Ouch this hurts!
What is the highest addictive pain medication prescribed in dentistry?
Percocet/Oxycodone Acetaminophen
What is the chemical make up of laughing gas?
Nitrous Oxide
Nitrogen and Oxygen
Why is anxiety medication prescribed?
Prescribed to reduce fear and anxiety of dental appointments
What pain medications are classified as Ibuprofen?
Advil or Motrin
We just pulled a tooth on Harriet and it was an easy, simple extraction. She is currently 26 weeks pregnant. What pain medicine is prescribed?
Tylenol OTC
What is the generic name for Motrin or Advil?
Ibuprofen
Where can you get anxiety medication?
Need an Rx- pharmacy
NOT OTC
How many minutes does it take for N2O to be effective and noneffective?
5 minutes
What is a pain and anxiety medicine combination?
Pain- Motrin/Advil, Aleve, Tylenol, Tylenol #3, Hydrocodone, Percocet
Anxiety- Valium, Ativan, Xanax, N20
***can cause extreme addiction***
My pregnant patient has a severe phobia of dentists and has a simple cavity that needs to filled. What do you do?
Tell her to wait until she has the baby. Simple cavity means no pain and it will more than likely be ok to put off.
No N2O or anxiety meds
Tylenol #3 is an acetaminophen with what additional drug?
Codeine
Which anxiety medication can you drive on?
Laughing gas after 15 minutes is the only one!
Very dangerous to drive while taking the other anxiety medications.
When using OTC pain medication, how many hours should you wait in between doses?
6-8 hours
What pain medications are classified as NSAID?
Mortin/Advil, Aleve
John has an abscess was that is slowly draining. He has periodontal disease so we had to extract #7. He said NSAID makes his stomach hurt. What do you do?
OTC Tylenol
Out of the 6 most common pain medications we have learned, which ones are not safe for pregnant women?
Motrin/Advil, Aleve, Vicodin/Lortab, Percocet
(NSAID)
What schedule drug do anxiety medications fall under?
Schedule IV
How is anxiety medication for dental treatment usually taken?
1 tab at night, 1 tab 1 hr prior to tx
Name the 4 common anxiety medications used in dentistry.
Valium
Ativan
Laughing gas
Xanax
Suzy is a patient that only comes when something is bothering her. She states she can't sleep at night because her tooth is killing her and she needs strong pain medicine. The X- Ray shows a cavity that is not close to the nerve. The dentist is running behind and says just give her some pain medicine because we need the room. You hand her a prescription for Motrin and she begins to get angry with you. She states she could've went to Walmart for this and didn't catch the bus for some over the counter pills! You begin to feel bad, what do you do?
Empathize with her and don't accuse of being an addict.
Explain the x-ray and how decay works.
Explain the study that shows the effectiveness of Motrin and Tylenol
What is prescribed is the best option from the dentist
When in doubt, get the dentist.
Give 2 scenarios describing the need for an OTC and Rx.
OTC- Advil, Motrin, Aleve, Tylenol
Rx- Tylenol #3, Hydrocodone, Percocet
What are the 3 nitrous questions you must ask a patient?
Are you pregnant or may be pregnant?
Do you have a history of chronic ear infections?
Do you have a history of collapsed lung(s)?
When prescribed a narcotic, why is the quantity sometimes under 5 pills being prescribed?
Name the drugs.
1. Do not risk addiction and only prescribed the exact amount needed.
To prevent opioid abuse.
2. Tylenol #3, Hydrocodone, Percocet
Name the 6 common pain medications prescribed in dentistry.
Advil or Motrin
Aleve
Tylenol
Tylenol 3
Vicodin/ Lortab
Percocet
My patient is about to have their wisdom teeth removed and they are fully impacted. Some bone was removed during #17 and #32. He is 23 years old. He will be awake but is very nervous about the procedure. What do you do?
Prescribe Valium or Ativan.
Hook up to N2O during extractions.
Prescribe a couple hydrocodone pills and then finish the week with OTC.