management of emergency patient

Question 1

emergency patient difference

Answer 1

1) emergency focus on one area
2) D0140
3 )expecting work to be done in one day
4) time is limited
- about 2+ hours in clinic, half the time in practive
5 )patient is unknown to dentist
6) outcome of the visit will determine if they come back

Question 2

common urgent care

Answer 2

1) pulpal debridement
2) extraction
2) palliative treatments
- temp restorations
- periodontal debridment
- denture repairs
4) suturing, tooth reimplant, splinting
5) diagnosis and prescription for pain or infection

Question 3

how to report it

Answer 3

1) SOAP
S: CC, history
O: observations
A: diagnosis
P: plan with patients acceptance

Question 4

communication skills you need

Answer 4

1) welcome patient
2) ask CC and really listen
3) create diagnosis and plan

Question 5

adrian

Answer 5

1) 27 year old, pacific for emergency, sensitive to cold on upper right for 2 weeks
2) you should ask
- how old the filling is, when the pain occurs under what circumstances?
- do you have a regular dentist?
3) testing
- radiographs and cold test, tapping or pressing, pulp test for vitality, test teeth on other side
4) tell them what you propose to do next
- take out the filling
- get them numb and get to know them
5) refill with composite or put a temporary
6) tell them to be careful and come back
- may need root canal and crown later

Question 6

amy

Answer 6

1) 26 year old amy’s dog ate her flipper
2) she has not left her apartment
3) make a wax up and other flipper

Question 7

oscar

Answer 7

1) 6 year old
2) dentist appointment 2 weeks ago
3) is not eating and has severe pain on right side
4) ask when this started, apthous ulcer
5) tell mom to put topical gel it or no treatment required
- or laser it away
- salt water rinse

Question 8

christine

Answer 8

1) 8 year old had a bite accident and front otoh fell out
2) mom brought the toot hint a jar in saline
3) evaluate for a HEAD INJURY FIRST!
- dilated pupils
- vomiting
- responsive to light
4) ask how long its been out, primary or permanent?, what did you do with the tooth
- alveolar ridge atrophies if the tooth is out for long
- PDL still needs to be present
5) splint it with wire or thick fishing line (must not be too rigid)

Question 9

andy

Answer 9

1) 32 year old andy
2) swelling in gums and wanted antibiotics because he is moving
3) does it hurt?
4) broken tooth adjacent to it
- is the pulp exposed, and if so, is it dead
- necrotic pulp and the bacteria can accumulate at the bottom of apex => leak out the tooth
5) can still a gutta percha in it and find out the tooth it is from via radiograph
6) no antibiotics!!! do not prescribe
- can become resistant to antibiotics if you do it to tie it over
- mutant superbug infection
- antibiotics will not cure the tooth infection
- definitive dental care will (RCT)