Local anesthesia and pain control for the child - Rackham Flashcards

1
Q

T/F even the youngest child treated in the dental office normally has no contraindications for the use of a local anesthetic

A

True

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2
Q

T/F patients experience no negative symptoms associated with topical lidocaine

A

false - it can kill you if you put too much on

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3
Q

how long are the following needles

long?

short?

extra-short?

A

32-40mm

20-25mm

15mm

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4
Q

if anesthetic solution is cloudy, it can still be used on a patient.

A

False, that means there is bacteria in it

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5
Q

lidocaine usually comes in what percentage?

articaine?

A

2%

4%

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6
Q

What color band is articaine?

A

gold

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7
Q

What color band is bupivicaine?

A

blue

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8
Q

what color bands does LIdocaine com in and what is the difference between them

A

light blue - 2% plain
Green - 2% with 1:50,000 epi
Red - 2% with 1:100,000 epi

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9
Q

What colors does mepivacaine come in and what are the differences?

A

Tan - 3% plain

Brown (also called matte gold) - 2% with levonordefrin 1:20,000

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10
Q

What colors does prilocaine come in?

A

black - 4% plain

yellow - 4% 1:200,000 epi

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11
Q

What is the most conservative guideline that can be applied to all anesthetic formulations used in dentistry?

A

the rule of 25

1 carp of anesthetic for every 25 pounds of patient weight

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12
Q

for lidocaine 2% with 1:100,000 epi what is the max dose?

A

1.8 ml (1 carp) per every 18 pounds of body weight

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13
Q

for articaine 4% with 1:100,000 epi what is the max dose

A

1.8 ml (1 carp) per every 22 pounds of body weight

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14
Q

T/F the max dose of LA needs to be reduced if the patient is also receiving oral sedatives for behavior management or opiates for pain

A

True

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15
Q

When doing an IA injection on a child the needle hub should be about where in the mouth to get the correct depth of injection?

A

just distal of tooth T

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16
Q

What size of needle should be used for a pediatric IA nerve block?

A

one inch 30 gauge needle

17
Q

injection for the long buccal - the needle should enter tissue buccal to which tooth?

A

1st permanent molar

18
Q

2 stage anesthetic injections can be effective. How are they done?

A

0.5ml injection - wait 5 minutes - 2ml injection over 1 minute

19
Q

kovanaze has what kind of anesthetic and what vasoconstrictor in it?

what teeth is it approved for teeth A-J (so whole maxillary arch

A

it has tetracaine and oxymetazoline