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Dental Anesthesiology 2020 > Lecture 5 > Flashcards

Lecture 5 Flashcards

1
Q

What does trypanophobia mean?

A

-Fear of needles

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2
Q

Where is the bevel of the needle always pointed?

A

-Always toward the bone

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3
Q

When you insert a short needle how much of the needle still needs to be visible?

A

-4 mm

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4
Q

How far do you insert a large needle?

A

1/2 its length

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5
Q

What nerve blocks do you find in the maxilla?

A
  • PSA
  • MSA
  • ASA
  • Greater palatine block
  • Infraorbital block
  • Nasopalatine
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6
Q

What nerve blocks do you find in the mandible?

A
  • IA
  • Buccal
  • Mental
  • Incisive
  • Gow-Gates mandibular nerve block
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7
Q

If you are using multiple drugs what should they never exceed?

A

-The maximum of the lower total amount

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8
Q

If you have to inject into an abscess what type of anesthetic would you use?

A

-Carbicaine because of the acidic pH of the infection

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9
Q

T/F You should change needles if you have injected into an infection

A

True

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10
Q

What are category B drugs?

A
  • Lidocaine
  • Prilocaine
  • Etidocaine
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11
Q

What is pulpal (supraperiosteal) anesthesia?

A

-Through anesthesia of each nerve’s dental branches as they extend into the pulp tissue

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12
Q

What block is recommended for maxillary molar teeth and associated buccal tissues in one quadrant?

A

-PSA

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13
Q

What block is recommended for maxillary premolars and associated buccal tissues?

A

-MSA block

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14
Q

What block is recommended for maxillary canine and the incisors in one quadrant?

A

-ASA

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15
Q

What block is recommended for palatal tissues distal to the maxillary canine in one quadrant?

A

-Greater palatine block (V2)

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16
Q

What block is recommended for palatal tissues between the right and left maxillary canines?

A

-Nasopalatine block

17
Q

What block is used for the soft and hard tissues of the palatal periodontium (gingiva, PDL, alveolar bone)?

A

-Palatal blocks

18
Q

What does a PSA nerve block?

A

-Pulpal maxillary 3rd, 2nd and 1st molars

19
Q

What occurs if you go to deep with a PSA injection?

A

-Blanching of the cheek (damage of the pterygoid plexus and maxillary artery)

20
Q

Where do you aim for on a PSA nerve block?

A

-Apex of the 2nd maxillary molar

21
Q

When is an MSA block indicated?

A

-Maxillary pre-molars and mesiobuccal root of 1st molar

22
Q

What is the target area of the MSA?

A

-Apex of 2nd premolar

23
Q

T/F An ASA block can cross the midline to the opposite side?

A

-True

24
Q

When doing an ASA block what is your target?

A

-Apex of the maxillary canine

25
Q

What is an Infraorbital nerve block for?

A
  • Maxillary preomolars,
  • Cainine
  • Incisors
26
Q

What do you use the greater palatine block for?

A

-Restorative procedures involving more than two maxillary posterior teeth or palatal tissues distal to the canine

27
Q

T/F The greater palatine block provides pulpal anesthesia

A

False

-It does not

28
Q

What is the nasopalatine block useful for?

A

-Anesthesia of the bilateral portion of the hard palate (premolar to premolar)

29
Q

How do you give a nasopalatine bock?

A

-45 degrees to the papilla

30
Q

What is the target for the IA block?

A

-Slightly superior to the mandibular foramen

31
Q

How do you know that you got the IA block?

A

-The tongue is numb

32
Q

What is a long buccal block for?

A

-For buccal periodontium of mandibular molars, gingiva, PDL, and alveolar bone

33
Q

What is the target the long buccal block?

A

-Anterior border of the ramus through the buccinator

34
Q

What is the mental block for?

A

-For facial periodontium of mandibular premolars and anterior teeth on one side

35
Q

What is the target site for the mental block?

A

-Between the apices of the 1st and 2nd premolars

36
Q

What is the Gow Gates block?

A

-Blocks the IA, metal, incisive, lingual, mylohyoid, auriculotemporal and buccal nerves

37
Q

When doing the gow gates block what are some landmarks you use?

A
  • Tragus and commisure of the lips

- mesiolingual cusp of maxillary 2nd molar

Dental Anesthesiology 2020 (9 decks)

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