Pediatric Dental Emergencies Case Presentation
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Questions and Answers

What is the most common vasoactive drug used in the pediatric dental office for pain control?

  • Epinephrine (correct)
  • Lidocaine
  • Ibuprofen
  • Acetaminophen

In Case #1, what is the recommended treatment if there is advanced internal resorption?

  • Antibiotics only
  • Non-vital therapy - pulpectomy (correct)
  • Space maintainer
  • Extraction

What factor increases the probability of medical emergencies in the dental office due to increased vasoactivity and risk of toxicity/allergic reactions?

  • Sedatives
  • Analgesics
  • Antibiotics
  • Endogenous catecholamines (correct)

What is the primary medication used for odontogenic infection in Case #1?

<p>Amoxicillin (C)</p> Signup and view all the answers

In Case #2, what is the reason for the visit of the 12-year-old female patient?

<p>To get a baby tooth pulled (A)</p> Signup and view all the answers

What is the recommended treatment if infection reaches the crypt of the succedaneous tooth in Case #1?

<p>Non-vital therapy - pulpectomy (D)</p> Signup and view all the answers

What is the recommended action if a root breaks during the extraction of an over-retained tooth with no physiologic mobility?

<p>Leave the root in place to avoid damage to the permanent tooth (D)</p> Signup and view all the answers

What should be done in the case of a patient with a known penicillin allergy requiring antibiotic prophylaxis?

<p>Provide alternative antibiotics for prophylaxis (D)</p> Signup and view all the answers

What is the role of the dentist in the event of a medical emergency in the dental office?

<p>Stabilize the patient until transfer to Emergency Medical Services (EMS) (C)</p> Signup and view all the answers

What equipment should be available in the dental office for emergency situations?

<p>High volume suction and yankauer (B)</p> Signup and view all the answers

What is the primary consideration for determining the level of patient monitoring during a dental procedure?

<p>Procedure and underlying medical conditions (D)</p> Signup and view all the answers

In what situation should a broken root be extracted instead of left in place?

<p>When there is a risk of infection (C)</p> Signup and view all the answers

What should be done if further information is needed to determine an ideal patient management plan?

<p>Consult with the patient's physician (D)</p> Signup and view all the answers

What is the appropriate action if trained in ACLS during a dental emergency?

<p>Prepare for IV access and use advanced airway equipment if necessary (A)</p> Signup and view all the answers

Which medication should be available for treating an allergic reaction in a dental office?

<p>Benadryl (antihistamine) (C)</p> Signup and view all the answers

What should be done if a patient experiences syncope during a dental procedure?

<p>Provide ventilation and monitor oxygenation and pulse rate (A)</p> Signup and view all the answers

What is the primary reason for the visit of the 3-year-old female patient in Case #1?

<p>To undergo a pulpectomy procedure (C)</p> Signup and view all the answers

Which factor increases the probability of medical emergencies in the dental office due to increased vasoactivity and risk of toxicity/allergic reactions?

<p>Endogenous catecholamines (D)</p> Signup and view all the answers

What is the primary medication being taken by the 3-year-old female patient in Case #1 for odontogenic infection?

<p>Amoxicillin (D)</p> Signup and view all the answers

What is the recommended treatment if there is advanced internal resorption in Case #1?

<p>Extraction of the affected tooth (B)</p> Signup and view all the answers

What should be done if a 12-year-old female patient presents to get a baby tooth pulled?

<p>Fit a space maintainer after extraction (B)</p> Signup and view all the answers

What should be the dental office's immediate response to acute stress reactions like fear, pain, and anxiety?

<p>Use local anesthetics for pain control (A)</p> Signup and view all the answers

What should be the appropriate action if a patient experiences syncope during a dental procedure?

<p>Stabilize the patient until transfer to EMS (C)</p> Signup and view all the answers

What is the primary medication used for odontogenic infection in Case #1?

<p>Epinephrine (A)</p> Signup and view all the answers

In what situation should a broken root be extracted instead of left in place?

<p>If there is advanced internal resorption (A)</p> Signup and view all the answers

What is the most common vasoactive drug used in the pediatric dental office for pain control?

<p>Epinephrine (A)</p> Signup and view all the answers

What factor increases the probability of medical emergencies in the dental office due to increased vasoactivity and risk of toxicity/allergic reactions?

<p>Presence of an over-retained tooth with no physiologic mobility (A)</p> Signup and view all the answers

What is the recommended treatment if infection reaches the crypt of the succedaneous tooth in Case #1?

<p>Extract the over-retained tooth with no physiologic mobility (B)</p> Signup and view all the answers

What is the recommended action if a root breaks during the extraction of an over-retained tooth with no physiologic mobility?

<p>Leave the broken root in place to avoid damage to permanent tooth (B)</p> Signup and view all the answers

What should be done in the case of a patient with a known penicillin allergy requiring antibiotic prophylaxis?

<p>Defer antibiotic prophylaxis due to allergy (D)</p> Signup and view all the answers

What equipment should be available in the dental office for emergency situations?

<p>Oropharyngeal and nasopharyngeal airways, emergency medications, and AED (C)</p> Signup and view all the answers

What is the primary consideration for determining the level of patient monitoring during a dental procedure?

<p>Procedure, underlying medical conditions, and behavior guidance technique (B)</p> Signup and view all the answers

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