Maxillary Anaesthesia

Question 1

what does the choice of technique depede on

Answer 1

pt
nature, location, duration
LA drug

Question 2

what are some max div of trigeminal nerve branch

Answer 2

infraorbital
ant sup alv nerve
middle sup alv nerve
post sup alv nerve

Question 3

what is the innervation for the max 3-3

Answer 3

ant sup alv nerve

Question 4

what is the innervation of max 4,5 and part of 6

Answer 4

middle sup alv nerve

Question 5

what innervates the max post teeth

Answer 5

post sup alv nerve

Question 6

what si the awkward not innervation

Answer 6

messy buccal root of 1st molar - middle sup alv nerve

Question 7

what is the inv of palate

Answer 7

ant to post

• incisive branch nasopalatine nerve
• greater palatine nerve
• lesser palatine nerve

Question 8

what is the innervation of the max gingiva ant to post

Answer 8

ant sup alv
middle sup alv
post sup alv

Question 9

what enervates the max lip

Answer 9

infraordibital nerve

Question 10

what are some LA techniques

Answer 10

topical
infiltration
regional
supplementary

Question 11

what are some supplementary thniques

Answer 11

intraosseous 
intraligamentary
intrapapillary
intra-pocket 
computer controlled

Question 12

what are some uses of topicalLA

Answer 12

aid to pain free injection
very minor surgery
abscess incision
rubber dam clamps

Question 13

what are some technique for topical LA

Answer 13

solutions
sprays
pastes/gels
refrigeration - ethyl chloride

Question 14

what are two main LA techniques used

Answer 14

infiltration

regional block

Question 15

what are some main things about infiltration

Answer 15

easy
safe
low risk intravascular administration 
low risk of nerve injury
local haemostasis
local diffusion required 
acts on local nerve endings

Question 16

what awesome main facts about regional blcok

Answer 16

can be iffuclt 
less safe 
higher risk of IV admin
high risk of nerve injury 
acts on nerve source
widespread effect

Question 17

what is infiltration

Answer 17

depo LA solution close to or in target tissue

Question 18

what is efficacy governed by

Answer 18

the ability of the solution to reach the target

Question 19

how long is short needle

Answer 19

25mm

Question 20

when is infiltration ok

Answer 20

thin porous bone

Question 21

when can infiltration be difficult

Answer 21

thicker bone due to zygomatic process

divergent roots

Question 22

when can infiltration not be done

Answer 22

very dense outer cortical mine - article may work

Question 23

where is infiltration mostly used

Answer 23

maxillary

Question 24

what is infiltration useful for what anaesteisa

Answer 24

pulp - upper teeth

soft tissue - buccal or palatal

Question 25

when can infiltration be difficult

Answer 25

pulpal anaesthesia 1st molars

Question 26

what si pt position for infiltration

Answer 26

operator preference/ pt comfort

supine or upright

Question 27

what is the procedure for infiltraton

Answer 27

identify site
injection area
dry site
aplly gel 
give injection

Question 28

what si the bevel to bone

Answer 28

face bone approx 45 degrees to bone

Question 29

what is aspiration

Answer 29

reduce risk of intravascular injection

• fail LA
• systemic side effects

Question 30

how dos do aspiration

Answer 30

inc pressure in cartridge then dec

suction draws what is at the needle tip into cartridge - if blood = vessel

Question 31

what are some things need for pain free injections

Answer 31

topical LA
tought tissue - quick, precise
slow injection
2 stage injections for user anteriors

Question 32

when is buccal/labial infiltrations needed

Answer 32

simple restorations

can be pain free

Question 33

when is palatal + needed

Answer 33

often uncountable as tight - pressure
tooth extraction
if fail buccal/labial anaastehsi