LA + Extractions

Question 1

what is 10 rule for IDB in children?

Answer 1

Age + Tooth number = over 10 IDB

Question 2

8 + UR6 = ?

Answer 2

14 = IDB

Question 3

5 + LL4 = ?

Answer 3

9 = LIA

Question 4

how much of a cartilage per kilo for LA?

Answer 4

10th

Question 5

How should a child be seated when extracting teeth?

Answer 5

30 degrees to the vertical

Question 6

Where should the operator be positioned when extracting upper teeth?

Answer 6

In front of patient
Patients mouth level with operator shoulder

Question 7

Where should operator be positioned when extracting lower left teeth?

Answer 7

Operator in front of patient
Patients mouth level with operator shoulder

Question 8

Where should the operator be positioned when extracting lower right teeth?

Answer 8

Operator behind patient
Chair as low as possible

Question 9

What order should teeth be extracted?

Answer 9

Symptomatic teeth first then lower teeth to avoid vision being compromised by blood

Question 10

What type of forceps are used for upper teeth extraction?

Answer 10

Straight handled

Question 11

What type of forceps are used for lower teeth?

Answer 11

Right angle beak

Question 12

What is generally most used to remove primary teeth?

Answer 12

Universal forceps

Question 13

Which type of forceps can be useful for removing tooth root fragments?

Answer 13

Warwick James elevator

Question 14

What is the main aim when removing primary teeth?

Answer 14

Protecting the permanent tooth

Question 15

How are teeth removed (NOT PULL)

Answer 15

Apical directed push and then socket expanding movements

Question 16

What needs to be supported at all times when removing teeth?

Answer 16

The alveolus

Question 17

What direction should teeth be removed?

Answer 17

Buccal direction

Question 18

Routine of removing teeth?

Answer 18

1. Identify tooth to be extracted
2. Open forceps to slide over crown of tooth
3. Slide forceps subgnigivaly against root surface, close and move fingers outside forceps

Question 19

How to remove upper incisors?

Answer 19

1. Use upper straight forceps
2. Apply apical pressure
3. Rotate tooth clockwise as for as possible then counter clockwise

Question 20

How to remove mandibular anteriors?

Answer 20

1. Use lower universal forceps
2. Apply apical pressure
3. Rotate clockwise as far as possible then counter clockwise

Question 21

What is required for multi rooted teeth?

Answer 21

More socket expansion

Question 22

What should you do immediately after extraction?

Answer 22

Both sides of socket are nipped by fingers as a method of applying pressure to the area

Question 23

How to achieve haemostasis?

Answer 23

1. Place a bite pack into the socket and tell the child to bite firmly for 5 minutes
2. Remove pack and examine socket
3. Haemostasis must be achieved before child leaves surgery

Question 24

POI for extractions?

Answer 24

1. Must be given verbal and written
2. Saliva will cause socket to turn pink - reassure this is normal
3. If bleeding re occurs at home - roll up a clean cotton handkerchief and bite for 20 minutes
4. If bleeding persists contact A+E
5. Good OH
6. After LA do not bite chew or suck the lip or tongue
7. Avoid injury to socket through food
8. Avoid hot drinks
9. Do not rinse or spit for the rest of day
10. Avoid exercise for 24hrs