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PeeTres Flashcards

1
Q

Anatomical difference between adult/child Mn foramen:

A

Child Foramen located Below Occlusal Plane

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2
Q

PSA can be performed only if there is adult sized kiddo

Gates effect is where you shake

A

True

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3
Q

When use a PDL injection?

A

Extraction

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4
Q

CNS effects of OD is excitation followed by seizure

A

True

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5
Q

What is the Tx for Anesthetic Toxicity or Anesthetic Rxn?

A

Oxygen

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6
Q

Always calculate volume of a cartridge to ____ mL

A

1.8 mL

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7
Q

Lidocaine ___%

Septocaine ___%

A

2%

4%

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8
Q

Lidocaine 2% = ___ mg/mL

= ____ mg/cartridge

Stopper (.2 mL) = ____ mg

A

20 mg/mL

36 mg

4 mg

*1.8 mL/cartridge

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9
Q

Septocaine 4% = ___mg/mL

= ___mg/cartridge

Stopper (.2mL) = ___ mg

A

40 mg/mL

72

8 mg

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10
Q

Max Dose/weight Lidocaine:

Septocaine:

max dose 100lb/Absolute max dose Lido

max dose 100lb/Absolute max dose Septo:

A

4.4 mg/kg (2 mg/lb)

7 mg/kg

200mg/300 mg

315mg/500 mg

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11
Q

Epi 1:100,000 dosage/cartridge:

A

.018 mg

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12
Q

Kg = 2.2 lbs, what is the conversion shortcut?

A

(lbs/2) - 10%

(Kgx2) + 10%

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13
Q

Articaine causes paresthesia

A

False

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14
Q

Optimal N2O delivery:

O2 delivery:

A

30-50%

50-70%

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15
Q

COPD is absent in kiddos, Otitis Media often present

both are contraindications for what?

A

Nitrous

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16
Q

Green nitrous tank:

blue nitrous tank:

A

Oxygen

Nitrous

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17
Q

Age 3 breaths per minute:

adult:

A

25

15

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18
Q

Don’t do Nitrous is Tonsils are what size?

A

50% or more

*Brodsky’s

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19
Q

caries detecting radiograph:

A

BW

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20
Q

___% of carious lesions can only be detected by x-rays

A

40-50%

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21
Q

Pano is a great group picture, but lousy portrait

A

True

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22
Q

Supernumerary tooth moves to the same side as the Radio-source - where is it in the mouth?

