32 Questions
What is the most common vasoactive drug used in the pediatric dental office for pain control?
Epinephrine
In Case #1, what is the recommended treatment if there is advanced internal resorption?
Non-vital therapy - pulpectomy
What factor increases the probability of medical emergencies in the dental office due to increased vasoactivity and risk of toxicity/allergic reactions?
Endogenous catecholamines
What is the primary medication used for odontogenic infection in Case #1?
Amoxicillin
In Case #2, what is the reason for the visit of the 12-year-old female patient?
To get a baby tooth pulled
What is the recommended treatment if infection reaches the crypt of the succedaneous tooth in Case #1?
Non-vital therapy - pulpectomy
What is the recommended action if a root breaks during the extraction of an over-retained tooth with no physiologic mobility?
Leave the root in place to avoid damage to the permanent tooth
What should be done in the case of a patient with a known penicillin allergy requiring antibiotic prophylaxis?
Provide alternative antibiotics for prophylaxis
What is the role of the dentist in the event of a medical emergency in the dental office?
Stabilize the patient until transfer to Emergency Medical Services (EMS)
What equipment should be available in the dental office for emergency situations?
High volume suction and yankauer
What is the primary consideration for determining the level of patient monitoring during a dental procedure?
Procedure and underlying medical conditions
In what situation should a broken root be extracted instead of left in place?
When there is a risk of infection
What should be done if further information is needed to determine an ideal patient management plan?
Consult with the patient's physician
What is the appropriate action if trained in ACLS during a dental emergency?
Prepare for IV access and use advanced airway equipment if necessary
Which medication should be available for treating an allergic reaction in a dental office?
Benadryl (antihistamine)
What should be done if a patient experiences syncope during a dental procedure?
Provide ventilation and monitor oxygenation and pulse rate
What is the primary reason for the visit of the 3-year-old female patient in Case #1?
To undergo a pulpectomy procedure
Which factor increases the probability of medical emergencies in the dental office due to increased vasoactivity and risk of toxicity/allergic reactions?
Endogenous catecholamines
What is the primary medication being taken by the 3-year-old female patient in Case #1 for odontogenic infection?
Amoxicillin
What is the recommended treatment if there is advanced internal resorption in Case #1?
Extraction of the affected tooth
What should be done if a 12-year-old female patient presents to get a baby tooth pulled?
Fit a space maintainer after extraction
What should be the dental office's immediate response to acute stress reactions like fear, pain, and anxiety?
Use local anesthetics for pain control
What should be the appropriate action if a patient experiences syncope during a dental procedure?
Stabilize the patient until transfer to EMS
What is the primary medication used for odontogenic infection in Case #1?
Epinephrine
In what situation should a broken root be extracted instead of left in place?
If there is advanced internal resorption
What is the most common vasoactive drug used in the pediatric dental office for pain control?
Epinephrine
What factor increases the probability of medical emergencies in the dental office due to increased vasoactivity and risk of toxicity/allergic reactions?
Presence of an over-retained tooth with no physiologic mobility
What is the recommended treatment if infection reaches the crypt of the succedaneous tooth in Case #1?
Extract the over-retained tooth with no physiologic mobility
What is the recommended action if a root breaks during the extraction of an over-retained tooth with no physiologic mobility?
Leave the broken root in place to avoid damage to permanent tooth
What should be done in the case of a patient with a known penicillin allergy requiring antibiotic prophylaxis?
Defer antibiotic prophylaxis due to allergy
What equipment should be available in the dental office for emergency situations?
Oropharyngeal and nasopharyngeal airways, emergency medications, and AED
What is the primary consideration for determining the level of patient monitoring during a dental procedure?
Procedure, underlying medical conditions, and behavior guidance technique
Test your knowledge on managing pediatric dental emergencies with this case presentation of a 3-year-old girl with a rotten tooth. Learn about the patient's history, clinical examination findings, and potential treatment recommendations.
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