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Cases › Management · M29

A 7-year-old who gags and needs a molar out

Practice cases written from published sources. Not an exam or admissions result; your program and examiners decide.

PATIENT

A 7-year-old needs an upper primary molar taken out. At the last visit the child gagged hard when the mirror reached the back teeth and treatment had to stop. The parent asks about "laughing gas" and what to give for pain at home.

FINDINGS
  • Strong gag reflex when instruments reach the back teeth
  • Breathes easily through the nose; no cold, cough or allergies today
  • Healthy, takes no regular medicines
  • Upper primary molar with a deep cavity, planned for extraction

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Cases › Management · M29
A 7-year-old who gags and needs a molar out

Practice cases written from published sources. Not an exam or admissions result; your program and examiners decide.

PATIENT

A 7-year-old needs an upper primary molar taken out. At the last visit the child gagged hard when the mirror reached the back teeth and treatment had to stop. The parent asks about "laughing gas" and what to give for pain at home.

FINDINGS
  • Strong gag reflex when instruments reach the back teeth
  • Breathes easily through the nose; no cold, cough or allergies today
  • Healthy, takes no regular medicines
  • Upper primary molar with a deep cavity, planned for extraction
Fit the hood, set the flow, titrate, M29 step 3M29 step 3: Fit the hood, set the flow, titrate. Open this step in the lesson.

Unlock the questions

The questions open with the $99 season (90 days), the $149/yr student seat, or a class code that assigns M29. The first case is free.

Unlock the full library Open the free case

M29: Nitrous oxide for an anxious child, and the pain plan for home: health check, consent, hood and titration, monitoring, oxygen at the end, medicine without codeine. Open the lesson step