Basic Oral Surgical Techniques

Question 1

Local Anesthetic Techniques Mandible 6

Answer 1

• Inferior alveolar block
• Gow Gates block
• Akinosi block
• Metal block (infiltration)
• Long buccal block (infiltration)
• Sublingual block (infiltration)

Question 2

Maxillary Anesthetic tech 7

Answer 2

• ASA or infraorbital
• MSA
• PSA
• Greater palatine block (infiltration)
• Nasopalatine block (infiltration)
• Mx nerve block (V2)
• Local infiltrations

Question 3

Duration of Anesthesia 4

Answer 3

• 3% Carbocaine (no epi) 0.5-2 hrs
• 2% Lidocaine 2-3 hrs
• 4% Septocaine 3-4 hrs
• 0.5% Marcaine 6-10hrs
• ST anesthesia lasts longer than hard tissue

Question 4

Nitrous Oxide

Answer 4

• Establish base line tidal vol
• Titrate to effect 1/2 liter inc every 1 min
• Usually btw 30-50%

Question 5

Enteral Sedation

Answer 5

Diazepam 5 mg

Triazolam .25-.5 mg

Question 6

Examination to determine degree of difficulty

Answer 6

• Mobility
• Density of bone
• Root shape and size
• Condition of crown
• Restorations present prior to endo therapy
• Proximity to vital structures

Question 7

Max extractions right handed

Answer 7

• Patients mouth is at or slightly below surgeons elbow
• Surgeon is to the right and front of patient
• Dental chair tipped back
• Max let quad, pt head is tipped toward surgeon
• Max right quad, pt looking straight or tipped toward or away from surgeon
• Ant teeth, straight ahead