A

Lingual

SLOB = Same Lingual Opposite Buccal

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23
Q

If you take out the wrong permanent tooth…

A

put right back in

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24
Q

Cranium growth is part of the Mx protruding further down and forward

A

True

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25
Mx has ______ bone growth Mn has _____ bone growth on ____ border of Ramus
appositional appositional, posterior
26
3-6 weeks: 6th week: 7th-8th week: 14th week 14th - 32nd week: Birth:
face deciduous buds palatal shelves fuse deciduous calcification reflexes permanent teeth begin to calcify
27
Draw out an eruption chart:
ok past bro
28
initiation/calcification primary teeth:
draw it out future bro
29
3 types of inclusion cysts:
Epstein's Pearls (epithelial, palate) Bohn's Nodules (mucous gland, border) Dental lamina cyst (alveolar ridge)
30
Natal teeth: Neonatal teeth:
born with 1st month
31
Natal teeth (in when born) can be of what 2 varieties:
pre-deciduous supernumerary primary (just in early)
32
Soon to erupt tooth that looks like a Hematoma or Cyst but is neither:
Eruption Hematoma *accumulation of fluid
33
Permanent root lengthens and Eruption begins w/ _____ Eruption/emergence when root is ____ developed The crown is complete and in full occlusion when (this is eruption to completion)?
crown completion 3/4 5 years
34
What absorbs primary roots?
odontoclasts
35
Permanent teeth mover through bone by what process?
alveolar resorption on erupting side alveolar growth on apical side *also developmental alveolar growth from child getting bigger
36
Rule of 6's *F supplement (4 of them)
6 months or younger - no Fluoride 6 months/3years/6years - F supplement changes over 16 years - no Fluoride over 0.6 ppm F - no Fluoride
37
How much Fluoride at 0-6 months? (.6ppm) 6 months - 3 years? 3 - 6 years? 6 - 16 years?
0 0 0 0. 25 mg 0 0 0. 50 mg .25 mg 0 1. 00 mg .5 mg 0
38
Tanaka-Johnson, measure arch circumference from mesial of one permanent first molar to the opposite permanent molar = Width of Mn/2 + ______ = Mx Width of Mn/2 + _____ = Mn
total space available 11 10.5
39
Diastema prevalence = _____ in 6 y/o 9 y/o 14 y/o
44-97% 33-46% 7-20%
40
4 Etiologies for Diastemas:
Normal Space; small teeth; supernumerary Habit; malocclusion Frenum - may be effect rather than cause
41
Tx Diastema: only after what has erupted?
Permanent Canines
42
Protective Liner, all decay out, no pulp exposure, encourages ______ repair Typically done with 1 of what 2 products
tertiary/reparative dentin CaOH (DyCal), GI
43
What makes an Indirect Pulp Cap? Meds?
Decay GI, RMGI, CaOH, ZOE/IRM
44
Pulpotomy is _____ exposure of a Primary tooth: necrotic tissue:
carious pulpectomy
45
If a pulpectomy has to be done on an immature permanent tooth what do we have to do? Otherwise a vital tooth therapy is done to promote natural:
Apexification Apexogenesis
46
Apexification is collagen plug/MTA
true
47
4 types of Displacement injuries:
Concussion Subluxation Luxation Avulsion
48
3 types of Luxation:
Extrusion Lateral Intrusion
49
Primary avulsed teeth are not replanted
True
50
Hanks, lowfat milk, saliva, saline *transport avulsed tooth
True
51
2 week splint: 4 week splint: distinction is when the _____ is involved
subluxation, extrusion, intrusion, avulsion lateral luxation, delayed avulsion, root fractures alveolus
52
Use a small diameter ortho wire (.014 - .016) and try to include ______ teeth on either side *non-rigid splint Must allow movement, otherwise risk...
2 non affected teeth Ankylosis
53
Cvek/partial pulpotomy removes ____mm of tissue Irrigate with saline and cover with _____ Cover that with _____
1-3 MTA RMGI
54
Any pinpoint exposure regardless of source - for Permaenent tooth, do a...
Direct Pulp Cap
55
Kiddos hava short and narrow Ascending Ramus and Mn foramen located where? Small bony structure, and bone is less ______ What implications?
below occlusal plane dense quick onset of infiltration
56
What is the most common complication of LA for kiddos?
Lip biting
57
Proper documentation includes:
type/dosage/LA/mg/vasoconstrictors *also post-op instruction, timescale, weight if max dosage a concern (document pre-op)
58
2%/mL = ___mg/mL 3% 4% 5% 6%
20 mg/mL 30 40 50 60
59
Anesthetics w/ different dosages, base Max dosage on what?
Drug w/ small max dose
60
Pulse range 3 y/o - Adult Systolic Diastolic Respiration
110 - 70 100 - 120 60 - 75 25 - 15
61
Pulse and RR _____ with age BP ______
decreases increases
62
Estimate of Systolic BP for a Child:
90 + (2x Age)
63
You can only have ___mm of resorption to do RCT What is more concerning than a fracture long-term Step Wise, go back in when? Neither time nor size matters if you do a Cvek How long too long for Direct Pulp Cap?
1 mm displacement 3 months True 1 day
64
Eruption follows exfoliation by... Enamel permanent tooth complete _____ prior to eruption root formation complete _____ after eruption
6 months 3 years 3 years
65
The eruptive force of the 1st permanent molar closes spaces between the remaining...
Primary molars
66
If there is severe crowding consider extracting contralateral canine for symmetry
True
67
When are Radiographs to be taken/used?
AFTER reviewing Hx, etc
68
What should always be used in taking Radiographs with kiddos?
Thyroid Collar *absolutely necessary
69
Always use a Thyroid Collar on kiddos, don't worry about...
abdomen (negligible radiation)
70
FMC vs FS = FMC vs bleach = FMC vs IPT =
similar success similar success IPT better
71
Which materials are NOT used in primary pulpectomies? What use?
MTA/IRM/GP Vitapex
72
Which meds aren't used in permanent pulpotomies? why?
FS/FMC don't want to make vital pulp inert/leave clot
73
Why dont' we do Direct pulp cap on Primary teeth?
mesenchymal to odontoclasts
74
Primary pulpectomy when? never on what tooth?
strategic (primary 2nd molar) primary 1st molar
75
permanent avulsion, remove pulp when?
7-10 days *when splint still on
76
Lidocaine Max dose for 100lb: Septocaine:
200 mg 320 mg
77
Max safe dosage Lidocaine: Septocaine:
2 mg/lb 7 mg/Kg = 3.2 mg/lb

Tim's Cards (140 decks)

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