PeeTres Flashcards
Anatomical difference between adult/child Mn foramen:
Child Foramen located Below Occlusal Plane
PSA can be performed only if there is adult sized kiddo
Gates effect is where you shake
True
When use a PDL injection?
Extraction
CNS effects of OD is excitation followed by seizure
True
What is the Tx for Anesthetic Toxicity or Anesthetic Rxn?
Oxygen
Always calculate volume of a cartridge to ____ mL
1.8 mL
Lidocaine ___%
Septocaine ___%
2%
4%
Lidocaine 2% = ___ mg/mL
= ____ mg/cartridge
Stopper (.2 mL) = ____ mg
20 mg/mL
36 mg
4 mg
*1.8 mL/cartridge
Septocaine 4% = ___mg/mL
= ___mg/cartridge
Stopper (.2mL) = ___ mg
40 mg/mL
72
8 mg
Max Dose/weight Lidocaine:
Septocaine:
max dose 100lb/Absolute max dose Lido
max dose 100lb/Absolute max dose Septo:
4.4 mg/kg (2 mg/lb)
7 mg/kg
200mg/300 mg
315mg/500 mg
Epi 1:100,000 dosage/cartridge:
.018 mg
Kg = 2.2 lbs, what is the conversion shortcut?
(lbs/2) - 10%
(Kgx2) + 10%
Articaine causes paresthesia
False
Optimal N2O delivery:
O2 delivery:
30-50%
50-70%
COPD is absent in kiddos, Otitis Media often present
both are contraindications for what?
Nitrous
Green nitrous tank:
blue nitrous tank:
Oxygen
Nitrous
Age 3 breaths per minute:
adult:
25
15
Don’t do Nitrous is Tonsils are what size?
50% or more
*Brodsky’s
caries detecting radiograph:
BW
___% of carious lesions can only be detected by x-rays
40-50%
Pano is a great group picture, but lousy portrait
True
Supernumerary tooth moves to the same side as the Radio-source - where is it in the mouth?
Lingual
SLOB = Same Lingual Opposite Buccal
If you take out the wrong permanent tooth…
put right back in
Cranium growth is part of the Mx protruding further down and forward
True
Mx has ______ bone growth
Mn has _____ bone growth on ____ border of Ramus
appositional
appositional, posterior
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
Draw out an eruption chart:
ok past bro
initiation/calcification primary teeth:
draw it out future bro
3 types of inclusion cysts:
Epstein’s Pearls (epithelial, palate)
Bohn’s Nodules (mucous gland, border)
Dental lamina cyst (alveolar ridge)
Natal teeth:
Neonatal teeth:
born with
1st month
Natal teeth (in when born) can be of what 2 varieties:
pre-deciduous supernumerary
primary (just in early)
Soon to erupt tooth that looks like a Hematoma or Cyst but is neither:
Eruption Hematoma
*accumulation of fluid
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
What absorbs primary roots?
odontoclasts
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
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
How much Fluoride at 0-6 months? (.6ppm)
6 months - 3 years?
3 - 6 years?
6 - 16 years?
0 0 0
- 25 mg 0 0
- 50 mg .25 mg 0
- 00 mg .5 mg 0
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
Diastema prevalence = _____ in 6 y/o
9 y/o
14 y/o
44-97%
33-46%
7-20%
4 Etiologies for Diastemas:
Normal
Space; small teeth; supernumerary
Habit; malocclusion
Frenum - may be effect rather than cause
Tx Diastema: only after what has erupted?
Permanent Canines
Protective Liner, all decay out, no pulp exposure, encourages ______ repair
Typically done with 1 of what 2 products
tertiary/reparative dentin
CaOH (DyCal), GI
What makes an Indirect Pulp Cap?
Meds?
Decay
GI, RMGI, CaOH, ZOE/IRM
Pulpotomy is _____ exposure of a Primary tooth:
necrotic tissue:
carious
pulpectomy
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
Apexification is collagen plug/MTA
true
4 types of Displacement injuries:
Concussion
Subluxation
Luxation
Avulsion
3 types of Luxation:
Extrusion
Lateral
Intrusion
Primary avulsed teeth are not replanted
True
Hanks, lowfat milk, saliva, saline
*transport avulsed tooth
True
2 week splint:
4 week splint:
distinction is when the _____ is involved
subluxation, extrusion, intrusion, avulsion
lateral luxation, delayed avulsion, root fractures
alveolus
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
Cvek/partial pulpotomy removes ____mm of tissue
Irrigate with saline and cover with _____
Cover that with _____
1-3
MTA
RMGI
Any pinpoint exposure regardless of source - for Permaenent tooth, do a…
Direct Pulp Cap
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
What is the most common complication of LA for kiddos?
Lip biting
Proper documentation includes:
type/dosage/LA/mg/vasoconstrictors
*also post-op instruction, timescale, weight if max dosage a concern (document pre-op)
2%/mL = ___mg/mL
3%
4%
5%
6%
20 mg/mL
30
40
50
60
Anesthetics w/ different dosages, base Max dosage on what?
Drug w/ small max dose
Pulse range 3 y/o - Adult
Systolic
Diastolic
Respiration
110 - 70
100 - 120
60 - 75
25 - 15
Pulse and RR _____ with age
BP ______
decreases
increases
Estimate of Systolic BP for a Child:
90 + (2x Age)
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
Eruption follows exfoliation by…
Enamel permanent tooth complete _____ prior to eruption
root formation complete _____ after eruption
6 months
3 years
3 years
The eruptive force of the 1st permanent molar closes spaces between the remaining…
Primary molars
If there is severe crowding consider extracting contralateral canine for symmetry
True
When are Radiographs to be taken/used?
AFTER reviewing Hx, etc
What should always be used in taking Radiographs with kiddos?
Thyroid Collar
*absolutely necessary
Always use a Thyroid Collar on kiddos, don’t worry about…
abdomen (negligible radiation)
FMC vs FS =
FMC vs bleach =
FMC vs IPT =
similar success
similar success
IPT better
Which materials are NOT used in primary pulpectomies?
What use?
MTA/IRM/GP
Vitapex
Which meds aren’t used in permanent pulpotomies?
why?
FS/FMC
don’t want to make vital pulp inert/leave clot
Why dont’ we do Direct pulp cap on Primary teeth?
mesenchymal to odontoclasts
Primary pulpectomy when?
never on what tooth?
strategic (primary 2nd molar)
primary 1st molar
permanent avulsion, remove pulp when?
7-10 days
*when splint still on
Lidocaine Max dose for 100lb:
Septocaine:
200 mg
320 mg
Max safe dosage Lidocaine:
Septocaine:
2 mg/lb
7 mg/Kg = 3.2 mg/lb
