OSCE 2 Flashcards
(61 cards)
what are the contra-indications of 2.2ml lidocaine 2% with 1:80,000 adrenaline
sensitivity to adrenaline or latex, uncontrolled CVD, taking tricyclics or beta blockers
what is used as an alternative to lidocaine
citanest 3% with octapressin
what patients should not be prescribed NSAIDs for post op painkillers
pregnant or on warfarin
what is the prescribed dose for ibuprofen
400mg x 3-4 daily
what are some cautions to we aware of with ibuprofen
elderly - reduced drug metabolism
peptic ulcers or GORD - may exacerbate
asthmatics
history of NSAID hypersensitivity
taking other NSAIDs
on long term steroid use - susceptible to gastric ulcers
outline 10 points of post op instructions
take it easy - no exercising
expect pain
swelling, bruising, tenderness and stiffness common
take care eating and drinking
dont wash out mouth for like 6 hours
eat on opposite side of the mouth and leave site alone
if bleeding occurs at home bite down on damp gauze for 20-30 mins
avoid smoking for as long as possible and no alcohol for 24 hours
starting the day after swirl warm salty mouthwash for 3-4 times per day
give written instructions
come back if any problems
what are the 5As to smoking cessation
ask - how many per day, when did you start?
advise - health benefits of quitting
assess - desire to stop smoking
assist - negotiate a stop date and review previous attempts
arrange follow up - NHS SSS referal
if a patient presents with dry mouth that is unusual what other special tests might you do
dry eyes also?
blood tests checking for anti-La antibody
histopathology assessment of labial secondary salivary gland
what are some complications of Sjogrens syndrome
dry mouth and eyes
difficulty with speech and swallowing
burning mouth
increased risk of oral infection and caries
difficulty with denture retention
salivary lymphoma
what is included in a trauma stamp
colour
TTP
percussion note
sinus
mobility
radiograph
treatment for enamel fracture in primary dentition
smooth sharp edges
what is the treatment for enamel-dentine fracture in primary dentition
cover exposed dentine in GI or composite bandage
lost tooth structure restored immediately with composite or at a later visit
what is the treatment for enamel-dentine-pulp fracture in primary dentition
partial pulpotomy
extraction
treatment for crown-root fracture in primary dentition
if restorable and no pulp exposure - cover exposed dentine with GI
if restorable and pulp exposed - pulpotomy or endo
if unrestorable - extract
treatment for root fracture of primary tooth
coronal fragment not displaced - no treatment
coronal fragment displaced but not mobile - leave coronal fragment to spontaneously reposition
coronal fragment displaced and excessive mobility - extract loose coronal fragment or reposition and splint
management of concussion in deciduous dentition
no treatment
observation
management of subluxation in deciduous dentition
no treatment
observe
treatment for lateral luxation of deciduous teeth
allow reposition spontaneously
reposition and splint
extract
treatment for intrusion of deciduous teeth
spontaneous repositioning
where would the apex be displaced if on the radiograph the tooth appears shortened to contralateral tooth and the apical tip of intruded tooth can be seen
apex displaced towards/ through labial tissues
where would the apex be displaced if on the radiograph the apex of intruded tooth cannot be visualised and tooth appears to be elongated compared to contralateral teeth
apex displaced towards permanent tooth germ
treatment for extrusion of a deciduous tooth
not interfering with occlusion - spontaneous repositioning
excessive mobility - extract
treatment for avulsion of deciduous tooth
radiograph to confirm
do NOT re-implant
treatment of alveolar fracture in deciduous dentition
reposition segment
splint for 4 weeks with uninjured teeth
