Pediatrics Competency Flashcards
What is the max dose of lidocaine for a child?
- 4 mg/kg
2. 0 mg/lb
What is the maximum dose of septocaine?
- 0 mg/kg
3. 2 mg/lb
How many mg of lidocaine are in 1 carpule of a 2% lidocaine solution?
2% = 20mg/ml
1 carp = 1.7ml
1.7ml x 20mg/ml = 34mg/carp
How many lbs are in 1 kg?
2.2lbs = 1 kg
How many carps of 2% lidocaine can you give a 35lb child?
35 lb = 16kg 4.4mg/kg 4.4x16=70 34mg/carp 70/34 = 2 carps max
A 5 y.o. falls and knocks out tooth E. Treatment?
Do not replant.
Parent calls you frantically worried. Her 9 y.o. child knocked out tooth #8? What do you tell her?
Ask if her son has any serious injuries or lost consciousness. Advise her to place the tooth back in the socket. If she is unable to, tell her to place in Hank’s or milk and come in asap.
What is at risk when a permanent tooth is avulsed?
PDL cells
What is the most critical factor in saving an avulsed tooth?
Time out of the mouth
What should the treatment be for a fracture with pulp exposure of #8 on a 7 y.o.? How about a 16 y.o.?
For the 7 y.o. the apex will still be open - Either direct pulp cap or partial pulpotomy.
For 16 y.o. the apex will be closed - pulpectomy w/ RCT.
What are the treatment options for a primary tooth with irreversible pulpitis or pulpal necrosis?
Pulpectomy or extraction
When is a pulpotomy a possible treatment option for a primary tooth?
If dx is reversible pulpitis - pulpotomy, indirect pulp cap, simple restoration
What are the differences for handling an avulsion in a mature vs immature tooth?
If apex is closed - Pulpectomy and CaOH fill within 1-2 weeks, complete RCT w/in year.
If open apex - recall every 3-4 weeks , if necrosis occurs pulpectomy and revascuralization with MTA
T/F: Cowhorns are effective for extracting mandibular primary molars.
False
Could damage permanent tooth.
T/F: Space maintenance is always necessary in loss of primary 1st molars.
False
If permanent first molars are erupted and primary second molars
