Lecture 4

Question 1

At what age is LA contraindicated?

Answer 1

Event the youngest child treated in the dental offic normally has no contraindications for the use of LA

Question 2

What is the most conservative guideline for LA?

Answer 2

Can be used for all anesthetic formulations

The rule of 25.

One carp for every 25lbs

Question 3

If you used 2% lidocaine with 1:100,000 epi. Its 1 carpule (1.8ml per every ___ lbs.

Answer 3

18

Question 4

If you use 4% articaine with 1:100,000 epi, its 1 carpule (1.8ml) per ever ___ lbs

Answer 4

22

Question 5

True or false.. you can use a 30 gauge short for a IA block for pedo

Answer 5

True ?

Question 6

What topical anesthetic is best suited for dentistry? Why?

Answer 6

Ethyl aminobenzoate

It offers a more rapid onset and longer duration.

Do not produce systemic toxicity

Question 7

What is a jet injection?

Answer 7

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)

Question 8

In pediactric patients the mandibular foramen is situated at a (lower/higher) level than the occlusal plane of the primary teeth

Answer 8

Lower

therefore the injection must be made slightly lower and more posteriorly than for an adult pt

Question 9

The depth of insertion for a pedo IA is __

Answer 9

15mm

Question 10

True or false.. there is no difference in pain control effectiveness between infiltration of mandibuar molars and a IA block

Answer 10

True

Question 11

Which has a shorter half life, articaine or lidocaine?

Answer 11

Articaine

Articaine = 30 minutes

Lidocaine = 90 minutes

Question 12

Local infiltration (supraperiosteal technique) is used to anesthetize the ___ teeth

Answer 12

Primary anterior

Question 13

If you are doing a restoration on a maxillary anterior tooth, what injections should you do?

Answer 13

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. )

Question 14

If you are extracting a maxillary incisor, what injections should you do?

Answer 14

ASA/supraperiosteal

Must do a nasopalatine also

Question 15

True or false… intraosseous injections are easier on children.

Answer 15

True because their cortical bone is less dense than adults

Question 16

Why are children more likely to experienced systemic toxicity to LA than adults?

Answer 16

Lower body weight

They are also more likely to develop systemic toxic reactions when they are used in conjunction with sedation medications

Question 17

__% of pediactric pts develop postoperative soft-tissue trauma (__ times as much as adults) due to chewing the area that was anesthetized

Answer 17

13

Twice

Question 18

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 __

Answer 18

83

6

Question 19

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 ___

Answer 19

Acetaminophen or NSAIDs

Codiene and acetaminophen

Hydrocodone and acetaminophen