intro

Question 1

what is anesthesia

Answer 1

1) pharmacokinetics
- reversibly blocks the generation or conduction of action potentials in the neurons
2) nodes of ranvier
- solution stops the signaling

Question 2

why do we do it?

Answer 2

1) managing dental anxiety and fear
2) dental phobia
3) pain management and pain free society

Question 3

needs to be

Answer 3

1) effective, profound
2) reversible, comfortable

Question 4

infiltrations

Answer 4

1) commonly used for localized areas
2) best for pediatrics
3) used for short procedures

Question 5

block injections

Answer 5

1) when anesthesia is deposited closer to the nerve bundle responsible for innervating hard and soft tissue
- larger surface area
- best for longer duration procedures
- can be applied for most patients

Question 6

infiltration site

Answer 6

1) enter in mucobuccal fold
2) the apex of the tooth will be anesthetized
3) 0.9 mL cartridge for one tooth, 1.2 mL for in between teeth
4) the periosteum will be anesthetized and it will spread

Question 7

PSA

Answer 7

1) block injection 1.3-1.5 mL
2) molars except the MB root of the first molar!!
- endo ice #14, but you can work on #15, #16
3) buccal mucosa and periosteum

Question 8

greater palatine

Answer 8

1) spongy compressible tissue
2) pressure anesthesia first
3) just gets the hard palate numb

Question 9

feel for the infraorbital ASA

Answer 9

1) terminal branch of maxillary branch of CN V
2) centrals to canines
- and sometimes to the premolars and MB root of first molar
3) tissue and periosteum anesthetized

Question 10

nasopalatine

Answer 10

1) look for incisive papilla
2) 0.3-0.4 mL of anesthesia
3) just gets soft tissue anesthetized, not pulps

Question 11

IA block

Answer 11

1) deliver ABOVE mandibular foramen
- medial to internal oblique ridge
- lateral to the pterygomandibular raphe
2) All the pulps of mandibular teeth
- and tissue anterior to mental foramen

Question 12

lingual

Answer 12

1) in the pathway of the IA injection site
2) soft tissue only

Question 13

long buccal

Answer 13

1) hurts because it will touch bone and there is no space for the anesthetic to go
2) stay anterior to anterior border of ramus
3) gets soft tissue posterior to metal foramen numb

Question 14

3 injections

Answer 14

70-80% success rate of numbness for quadrant
- buccal, IA, lingual

Question 15

gow-gates

Answer 15

1) deliver right next to head of condyle
2) main branch coming from the foramen ovale (V3)
- gets IA, lingual, and sometimes BAM (buccal, auriculotemporal, mylohyoid)
3) success rate 93% or higher
- for full quadrant
4) 25-30 mm

Question 16

incisive nerve block

Answer 16

1) terminal branch of V3
2) gets to the pulps of teeth in V3
- central to premolars
3) outside of mental foramen
- tissue anterior to it
4) you can use for edentulous patients (with no teeth in the back)

Question 17

mental block

Answer 17

1) only meant for the tissue anterior to mental foramen
- use incisive block for TEETH