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clinic pain managment
pain managment
37
Dentistry
Undergraduate 1
05/05/2014

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Cards

Term
For a patient that is hypo-reactive, they have a ________________ reaction to pain and a ________________ threshold.
Definition
low and high
Term
For a patient that is hyper-reactive, they have a ____________ reaction to pain and a ______________ threshold.
Definition
high and low
Term
Topical Anesthetics are used for ________________ duration
Definition
short
Term
Absorption of a topical anesthetic depends on
Definition
degree of keratinization, thickness of mucosa, amount of anesthesia used
Term
On the way to Jimmy's dental appointment, Jimmy's dad tells him about the bad dental experience he had when he was 10 years old. Is this an example of direct or indirect fear?
Definition
indirect
Term
When Marjory was seven years old, the hygienist told her what a horrible job she did brushing. During the extrinsic stain removal, Marjory experienced a lot of discomfort because of how hard the hygienist was pressing on her teeth. Even though Marjory is 20 years old now, the sound of the polisher still makes her nervous. Is this an example of direct or indirect fear?
Definition
direct
Term
What are the two types of anesthesia used in Oraqix?
Definition
Lidocane and Prilocane
Term
Application of a topical anesthetic blocks the pathway of the pain _______________.
Definition
message
Term
Adverse reactions of a topical anesthetic could be an allergic reaction. Reddening of the tissue is an example of an allergic response.
Definition
both statements are correct
Term
How many seconds does it take for the onset of Oraqix?
Definition
30 seconds
Term
How long does the effect of Oraqix last?
Definition
20 minutes
Term
Where is the Oraqix solution applied?
Definition
at the gingival margin and within the sulcus
Term
Topical anesthetic is known as a "Surface Anesthetic". It is used to desensitize the teeth.
Definition
First statement is correct. Second statement is incorrect
Term
Managing patients' fears and anxieties is very important in the dental field. Which of the following are examples of alleviating a patient's fear?
A) Tell / Show / Do
B) Modeling
C) Desensitizing
D) All of the above
Definition
all of the above
Term
Thermosetting is one of the characteristics or Oraqix. Once applied in the sulcus, it will change from liquid to a gel.
Definition
both statements are correct
Term
Taste not highly rated by patients
More expensive than local anesthetic
Dispenser may be difficult to use for a provider with small hands
Access can be difficult in posterior areas and into a tight sulcus
May not be effective for all patients
Definition
disadvantages of Oraqix
Term
2.5% Lidocaine
2.5% Prilocaine
Synthetic poloxamers (thermosetting agents)
Hydrochloric acid
Purified water
Definition
Oraqix active ingredients
Term
The only FDA-approved, needle free anesthetic for scaling and periodontal debridement
Safe – low risk of allergic reaction
Can be used on inflamed tissue
Easy to use – applied as a liquid, but sets to a gel (Thermosetting)
Cannot be washed away with water
Definition
Oraqix benefits
Term
how much oraqix should be sufficient for one quadrant?
Definition
1 cartridge (1.7g) or less
Term
site specific
Definition
oraqix
Term
Conscious and unconscious thinking
Emotional state – upset, relaxed
Degree of fatigue – things bother you more if you are tired
Fear
Apprehension
Definition
factors in pain reaction
Term
Remove the stimulus
Block the pathway of the pain message
Raising pain reaction threshold
Depress CNS
Psycho-sedation Methods
Definition
pain control mechanisms
Term
A drug applied to the mucous membrane to produce a loss of sensation
Only free nerve endings are affected
Also referred to as “surface anesthetic”
Definition
Topical anesthetic
Term
Prior to an injection for local anesthesia
Instrumentation
Definition
major use for topical anesthetics
Term
Suture removal
Periodontal dressing replacement
Reduce gag reflex during radiographs
Relief from localized areas of ulcers, wounds, injuries
Definition
Minor use for topical anethetic
Term
Most effective
Lasts longer
Difficult to apply (slippery mucosa)
Definition
paste or ointment
Term
Lasts longer than a liquid
Not as difficult to apply as a paste
More difficult to control working area
Definition
Gels
Term
Difficult to control
May be aspirated
Definition
Sprays
Term
Hard to control
Can be difficult to apply
Be careful with amount
Definition
Liquids
Term
erythema of mucous membranes and lips
tissue sloughing
Definition
allergic reaction
Term
Apprehension
Excitement
Speech irregularity
Tremors; mild convulsions
Definition
Overdose
Term
first step in application of local anesthetic?
Definition
Review HH, check for previous adverse reactions
Term
why must you dry the area?
Definition
saliva can carry anesthesia to other areas
Term
when using local anesthetics, what must you do?
Definition
document type of topical anesthetic
Term
feels safe
develops and maintains confidence
feels trust
Definition
conditions for anxious patients to cope with fears
Term
memory of pain
Definition
triggers emotions
Term
psycho-sedation methods
Definition
relaxation, hypnosis
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