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1

At what age is LA contraindicated?

Event the youngest child treated in the dental offic normally has no contraindications for the use of LA

2

What is the most conservative guideline for LA?

Can be used for all anesthetic formulations

The rule of 25.

One carp for every 25lbs

3

If you used 2% lidocaine with 1:100,000 epi. Its 1 carpule (1.8ml per every ___ lbs.

18

4

If you use 4% articaine with 1:100,000 epi, its 1 carpule (1.8ml) per ever ___ lbs

22

5

True or false.. you can use a 30 gauge short for a IA block for pedo

True ?

6

What topical anesthetic is best suited for dentistry? Why?

Ethyl aminobenzoate

It offers a more rapid onset and longer duration.

Do not produce systemic toxicity

7

What is a jet injection?

Small quantities of liquids are force through very small openings under high pressure and can penetrate mucous membrane or skin without causing excessive tissue trauma.

It produces surface anesthesia instantly (can be used instead of topicals)

8

In pediactric patients the mandibular foramen is situated at a (lower/higher) level than the occlusal plane of the primary teeth

Lower

therefore the injection must be made slightly lower and more posteriorly than for an adult pt

9

The depth of insertion for a pedo IA is __

15mm

10

True or false.. there is no difference in pain control effectiveness between infiltration of mandibuar molars and a IA block

True

11

Which has a shorter half life, articaine or lidocaine?

Articaine

Articaine = 30 minutes

Lidocaine = 90 minutes

12

Local infiltration (supraperiosteal technique) is used to anesthetize the ___ teeth

Primary anterior

13

If you are doing a restoration on a maxillary anterior tooth, what injections should you do?

ASA

Palatal (first do a supraperiosteal injection above the spices of the anterior teeth on labial side. If it doesn't work, you may have to do a nasopalatine injection. )

14

If you are extracting a maxillary incisor, what injections should you do?

ASA/supraperiosteal

Must do a nasopalatine also

15

True or false... intraosseous injections are easier on children.

True because their cortical bone is less dense than adults

16

Why are children more likely to experienced systemic toxicity to LA than adults?

Lower body weight


They are also more likely to develop systemic toxic reactions when they are used in conjunction with sedation medications

17

__% of pediactric pts develop postoperative soft-tissue trauma (__ times as much as adults) due to chewing the area that was anesthetized

13

Twice

18

Oroverse is a LA reversal agents that can reduce the median time to recovery of normally sensation in the upper lip by __ minutes. It is not recommended for use in children younger than __

83

6

19

Usually, ___ or ___ successfully controls post op dental pain in pedo pts. If it doesn't, use ___. It that doesn't, as a last resort, use ___

Acetaminophen or NSAIDs

Codiene and acetaminophen


Hydrocodone and acetaminophen