OS - Minor oral surgery #T and RR

Question 1

What is a mucocele?

Answer 1

Is a mucous containing cyst lesion of the minor salivary glands.
Appears on the lips and tongue.

Question 2

Considerations for oral analgesia?

Answer 2

Think about postoperative analgesia 
Start analgesia before LA wears off 
Sell the prescription to obtain the optimum response 
Up the LA dose 
Watch out for high-risk groups

Question 3

How is diclofenac used and what does it do?

Answer 3

Used topically as a gel

Works for patients with TMJ problems

Question 4

For every drug what are the 5 things, you should know about them to be able to prescribe.

Answer 4

MDSIG
Mechanism of action 
Dosage
Side effects 
Interactions 
Groups of patients to avoid

Question 5

How does aspirin work? M

Answer 5

Works by reducing the production of prostaglandins by inhibiting COX 1 and 2. COX 1 more so.

Question 6

What is the dosage of aspirin? D

Answer 6

300mg, 2 tablets 4x a day

Question 7

What are the side effects of aspirin? S

Answer 7

Can cause GIT problems
Hypersensitivity 
Overdose 
Aspirin burns 
LOng term use - renal failure

Question 8

What does aspirin interact with? I

Answer 8

Anti-coagulants, ACE inhibitors, beta-blockers, calcium channel blockers etc
Loads more check BNF

Question 9

What are groups of patients which should not be prescribed aspirin? G

Answer 9

Pregnant or breastfeeding women
Under 16’s - Reyes syndrome
Anyone with a history of Gastric disorders
Especially previous or active peptic ulcers
Patients with a history of hypersensitivity to NSAID
Bleeding disorders

Question 10

What is some advice that can be given in relation to when and how to take aspirin?

Answer 10

After food

With water - prevent aspirin burns

Question 11

How does ibuprofen work? M

Answer 11

Works by reducing prostaglandins by inhibiting cox1 and 2.

Question 12

What is the dose of ibuprofen? D

Answer 12

400mg 3x daily

Question 13

What are the side effects of ibuprofen? S

Answer 13

Gastric irritant

Hypersensitivity

Question 14

What are some other drugs which interact with ibuprofen?

Answer 14

anti-coagulants, ACE inhibitors, beta-blockers and CaCB check BNF

Question 15

What are some groups of patients to be careful and mindful of, with ibuprofen??

Answer 15

Asthmatics - hypersensitivity
GI disorders
Patients with NSAIDS allergies
Previous or active peptic ulcer disease

Question 16

What are some overdose symptoms of ibuprofen?

Answer 16

nausea
vomiting
tinnitus

Question 17

What type of NSAID should be used for patients, with gastric or duodenal ulceration?

Answer 17

COX -2 selective NSAID

150x less damaging to the gastric mucosa

Question 18

Go through paracetamol MDSIG?

Answer 18

M - reduces the production of prostaglandins, inhibits COX - 1 and 2
D - 500mg 2 tablets 4x daily
S - Rashes, blood disorders and liver damage
I - anticoagulants
G - Hepatic and renal impairment. Alcohol dependence

Question 19

What is the only opioid analgesia on dental practitioners BNF?

Answer 19

dihydrocodeine

Question 20

How does dihydrocodeine work?

Answer 20

Works on the spinal cord in the CNS effects the neural pathway involved with pain

Question 21

What dosage is prescribed for dihydrocodeine?

Answer 21

30mg 4-8x daily

Question 22

What are the side effects of dihydrocodeine?

Answer 22

Dependance 
nausea 
vomiting 
drowsiness 
constipation

Question 23

What are the interactions with dihydrocodeine?

Answer 23

Antidepressants

Dopaminergic (Parkinson’s)

Question 24

What are groups of patients to avoid with dihydrocodeine?

Answer 24

Acute respiratory depression
Any patient has been recently admitted to hospital with respiratory condition
Head injuries
Acute alcoholism

Question 25

What drug is used to treat trigeminal neuralgia?

Answer 25

Carbomazepine