Pain management Flashcards
treatment for dentine hypersensitivity
potassium nitrate
IP treatment
RCT
emergency pulpotomy
what is used as the dressing for an emergency pulpotomy
Ledermix
Odontopaste
what is used for vital pulp therapy as tx for IP
MTA or biodentine
where is a fluctuant swelling
submucosal
what is a non fluctuant swelling
subperiosteal
what are signs of systemic involvement
high temp
fever
feeling unwell
lymphadenopathy
acute apical abscess tx
removal of irritants
drainage
dress with CaOH
relieve occlusion
review in 24 hours
when to not prescribe antibiotics
IP
symptomatic apical periodontitis
draining sinus tracts (chronic abscess)
post endodontic surgery to prevent flare-ups
after incision for drainage of a local swelling (without systemic involvement)
when to prescribe antibiotics
diffuse swelling/ cellulitis
drainage cannot be achieved
systemic involvement
when would you consider referral to hospital for IV antibiotics
ludwigs angina
cervical fasciitis
what antibiotic is effective for dental abscesses and better absorbed than phenoxymethylpenicillin
amoxicillin 500mg
1 x 3 daily
5 days
what antibiotic can be prescribed in the presence of a penicillin allergy
metronidazole 400mg
1 x 3 daily
5 days
what can be used as an adjunct to amoxicillin in pts with spreading infection or pyrexia
metronidazole
what must be advised to a pt taking metronidazole
avoid alcohol
anticoagulant effect of warfarin might be enhanced
what microorganisms does metronidazole target
strict anaerobes
3 analgesics
ibuprofen
diclofenac
paracetamol
ibuprofen dose
400mg
1 tablet 4 x day after food
maximum ibuprofen dose
2.4g
when to avoid ibuprofen
hypersensitivity to aspirin or on low dose aspirin daily
diclofenac dose
50mg
1 tablet x 3 day for 5 days
paracetamol dose
500mg
2 tablets 4 times a day
recommended daily paracetamol dose
4g
paracetamol OD can result in
delayed hepatic damage
