Chapter 37: Anesthesia & Pain control Flashcards
The term used for temporary loss of feeling or sensation
anesthesia
the drugs that produce the temporary loss of feeling or sensation.
anesthetics
Methods of pain control used in dentistry to alleviate or reduce anxiety and pain include the following:
- Topical anesthesia
- Local anesthesia
- Inhalation sedation
- Antianxiety agents
- Intravenous (IV) sedation
- General anesthesia
- Mind-body medicine
provide a numbing effect in a specific area where an injection is to take place.
provide a temporary numbing effect on nerve endings located on the surface of the oral mucosa
topical anesthesia
The active ingredient in topical anesthetic
benzocaine or lidocaine
For today’s products, a gel type of topical anesthetic is to remain on the site of injection for a minimum of __ to __ seconds with a maximum of __ - __minutes to have optimum effectiveness.
15-30
1-2
agents that are applied to larger surface areas of the oral tissues. This type of anesthetic is useful when applied at the back of the throat in patients with a strong gag reflex
spray topical anesthetics
It should be noted that topical sprays can pose a potential danger if too much is administered.
t or f
true
anesthetic would be absorbed into the bloodstream, possibly causing an irregular heartbeat and respiratory failure.
most frequently used form of pain control in dentistry.
local anesthetic agents
is obtained by injecting an anesthetic solution near the nerve where treatment is to take place.
local anesthesia
The action of local anesthesia becomes reversed as the ______ carries away the solution, causing the patient to lose numbness in the area.
bloodstream
Local anesthetic solutions for dental use come under two chemical groups:
amides and esters.
Amide local anesthetics are metabolized by the ___,
ester local anesthetics are metabolized primarily in the ____.
liver
plasma
the length of time from injection of the anesthetic solution to complete and effective conduction blockage.
induction
the length of time from induction until the reversal process is complete
duration
• A short-acting local anesthetic agent can last approximately __ minutes.
30
An intermediate-acting local anesthetic agent lasts approximately __ minutes.
Mostly used for general dental procedures.
60
A long-acting local anesthetic agent lasts approximately __ minutes.
90
an agent that when combined with the anesthetic slows down the uptake of an anesthetic agent into the bloodstream and increases the duration of action.
vasoconstrictor
Types of vasoconstrictors used with local anesthetic agents include
epinephrine, levonordefrin, and Neo-Cobefrin
With the concentration levels of a vasoconstrictor, the smaller the ratio, the ___ the percentage of vasoconstrictor.
higher