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</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</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</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</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</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)</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</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</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</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</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</p> Signup and view all the answers

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

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

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

    <p>Epinephrine</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</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</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</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</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</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</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</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</p> Signup and view all the answers

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