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Flashcards in PeeTres Deck (77)
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1
Q

Anatomical difference between adult/child Mn foramen:

A

Child Foramen located Below Occlusal Plane

2
Q

PSA can be performed only if there is adult sized kiddo

Gates effect is where you shake

A

True

3
Q

When use a PDL injection?

A

Extraction

4
Q

CNS effects of OD is excitation followed by seizure

A

True

5
Q

What is the Tx for Anesthetic Toxicity or Anesthetic Rxn?

A

Oxygen

6
Q

Always calculate volume of a cartridge to ____ mL

A

1.8 mL

7
Q

Lidocaine ___%

Septocaine ___%

A

2%

4%

8
Q

Lidocaine 2% = ___ mg/mL

= ____ mg/cartridge

Stopper (.2 mL) = ____ mg

A

20 mg/mL

36 mg

4 mg

*1.8 mL/cartridge

9
Q

Septocaine 4% = ___mg/mL

= ___mg/cartridge

Stopper (.2mL) = ___ mg

A

40 mg/mL

72

8 mg

10
Q

Max Dose/weight Lidocaine:

Septocaine:

max dose 100lb/Absolute max dose Lido

max dose 100lb/Absolute max dose Septo:

A

4.4 mg/kg (2 mg/lb)

7 mg/kg

200mg/300 mg

315mg/500 mg

11
Q

Epi 1:100,000 dosage/cartridge:

A

.018 mg

12
Q

Kg = 2.2 lbs, what is the conversion shortcut?

A

(lbs/2) - 10%

(Kgx2) + 10%

13
Q

Articaine causes paresthesia

A

False

14
Q

Optimal N2O delivery:

O2 delivery:

A

30-50%

50-70%

15
Q

COPD is absent in kiddos, Otitis Media often present

both are contraindications for what?

A

Nitrous

16
Q

Green nitrous tank:

blue nitrous tank:

A

Oxygen

Nitrous

17
Q

Age 3 breaths per minute:

adult:

A

25

15

18
Q

Don’t do Nitrous is Tonsils are what size?

A

50% or more

*Brodsky’s

19
Q

caries detecting radiograph:

A

BW

20
Q

___% of carious lesions can only be detected by x-rays

A

40-50%

21
Q

Pano is a great group picture, but lousy portrait

A

True

22
Q

Supernumerary tooth moves to the same side as the Radio-source - where is it in the mouth?

A

Lingual

SLOB = Same Lingual Opposite Buccal

23
Q

If you take out the wrong permanent tooth…

A

put right back in

24
Q

Cranium growth is part of the Mx protruding further down and forward

A

True

25
Q

Mx has ______ bone growth

Mn has _____ bone growth on ____ border of Ramus

A

appositional

appositional, posterior

26
Q

3-6 weeks:

6th week:

7th-8th week:

14th week

14th - 32nd week:

Birth:

A

face

deciduous buds

palatal shelves fuse

deciduous calcification

reflexes

permanent teeth begin to calcify

27
Q

Draw out an eruption chart:

A

ok past bro

28
Q

initiation/calcification primary teeth:

A

draw it out future bro

29
Q

3 types of inclusion cysts:

A

Epstein’s Pearls (epithelial, palate)

Bohn’s Nodules (mucous gland, border)

Dental lamina cyst (alveolar ridge)

30
Q

Natal teeth:

Neonatal teeth:

A

born with

1st month

31
Q

Natal teeth (in when born) can be of what 2 varieties:

A

pre-deciduous supernumerary

primary (just in early)

32
Q

Soon to erupt tooth that looks like a Hematoma or Cyst but is neither:

A

Eruption Hematoma

*accumulation of fluid

33
Q

Permanent root lengthens and Eruption begins w/ _____

Eruption/emergence when root is ____ developed

The crown is complete and in full occlusion when (this is eruption to completion)?

A

crown completion

3/4

5 years

34
Q

What absorbs primary roots?

A

odontoclasts

35
Q

Permanent teeth mover through bone by what process?

A

alveolar resorption on erupting side

alveolar growth on apical side

*also developmental alveolar growth from child getting bigger

36
Q

Rule of 6’s

*F supplement (4 of them)

A

6 months or younger - no Fluoride

6 months/3years/6years - F supplement changes

over 16 years - no Fluoride

over 0.6 ppm F - no Fluoride

37
Q

How much Fluoride at 0-6 months? (.6ppm)

6 months - 3 years?

3 - 6 years?

6 - 16 years?

A

0 0 0

  1. 25 mg 0 0
  2. 50 mg .25 mg 0
  3. 00 mg .5 mg 0
38
Q

Tanaka-Johnson, measure arch circumference from mesial of one permanent first molar to the opposite permanent molar =

Width of Mn/2 + ______ = Mx

Width of Mn/2 + _____ = Mn

A

total space available

11

10.5

39
Q

Diastema prevalence = _____ in 6 y/o

9 y/o

14 y/o

A

44-97%

33-46%

7-20%

40
Q

4 Etiologies for Diastemas:

A

Normal

Space; small teeth; supernumerary

Habit; malocclusion

Frenum - may be effect rather than cause

41
Q

Tx Diastema: only after what has erupted?

