesions are evident
moderate caries risk:
* 1 year intervals
low caries risk:
* 12-18 month intervals in primary dentition
* 2 year intervals in permanent dentition
what guidelines are followed for avulsion?
IADT 2020
International Association of Dental Traumatology
what are the guidelines for monitoring following avulsion?
IADT 2020
replanted teeth should be monitored clinically and radiographically :
* 2 weeks
* 4 weeks
* 3 months
* 6 months
* 1 year
* yearly for at least 5 years
what guidelines are used for trauma follow up regimes in children?
IADT guidelines 2020
show follow up regimes, recall for radiographs, splint removal and clinical review appointments
what is the guidance on extractions of wisdom teeth?
NICE guidelines 2020
surgical removal of impacted third molars should be limited to patients with evidence of pathology such as:
* unrestorable caries
* pulpal or periapical pathology
* abscess
* osteomyelitis
second episode of pericoronitis should be considered for removal
what guidelines do we follow for treatment options for palatally ectopic maxillary canines?
Royal college of surgeons RCS 2022
what is the guidance on antibiotic prophylaxis? when should it be considered?
SDCEP 2018
antibiotic prophylaxis is no longer routinely recommended but the patient’s cardiologist and if the pt wishes for it, it can be considered as well as,
a patient should be considered for abx prophylaxis if they have a cardiac condition from the special consideration sub-group
special considerations:
* has a prosthetic valve
* any prosthetic material has been used for cardiac valve repair
* has had a previous episode of IE
* has congenital heart disease
what is the guidance on patients taking DOACs (direct oral anticoagulants)?
SDCEP 2022
what is the guidance on patient’s taking a vitamin K antagonist?
SDCEP 2022
e.g warfarin, phenindione
check INR no more than 24 hours before the procedure - ideally 72 hours before
if INR is below 4: treat without interrupting medication
if INR is above 4: delay invasive treatment or refer if urgent
what is the guidance on patient’s taking antiplatelet drugs?
SDCEP 2022
if just aspirin:
* treat without interrupting medication
* use local haemostatic measures
if clopidogrel, dipyridamole, prasugrel or ticagrelor single or dual therapy (in combination with aspirin):
* treat without interrupting medication
* expect prolonged bleeding
* strongly consider suturing and packing
what is the guidance on patient’s taking an anticoagulant/antiplatelet combination?
SDCEP 2022
consult with patient’s prescribing clinician to assess their bleeding risk
what is the general advice on dental treatment for patients taking anticoagulant and antiplatelet drugs?
- plan treatment early in the day & week
- treat atraumatically & use appropriate local measures
- post op treatment advice and emergency contact details
