Medications and Medicaments Flashcards Preview

Endodontics > Medications and Medicaments > Flashcards

Flashcards in Medications and Medicaments Deck (43)
Loading flashcards...
1

Types of medicaments (6)

Phenolic compounds
Essential oils
Aldehydes
Calcium hydroxide (MOST COMMON)
Steroids
Antibiotics

2

Phenols

Antimicrobial
* Bind to cell membrane and lipids
Toxic to cells (toxicity greater than antimicrobial effect)

Not used today

Cresatin

3

CMCP (camphorated mono pargchlorophenol)

Less tissue toxic than phenols

4

Cresatin (metacresylacetate)

Less toxic them CMCP
Vital pulpectomy

5

Formaldehyde
* Formocresol

Formalin and Cresol
Pulpectomy/Pulpotomy

Fixes tissues - fix the tissue stumps left behind in pulpotomy

Aldehyde

6

Corticosteriod/Antibiotic Combinations

Help eliminate inflammation from over instrumentation (Ledermix)

Between two appointments

7

Calcium Hydroxide (CaOH)

Antibacterial
* Inactivates biologic activity of bacterial LPS
which egress from necrotic pulps into
periapical tissues and cause PA lesions

Not problematic if expressed out of the end of the canals
Place cotton pellets and cavit over

May stimulate apical root end closure

8

Cotton and Cavit (IRM)

Temporary Material
Nothing in the canal -- simply trying to dry the canal completely.
Will use if canal is not infected anymore

9

Intracanal medicaments biological properties (5)

Antibacterial
Enhance anesthesia (kill more plural tissue)
Render canal conents inert
Control persistent inflammation
Control post-treatment pain

10

Intracanal medicaments limitations and side effects (5)

Intracanal environment
Duration (time of being effective)
Toxicity/allergy
Distribution
Taste/smell

11

Duration of formal creosol

May only work for a couple of weeks
Distributed by vapors
Want to place dried formal creosol cotton peletts in the canal to evaporate

12

Duration of calcium hydroxide

Every 3 months

13

Aldehydes

Formaldehydes
*Formocresol
Gluteraldehydes

14

Essential Oils

Eugenol

15

Eugenol

essential oil -- OIL OF CLOVES

Inhibit nerve activity
Potent antimicrobial properties

Will usually place an IRM over eugenol

16

Halides

Potent bacterial or viral killers

Sodium hypochlorite (bleach)
Iodine

17

No significant difference in postoperative pain between the groups of medicaments

Most doctors just place a cotton pellet

18

No significant relationship between pain with the chemical agents used in endodontics

Pain during inter appointment was not due to endodontic agents

19

No significant difference was found in the flare up rate among the intracanal medicaments and contorls

.

20

Microorganisms need not be drowned!

.

21

Indications for placement of CaOH

Necrotic pulp
FOLLOWING straight line access and establishing MAF

22

Placement technique of CaOH

Powder mixed with glycerin - place with lento spiral
* NOT radio opaque

Syringe
* can get radio - opaque material

23

Prescription

An order for medication which is dispesed to or for an ultimate user

NOT dispensed for immediate adminstration to ultimate user

24

Controlled substance rules

Must be dated and signed ON DAY OF ISSUE
Patient's full name and address
Practitioner's full name, address, and DEA#
Drug name
Strenght
Dosage
Quantitiy prescribed
Directions for use
Number of refills
Writtin in INK, INDELIBLE PENCIL, TYPED
Manually signed

25

May not supply practitioner for GENERAL dispensing to patients.

Tor F

TRUE

26

Schedule II controlled substances

Require written prescription
No federal time limit to fill
No specific federal limits to quantities (states and insurance have limits)
Refills prohibited
Multiple prescritions (90 days) permitted
Facsimile (fax) prescriptions ok for PREP only -- original prescription must be present for dispensing
Emergency phone prescription only for quantity to cover emergency period - provided original prescription received within seven days

27

Schedule III -- V substances

Prescriptions for schedule III, IV, V may be oral, written, or faxed

Refills ok and by call in

28

Superscription

Patient's name, address, date, and Rx

29

Inscription

name of drug, dose form, and quantity

30

Subscription

directions to pharmacist