A

Permanent Canines

42
Q

Protective Liner, all decay out, no pulp exposure, encourages ______ repair

Typically done with 1 of what 2 products

A

tertiary/reparative dentin

CaOH (DyCal), GI

43
Q

What makes an Indirect Pulp Cap?

Meds?

A

Decay

GI, RMGI, CaOH, ZOE/IRM

44
Q

Pulpotomy is _____ exposure of a Primary tooth:

necrotic tissue:

A

carious

pulpectomy

45
Q

If a pulpectomy has to be done on an immature permanent tooth what do we have to do?

Otherwise a vital tooth therapy is done to promote natural:

A

Apexification

Apexogenesis

46
Q

Apexification is collagen plug/MTA

A

true

47
Q

4 types of Displacement injuries:

A

Concussion

Subluxation

Luxation

Avulsion

48
Q

3 types of Luxation:

A

Extrusion

Lateral

Intrusion

49
Q

Primary avulsed teeth are not replanted

A

True

50
Q

Hanks, lowfat milk, saliva, saline

*transport avulsed tooth

A

True

51
Q

2 week splint:

4 week splint:

distinction is when the _____ is involved

A

subluxation, extrusion, intrusion, avulsion

lateral luxation, delayed avulsion, root fractures

alveolus

52
Q

Use a small diameter ortho wire (.014 - .016) and try to include ______ teeth on either side

*non-rigid splint

Must allow movement, otherwise risk…

A

2 non affected teeth

Ankylosis

53
Q

Cvek/partial pulpotomy removes ____mm of tissue

Irrigate with saline and cover with _____

Cover that with _____

A

1-3

MTA

RMGI

54
Q

Any pinpoint exposure regardless of source - for Permaenent tooth, do a…

A

Direct Pulp Cap

55
Q

Kiddos hava short and narrow Ascending Ramus and Mn foramen located where?

Small bony structure, and bone is less ______

What implications?

A

below occlusal plane

dense

quick onset of infiltration

56
Q

What is the most common complication of LA for kiddos?

A

Lip biting

57
Q

Proper documentation includes:

A

type/dosage/LA/mg/vasoconstrictors

*also post-op instruction, timescale, weight if max dosage a concern (document pre-op)

58
Q

2%/mL = ___mg/mL

3%

4%

5%

6%

A

20 mg/mL

30

40

50

60

59
Q

Anesthetics w/ different dosages, base Max dosage on what?

A

Drug w/ small max dose

60
Q

Pulse range 3 y/o - Adult

Systolic

Diastolic

Respiration

A

110 - 70

100 - 120

60 - 75

25 - 15

61
Q

Pulse and RR _____ with age

BP ______

A

decreases

increases

62
Q

Estimate of Systolic BP for a Child:

A

90 + (2x Age)

63
Q

You can only have ___mm of resorption to do RCT

What is more concerning than a fracture long-term

Step Wise, go back in when?

Neither time nor size matters if you do a Cvek

How long too long for Direct Pulp Cap?

A

1 mm

displacement

3 months

True

1 day

64
Q

Eruption follows exfoliation by…

Enamel permanent tooth complete _____ prior to eruption

root formation complete _____ after eruption

A

6 months

3 years

3 years

65
Q

The eruptive force of the 1st permanent molar closes spaces between the remaining…

A

Primary molars

66
Q

If there is severe crowding consider extracting contralateral canine for symmetry

A

True

67
Q

When are Radiographs to be taken/used?

A

AFTER reviewing Hx, etc

68
Q

What should always be used in taking Radiographs with kiddos?

A

Thyroid Collar

*absolutely necessary

69
Q

Always use a Thyroid Collar on kiddos, don’t worry about…

A

abdomen (negligible radiation)

70
Q

FMC vs FS =

FMC vs bleach =

FMC vs IPT =

A

similar success

similar success

IPT better

71
Q

Which materials are NOT used in primary pulpectomies?

What use?

A

MTA/IRM/GP

Vitapex

72
Q

Which meds aren’t used in permanent pulpotomies?

why?

A

FS/FMC

don’t want to make vital pulp inert/leave clot

73
Q

Why dont’ we do Direct pulp cap on Primary teeth?

A

mesenchymal to odontoclasts

74
Q

Primary pulpectomy when?

never on what tooth?

A

strategic (primary 2nd molar)

primary 1st molar

75
Q

permanent avulsion, remove pulp when?

A

7-10 days

*when splint still on

76
Q

Lidocaine Max dose for 100lb:

Septocaine:

A

200 mg

320 mg

77
Q

Max safe dosage Lidocaine:

Septocaine:

A

2 mg/lb

7 mg/Kg = 3.2 mg/lb

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