CTP 1 Flashcards
What is required in order to treatment plan SRP?
Teeth having CAL with pocket depth >_5mm or >_4 with BOP.
When is prophylaxis needed to avoid infective endocarditis?
- Prosthetic cardiac valve
- Previous bacterial endocarditis
- Congenital heart disease
- Cardiac transplantation recipient who develops cardiac valvuopathy
Does a patient need prophylactic antibiotics if they have a previous rheumatic fever infection?
NO
Also not needed for:
- Hypertrophic cardiomyopathy
- Previous Rheumatic Fever
- Atrial Septal Defect
- Angina, coronary disease, or previous MI
- Cardiac failure
Is Prophylactic antibiotics needed for rheumatic heart disease?
Yes
What is the max dose epi for a:
Healthy Patient?
Cardiovascular Disease Patient?
How much epi per carpule for 1:100K? 1:200?
Healthy- 200mcg (0.2mg)
Cardiovascular Disease Patient 40mcg (0.04mg)
Epinephrine:
1: 100k=10mcg/ml (18mcg/carp)
1: 200K=5mcg/ml (9mcg/carp)
What are options for prophylactic antibiotics if the patient is unable to take oral medication?
What are their max doses for adults and children?
Ampicillin
- 2 gm IM or IV (Adult)
- 50 mg/kg IM or IV (Child)
Cefazolin
- 1gm IM or IV (Adult)
- 50 mg/kg IM or IV (Child)
What can be used for prophylactic antibiotics if the patient is allergic to penicillins or ampicillin-oral?
What are their max doses for adults and children.
Cephalexin
- 2gm (Adult)
- 50mg/kg (Child)
Azithromycin
- 500mg (adult)
- 15mg (child)
What can be used for prophylactic antibiotics if the patient is allergic to penicillin or ampicillin and unable to take oral medication?
Clindamycin
- 600mg (Adult)
- 20mg/kg (Child)
How is Clindamycin useful in regards to prophylactic antibiotics?
What is the standard dose for adults and children?
Can be used when there is an allergy to amoxicillin or when the medication cannot be taken orally.
- Great when patient is allergic to penicillins or ampicillin-oral
- Great when patient is allergic to penicillin or ampicillin and unable to take oral medications.
- 600mg (adult ) IM, IV or oral.
- 15mg/kg (child) IM, IV, or oral.
Write out a prescription for a prophylactic antibiotic of Amoxicillin for an adult and child..
Adult
RX: Amoxicillin 500mg (2g total)
Disp: 4 (Four) capsules
Sig: Take 4 capsules 1 hour prior to dental appointment.
44lb Child
Rx: 250mg/ml Amoxicillin
Disp: 20ml (Twenty)
Sig: Take 20ml 1 hour prior to dental appointment.
Write out a prescription for a prophylactic antibiotic of Clindamycin for an adult and child.
Adult
Rx: 150mg (600mg total)
Disp: 4 (four) capsules
Sig: Take 4 capsules 1 hour prior to dental appointment.
44lb Child
Rx: 100mg/5ml (400 mg total)
Disp: 20ml (twenty)
Sig: Take 20 ml prior to dental visit.
What are indication for adjunctive antibiotic use for oral and odontogenic infections?
- Fever>100 degrees Fahrenheit
- Malaise
- Lymphadenopathy
- Trismus
- Increased Swelling
- Cellulitis
- Osteomyelitis
- Persistent Infection
What are contraindications for adjunctive antibiotics for oral and odontogenic infections?
-Pain without signs and symptoms of infection
+ Symptomatic irreversible pulpitis
+ Acute Apical Periodontitis
-Teeth with necrotic pulps and radiolucency
-Teeth with sinus tract (Chronic Apical Abscess)
-Localized fluctuant swelling
Write a prescription for ibuprofen as needed for pain management.
Rx: 600mg Ibuprofen
Disp: 30 (thirty) tablets
Sig: Take one tablet PO qid as needed for pain.
When writing a dental lab prescription for an RPD what should be included?
- Please fabricate chromium cobalt MX or MD metal framework for RPD
- Follow design on cast
- Major connector:
- Maxillary: Palatal Strap, A-P Palatal Strap, Palatal Plate
- Mandibular: Lingual Bar, Sub-lingual Bar, Lingual Plate - Retention
- Circumferential clasps, I-bar, Wrought-wire, combination clasps, - Rests
- Which teeth and where - Please cast and finish framework
- Survey according to tripod marks
- Special Instruction. (Wrought wire clasps, lingual retention etc.)
