ah Flashcards
things to include on GA referral (10)
referrer name and contact details
GP name and contact details
patient name and family contact details
reason for referral and justification
MH
DH
SH
Relevant GA/ treatment history
Proposed Tx
X rays and photos
risk of death in child having general anaesthetic
1/million
3 rare risks of GA
severe allergic reaction
brain damage
not waking up
how does high sugar diet and poor brushing lead to decay
poor brushing allows build up of plaque (food debris and bacteria)
high sugar gives bacteria food source that releases acid when broken down
acid makes teeth softer and break down layers of tooth
how to ask for casts for bridge work
please pour impressions in improved dental stone and mount casts on semi adjustable articulator using facebow reg provided
added extras for bridge prescription
please construct in canine guidance
please return bridge with casts
why may a crown fail to seat
clinical error - ensure no temporary cement, no undercuts
lab error - over extended borders, over extended marginal ridges,
what bur for reducing crown height if occlusal interference
yellow band
shimstock vs articulating paper thickness
shimstock - 8
articulating - 20-100
pre cementation checks for crown (7)
- correct prescription
- damage
- contact points with adjacent teeth
- marginal integrity, no rocking,
- occlusion (check with shimstock)
- lateral movements
- aesthetics
post cementation checks for crown (6)
- excess cement removed
- margins flossable
- occlusion check with articulating/ shimtock
- no voids at margins
- cleansable
- aesthetics pt happy
how can we encourage patients taking bisphopshonate medications to not stop taking drug
inform them that effects are seen for number of years after stopping taking drug
reasons for inadequate/ failed RCT (iatrogenic errors) (10)
- underfilled
- underprepared
- over filled
- perforation
- instrument separation
- root fracture
- debris blockage
- voids
- missed canals or accessory canals
- poor coronal seal
options if broken file in canal
GDP retrieval
GDP re attempt retrieval
GDP complete RCT on top of file (high risk of symptoms and infection)
Referral to specialist - retrieval, by pass, alternative treatment
Apicectomy - specialist decision
steps for reline denture (detailed) (10)
- insert in mouth to check happy with occlusion
- confirm denture unstable/ unretentive
- modify fitting surface to remove undercuts with acrylic bur
- modify with greenstick if required to increase extensions
- polyether adhesive and light body silicone
- dry mouth
- insert impression and ask pt to bite to take functional imp
- soft tissue moulding
- inspect
- disinfect
how much higher is risk of trauma if OJ 9mm +
twice as likely
risks of an ectopic tooth left in situ
cyst formation
RR of other teeth
RR of ectopic tooth
becomes more ectopic
ankylosis
questions/ investigations if retained A
- trauma history
- when did other central erupt
- parallax radiographs
- palpate for 1
- mobility of retained A
preventing decal, patient selection and patient advice
good patient selection - well motivated, good OH pre treatment, low caries risk
Patient advice:
- brushing twice daily with ID cleaning (single tufted, superfloss, ID brushes) focus on gingival margins and around brackets
- supplemental brush after meals or MW
- suitable fluoride concentration
- FV 2 or 4 times per year
- disclosing tablets
- diet advice
extra oral assessment of midface or mandibular fracture
- lacerations, bleeding, bruising, swelling
- changes in vision
- changes to eye movement, can they follow finger
- changes to trigeminal nerve sensation
- palpate for deformities and tenderness
- trismus
- occlusal derangement
- midface mobility
OMFS management of fractures
undisplaced - may leave and review
displaced - ORIF or CRF
treatment of sinusitis
local measures - steam inhalation
ABX - pen V
Explaining TMD to a patient points to hit
- what TMD stands for
- explanation of what TMD is
- common symptoms
- common causes
conservative management of TMD
- reassure patient common consition
- identify any sources of stress
- recommend stress relief - exercise, medication
- soft diet
- stifle yawns
- no wide opening
- soft/ hard splint
