papers to quote Flashcards
biologic with ppr to quote
gargiulo 1961
freq of snacking paper to quote
Duggal 2001 implication: children where usage of fluoridated toothpaste is low, frequency of snacking would be
important factor in caries development
VT pulp therapy primary teeth
coll et al 2024-clinical decision tree
IPC or calcium silicate cement pulpotomy is likely to increase vital pulp therapy success over other VPTs such as direct pulp capping
and other pulpotomies after 24 months (moderate certainty).
Ecological plaque hypothesis (ppr yr) =disease is the result of
Marsh (2003) =disease is the result of an imbalance in the overall microbiome due to ecological factors [ like presence of sugars and lower pH] , resulting in an enrichment of some cariogenic pathogens=> caries development
Ozgur et al 2017
Hemostasis could not be achieved after 10 minutes, either the inflamed pulp tissue has not been
completely removed or the radicular pulp has been infected. In the study, the pulp was regarded as healthy if hemostasis was
achieved within five minutes.
Evidence presented in this review of the literature indicates formocresol, when used judiciously, is unlikely to be
genotoxic, immunotoxic, or carcinogenic in children.
conference paper by Milnes 2008
Infective endocarditis (IE)
AHA Guidelines 2007
infection of the endocardium, usually affecting the heart valves. It can be acute [staph aureus] or subacute[strep. viridans]-typical post dental procedures.
IE prophylaxis dosage-adult
No penicillin allergy: amoxicillin 2g 1hr PO once OR cefazolin 1g/ Ampicillin 2 g IM or IV once
Penicillin allergy: a macrolide (e.g., azithromycin 500 mg PO once ) OR doxycycline 100mg PO once
PO- Per os - latin for oral route of adminstration
who received IE prophylaxis - 4 categories
Cardiac risk factors requiring IE prophylaxis (for procedures that may cause bacteremia)
1. Presence of prosthetic cardiac valve or material
2. History of endocarditis
3. Certain types of congenital heart disease (CHD), e.g., unrepaired cyanotic CHD-Tetralogy of Fallot in DSynd/ Persistent truncus arteriosus-digeorge syndrome], repaired CHD (within 6 months of repair), iii.repaired CHD with residual post-operative shunt or regurgitation
4.Valvulopathy in cardiac transplant recipients
FYI-acyanotic CHD- PDuctusA; vsd, asd, avsd; coarctation of aorta
which medical condition do NOT need AB
- pacemakers
2 complete closure=Septal defect
3 Peripheral vascular grafts-hemodialysis
4 Coronary artery stents
5 Vena cava filters
6 Pledgets
7 CNS ventriculoatrial shunts
what procedures need AB prophylaxis?
- manipulation of gingival tissues [perio/exo] or PERIapical region of teeth [rct]
- perforation of oral mucosa
no AB prophylaxis needed?
- anaesthetic injections of non infected tissues.
- xray
- Removable prosthesis/ ortho appliance
- adjst ortho appliance
- placement of brackets
- shedding of primary teeth
- bleeding from trauma of lips/oral mucosa
dosage for AB prophylaxis for children
No penicillin allergy: amoxicillin 50mg/kg 1hr PO once OR cefazolin/ Ampicillin 50mg/kg IM or IV once
Penicillin allergy: a macrolide (e.g., azithromycin 15 mg/kg PO once ) OR doxycycline >45kg -100mg PO once// <45kg 2.2mg/kg
Extraradicular Infection
Characteristics:
occur dt earlier …. infection
tx
Extraradicular Infection Overview
Characteristics:
1 Microbial Invasion in the inflamed periapical tissues surrounding the tooth root.
2 Sequel: Almost always follows an intraradicular infection.
3Treatment: (RCT)
Independent of Intraradicular Infection
Example:
Treatment:
Independent of Intraradicular Infection
Example: Apical actinomycosis.
Tx:Requires endodontic surgery for resolution.
