L4 - Oral Health Treatment Flashcards
1
Q
What things need to be taken into consideration in SCD when providing oral health tx?
A
2
Q
what are some examples of behavioural management techniques?
A
- acclimatisation
- tell, show, do
- relaxation
- multiple short appointments in staged approach
3
Q
benefits and risks of sedation in SCD?
A
- valuable tooth for management of physical/learning disability
- avoids GA risk
- over sedation
- resp depression
4
Q
oral sedation brief overview?
A
- pt still required to take medication
- can be disguised in drink
- unpredictable, hard to control sedation
5
Q
inhalation sedation brief overview?
A
- contraindication if pt requires to understand to breathe in and out through nose piece
- least risk of the sedation types
- good behavioural management needed
6
Q
IV sedation brief overview?
A
- most cases midazolam
- drug can be titrated safely for max effect
- risk of resp depression
- significant benefits with muscle relaxation - cerebral palsy etc
7
Q
role of inhalation sedation?
A
8
Q
role of IV sedation?
A
9
Q
Risks of general anaesthetic?
A
- death: 1-100k/200k
- risk increases with age, complexity of surgery
- brain damage, nausea, vomiting, lethargy, delayed recovery
- confusion/memory loss (usually elderly people)
- sore throat
9
Q
why would you use GA?
A
best way to provide care if
- significant volume of tx
- patient is uncooperative
- significant medical complexity that pt cant be managed and controlled safely without
10
Q
post GA dental emergencies?
A
