Probable Treatment Why/Why Not Antimicrobial: Dose Comments Diagnosis intervention Prescribe? and Duration. IrreversiblePulpitis/periapical Arrange GA ? (Rx amox SDCEP would ? consider amoxil if urgent 8 infection, deciduous tooth sugar free suggest Rx GA not possible. 125mg/5ml. tds) inappropriate WRONG here. according to standards, but worth discussing!) Paracetamol 240mg Qds OK for pain. 9 periradicilur infection XLA, as non No antibiotics. 300mls chlorohexidine Give appropriate Antibiotic for invasive as Rx corsodyl gluconate 0.2% twice post-operative bisphosphonates not possible. Stress daily and pre advice. required infection risk, extraction may be and requirement useful. to review/ keep close check on xla site 10 Periodontal abcess Extraction is no Main problem is NICE , required. discuss plan for tooth, if xla then contact patient’s son stressing practice protocol. If he wants ABC, ensure he is responsible for provision and supervision. Check with your Indemnity Society if in doubt.
Probable Diagnosis Treatment intervention Why/Why Not Prescribe? Antimicrobial: Dose and Duration. Comments 8 IrreversiblePulpitis/periapical infection, deciduous tooth Arrange GA ? (Rx amox sugar free 125mg/5ml. tds) WRONG according to standards, but worth discussing!) Paracetamol 240mg Qds OK for pain. SDCEP would suggest Rx inappropriate here. ? consider amoxil if urgent GA not possible. 9 periradicilur infection XLA, as non invasive as possible. Stress infection risk, and requirement to review/ keep close check on xla site No antibiotics. Rx corsodyl 300mls chlorohexidine gluconate 0.2% twice daily and pre extraction may be useful. Give appropriate post-operative advice. Antibiotic for bisphosphonates not required 10 Periodontal abcess Extraction is required. no Main problem is NICE , discuss plan for tooth, if xla then contact patient’s son stressing practice protocol. If he wants ABC, ensure he is responsible for provision and supervision. Check with your Indemnity Society if in doubt.
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