Lecture 4 Flashcards
At what age is LA contraindicated?
Event the youngest child treated in the dental offic normally has no contraindications for the use of LA
What is the most conservative guideline for LA?
Can be used for all anesthetic formulations
The rule of 25.
One carp for every 25lbs
If you used 2% lidocaine with 1:100,000 epi. Its 1 carpule (1.8ml per every ___ lbs.
18
If you use 4% articaine with 1:100,000 epi, its 1 carpule (1.8ml) per ever ___ lbs
22
True or false.. you can use a 30 gauge short for a IA block for pedo
True ?
What topical anesthetic is best suited for dentistry? Why?
Ethyl aminobenzoate
It offers a more rapid onset and longer duration.
Do not produce systemic toxicity
What is a jet injection?
Small quantities of liquids are force through very small openings under high pressure and can penetrate mucous membrane or skin without causing excessive tissue trauma.
It produces surface anesthesia instantly (can be used instead of topicals)
In pediactric patients the mandibular foramen is situated at a (lower/higher) level than the occlusal plane of the primary teeth
Lower
therefore the injection must be made slightly lower and more posteriorly than for an adult pt
The depth of insertion for a pedo IA is __
15mm
True or false.. there is no difference in pain control effectiveness between infiltration of mandibuar molars and a IA block
True
Which has a shorter half life, articaine or lidocaine?
Articaine
Articaine = 30 minutes
Lidocaine = 90 minutes
Local infiltration (supraperiosteal technique) is used to anesthetize the ___ teeth
Primary anterior
If you are doing a restoration on a maxillary anterior tooth, what injections should you do?
ASA
Palatal (first do a supraperiosteal injection above the spices of the anterior teeth on labial side. If it doesn’t work, you may have to do a nasopalatine injection. )
If you are extracting a maxillary incisor, what injections should you do?
ASA/supraperiosteal
Must do a nasopalatine also
True or false… intraosseous injections are easier on children.
True because their cortical bone is less dense than adults
Why are children more likely to experienced systemic toxicity to LA than adults?
Lower body weight
They are also more likely to develop systemic toxic reactions when they are used in conjunction with sedation medications
__% of pediactric pts develop postoperative soft-tissue trauma (__ times as much as adults) due to chewing the area that was anesthetized
13
Twice
Oroverse is a LA reversal agents that can reduce the median time to recovery of normally sensation in the upper lip by __ minutes. It is not recommended for use in children younger than __
83
6
Usually, ___ or ___ successfully controls post op dental pain in pedo pts. If it doesn’t, use ___. It that doesn’t, as a last resort, use ___
Acetaminophen or NSAIDs
Codiene and acetaminophen
Hydrocodone and acetaminophen
