XLA

• What is the age of the patient attending for extraction?

  9 years old
• What should be done if the patient shows poor cooperation?

  Treatment should not be forced
• Where must local anesthesia (LA) be administered for the extraction?

  Upper sulcus in the mucobuccal fold
• What complications can arise with local anesthesia?

  Needle breaking during injection
• What allergic reactions could occur if the medical history (MH) is not properly checked?

  Allergic reaction to latex or lidocaine
• What might happen if the patient finds the injection painful?

  The patient may lose cooperation
• What could indicate a higher tolerance to local anesthesia in the patient?

  The patient may experience pain during extraction
• What complication can occur if the tooth shatters during removal?

  It may be difficult to remove the roots
• What is a potential risk during extraction related to the patient's airway?

  The tooth may fall into the airway
• What could happen if the patient continues to bleed after extraction?

  They may develop a dry socket
• What could prevent a clot from forming after extraction?

  Rinsing and spitting blood continuously
• What types of foods should the patient avoid after extraction?

  Hot, hard, and spicy foods
• What is a possible reaction of the patient after extraction?

  The patient may feel sick
• What type of damage could occur during the extraction process?

  Damage to surrounding soft tissues
• What psychological effect could the extraction have on the patient?

  Mental trauma affecting future visits
• What are potential long-term complications after extraction?

  Lasting pain or nerve damage
• What could indicate a complication at the extraction site?

  Excessive swelling
• What infection risk exists after an extraction?

  Infection of the extraction site
• What could impair healing after extraction?

  Not following post-operative instructions (POI)
• What should be done before proceeding with the extraction?

  Ensure the patient is cooperative
• How can acclimatization be achieved for the patient?

  By building trust through a welcome appointment
• What should be checked regarding the patient's medical history (MH)?

  Identify allergies and change materials accordingly
• What should be done to ensure effective anesthesia before treatment?

  Check that anesthesia has been effective
• What type of forceps should be used for an upper primary molar extraction?

  Upper primary molar forceps
• What can be used to improve grip on the tooth during extraction?

  Elevators can be used
• What should be placed in the patient's mouth during extraction?

  Gauze to protect the airways
• What should be done if the tooth shatters during extraction?

  Remove roots only if easily visible
• What should the patient do to stop bleeding after extraction?

  Bite down on damp gauze over socket
• What post-operative instruction should be given regarding food?

  Avoid hot and hard foods for the day
• What should the patient avoid doing with their tongue after extraction?

  Avoid feeling the socket with tongue
• What should the patient avoid doing after extraction?

  Avoid rinsing and spitting for the day
• What should the patient expect regarding blood after extraction?

  May see blood on pillow in the morning
• What should be documented in the patient notes after extraction?

  List post-operative instructions given
• What should be checked with the patient and parent after extraction?

  Understanding of the importance of post-op care