Final

Question 1

if you miss a block and have to go back with more anesthetic, what do you go back with

Answer 1

carbocaine

Question 2

what use carbocaine after missing a block

Answer 2

it has a different pH that keeps the injection from becoming too acidic and being ineffectiev

Question 3

what way is the incision made in the tissue

Answer 3

perpendicular

Question 4

why not cut an incision at an agle

Answer 4

cuts tissues away from the blood supply and it wont heal

Question 5

should an incision be made of attached gingiva or healthy bone

Answer 5

yes

Question 6

do incisions heal the same way

Answer 6

yes

Question 7

how do incisions heal

Answer 7

edge to edge, not end to end

Question 8

what is important to consider in flap design

Answer 8

where the nerves are and where the blood supply runs

Question 9

lidocaine’s brand name

Answer 9

xylocaine

Question 10

what is the max dose of lidocaine

Answer 10

4mg/kg

Question 11

what is the max cartridges of lidocaine

Answer 11

10

Question 12

what is the max cartridges of lidocaine with epi

Answer 12

10

Question 13

what is the max cartridges of mepivacaine

Answer 13

6

Question 14

what is the max cartridges of mepivacaine with neo

Answer 14

8

Question 15

what is the max cartridges of prilocaine

Answer 15

6

Question 16

what is the max cartridges of bupivacaine w. epi

Answer 16

10

Question 17

what is the max dose of mepivacaine

Answer 17

5mg

Question 18

what is the max cartridges of bupivacaine w. epi

Answer 18

1.5mg

Question 19

what do you need to be midful of when working in the premolar region

Answer 19

mental foramen

Question 20

what is the protocol for dead space

Answer 20

avoid it!

Question 21

how do you avoid dead space

Answer 21

suture tissue together
pressure dressing
place packing to eliminate void
place drain

Question 22

local anesthetics are stored as

Answer 22

a basic salt

Question 23

local anesthetics become active in the presence of

Answer 23

neutral pH of body fluid

Question 24

local anesthetics do not work will in the presence of

Answer 24

inflammation

Question 25

which local anesthetic is more likely to cause an allergic response

Answer 25

ester

Question 26

local anesthetics that are amides

Answer 26

lidocaine mepivacaine prilocaine bupivicaine

Question 27

local anesthetics that are esters

Answer 27

benzocaine - topical tetracaine

Question 28

how to you manage post-op extraction pain

Answer 28

long acting anasthestic (bupivicaine) pain meds and Q4H PRN Ice Pack on and off every 20 min do NOT chew on lip

Question 29

Nitrous start with what percent of oxygen

Answer 29

100%

Question 30

what is the minimal oxygen rate in nitrous

Answer 30

30%

Question 31

what are some pre-op sedative medications

Answer 31

diazepam (valium) midazolam (versed)

Question 32

teeth with large carious lesions are mildly to fracture making it more ____

Answer 32

difficult

Question 33

teeth with large amalgam are likely to be fragile to fracture when extraction forceps are applied

Question 34

indications for tooth removal

Answer 34

careies pulp necorsis perio ortho impacted teeth supernumerary associate with pathology associated with jaw fracture radiation therapy financial issues

Question 35

what are contraindications of tooth removal

Answer 35

health of pt radiation of tx in the area of extraction teeth associated with severe pericorinitis teeth associated with a malignant tumor

Question 36

should you take out an infected lower 3rd

Answer 36

no - get antibiotics and wait

Question 37

what type of radiographs are minium

Answer 37

PA and Pan

Question 38

what radiograph helps see condylar fracture

Answer 38

townes

Question 39

what radiograph do you order when you suspect fracture

Answer 39

waters projection good for seeing orbital bones, maxilla, and zygomatic areas

Question 40

what its the concern with maxillary teeth to vital structure

Answer 40

sinuses

Question 41

what its the concern with mandibular teeth to vital structure

Answer 41

mandibular canal nerves can run through the roots of 3rds

Question 42

never do what to a lingual flap

Answer 42

turn...always do a buccal flap

Question 43

how should a patient be for an extraction

Answer 43

upright

Question 44

where is the occlusal plane during an extraction

Answer 44

parallel to the floor

Question 45

most maxillary teeth can be removed with what kind of foce

Answer 45

rotational

Question 46

mandibular teeth should be extracted with what kind of directional force

Answer 46

rocking

Question 47

what teeth have the longest roots

Answer 47

mandibular canines

Question 48

what is the hardest portion of bone

Answer 48

roots of madibular canines

Question 49

the mental foramen is at the apex of what tooth

Answer 49

2nd premolar

Question 50

use your nondominant hand to do what during an extraction

Answer 50

stabilize patient jaws reflect soft tissue protect teeth from forceps

Question 51

what dictates how to remove a tooth

Answer 51

the roots

Question 52

what is the first step to an extraction

Answer 52

detach the gingival attachement

Question 53

what is the second step to an extraction

Answer 53

luxate the tooth

Question 54

luxation is a wedge between what structures

Answer 54

tooth and PDL

Question 55

what is the third step in tooth extraction

Answer 55

use the forceps to remove the tooth

Question 56

always bring the tooth in what direction during extraction

Answer 56

to the buccal

Question 57

big part of post op instruction

Answer 57

do not risnse and dont spit

Question 58

what are you trying to maintain after an extraction

Answer 58

blood clot

Question 59

you have to really loosen what during extraction of baby teeth

Answer 59

epithelial attachment