Administering Flashcards
1
Q
Preparing
A
tx
tissues
nerves
technique
gauge
2
Q
contraindication adrenaline + alternative
A
hyperT
unstable cardiac rhythm
priocaine (felypressin)
mepivacaine (plain)
3
Q
Steps
A
- topical LA, dry mucosa, 1 min
- safety-plus syringe
- LA slowly
- aspirate
- stretch t
- reassure deep breath
- lip distraction - protective sheath, double click, sharps bin
4
Q
types of topical LA
A
- xylonor gel 4yr+
benzocaine
lidocaine
5
Q
checking cartridge
A
- air bubbles
- damage
- correct sol
- expiry
- room temp
6
Q
record keeping
A
- consent
- type + teeth numbed
- LA sol, batch no, exp
- complications/allergy
- post-op numb 2-4hrs (bite, burn)
7
Q
set up syringe
A
- gold cartridge into A
- click A into B
- slide C back –> click
- slide C cover –> clicks
8
Q
IDB
dose, needle, teeth, t, n, landmark
A
- 1
- 3.5 long
- man quad
- buccal t (mid-mental)
- inferior alveolar + lingual
- mand foramen
(wide, PMR - CN 1/4, 1cm high)
- syringe opp preM
- needle 2.5cm in
- hit bone + withdraw (soon=incisors, dont=molars)
- aspirate + inject
9
Q
BUCCAL INFILTRATION
A
- Numbs = pulp + buccal soft-t + bone
- Landmark = mucobuccal fold, parallel apex
- Inject = parallel long axis, at/above apex
- Dose = 1/2 cartridge
10
Q
NASOPALATINE BLOCK = max
A
- Numbs = anterior hard palate (3-3, hard+soft-t)
- Landmark = incisive foramen
- Inject = 1cm palatal to central incisors
- Dose = blanch t
11
Q
GREATER PALATINE BLOCK = max
A
- Numbs = posterior hard palate (hard+soft-t)
- Landmark = greater palatine foramen
- Inject = U7d
- Dose = 1/2
12
Q
MENTAL BLOCK = mand
A
- Numbs = 1-4, ≃5 (lower lip + chin)
- Landmark = mental foramen
- Inject = mucobuccal fold anterior to foramen
- Dose = 2/3
13
Q
LONG BUCCAL BLOCK = mand
A
- Numbs = soft-t + periosteum buccal to molars
- Landmark = mandibular molars
- Inject = db most distal molar, anterior border ramus
- Dose = 1/2
