XLA 8s

Question 1

Two guidelines for XLA 8s?

Answer 1

NICE

SDCEP

Question 2

What do NICE guidelines suggest?

Answer 2

Prophylactic removal discontinued

Question 3

When do NICE suggests removal 8s?

Answer 3

Unrestorable caries
Non treatable pulpal disease
Resorption of tooth or adjacent teeth
Disease of follicle

Question 4

What do NICE suggest about pericoronitis?

Answer 4

First episode (unless severe) not indication, second or subsequent can be appropriate indication

Question 5

What SCDEP guidelines relate?

Answer 5

Management of acute dental problems

Question 6

What do SDCEP refer to as pericoronitis?

Answer 6

Infection under operculum associated w/ pain
Pain localised around PE tooth
Swelling, diff swallowing, limited opening, unpleasant taste, fever, malaise

Question 7

What is main factor which changes management of pericoronitis?

Answer 7

Airway involvement - compromised/ uncompormised

Question 8

What to do if airway compromised in pericoronitis?

Answer 8

Send pt immediately for emergency care

Question 9

How to proceed if pt has pericoronitis w/ uncompromised airway?

Answer 9

Recommend optimal analgesia
Ab - only if sign of spreading infection
OHE inc rinse CHX

Consider: debridement

Question 10

When consider XLA w/ pericoronitis?

Answer 10

Repeated episode

Question 11

When consider XLA opposing tooth?

Answer 11

Consider if trauma to operculum esp if opposing tooth not functional