Pharmacology & Medications in Implantology Flashcards
7 cards from real CIT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pharmacology & Medications in Implantology flashcards as text
Which local anesthetic is most commonly used during dental implant placement procedures?
Answer: Lidocaine 2% with epinephrine 1:100,000
Lidocaine 2% with epinephrine 1:100,000 is the gold standard in implant dentistry due to its reliable onset, adequate duration, and vasoconstrictive properties.
What is the primary purpose of adding epinephrine to local anesthetics used in implant surgery?
Answer: To prolong anesthetic duration and reduce bleeding
Epinephrine acts as a vasoconstrictor, slowing systemic absorption of the local anesthetic to prolong its effect and reducing intraoperative bleeding.
Which antibiotic is most commonly prescribed as prophylaxis before implant placement surgery?
Answer: Amoxicillin 2 g
Amoxicillin 2 g taken one hour before the procedure is the standard prophylactic antibiotic regimen for dental implant surgery in non-allergic patients.
Chlorhexidine gluconate 0.12% oral rinse is prescribed after implant surgery primarily to:
Answer: Control bacterial plaque and reduce infection risk at the surgical site
Chlorhexidine gluconate is a broad-spectrum antimicrobial that reduces oral bacterial load, helping to prevent peri-implant infection during healing.
Which drug class is most appropriate for managing mild to moderate post-operative pain and inflammation following implant placement?
Answer: Non-steroidal anti-inflammatory drugs (NSAIDs)
NSAIDs such as ibuprofen address both pain and the inflammatory component of post-surgical discomfort without the dependency risks associated with opioids.
What is the maximum recommended dose of lidocaine with epinephrine for a healthy adult patient during implant surgery?
Answer: 7 mg/kg, not to exceed 500 mg
The maximum safe dose of lidocaine with epinephrine is 7 mg/kg up to 500 mg total; the vasoconstrictor slows absorption, allowing a higher ceiling than plain lidocaine.
A patient is allergic to penicillin and requires antibiotic prophylaxis before implant surgery. Which antibiotic is the recommended alternative?
Answer: Clindamycin 600 mg
Clindamycin 600 mg one hour before the procedure is the standard alternative for penicillin-allergic patients undergoing dental implant surgery.