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ANES > MAXILLARY ANESTHESIA > Flashcards

MAXILLARY ANESTHESIA Flashcards

1
Q

5 PILLARS of patient management

A

case selection and treatment planning
identify the patient
intraoperative procedure
post operative management
recall

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2
Q

small terminal nerve endings in the area

A

infiltration

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3
Q

deposited close to main nerve trunk

A

nerve block

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4
Q

porous and has thin cortical plate and most common method is infiltration

A

maxillary anesthesia

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5
Q

has dense cortical plate except the incisor region and method is nerve block

A

mandibular anesthesia

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6
Q

what nerve is in the cranial nerve V

A

Trigeminal nerve

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7
Q

sensory to the skin and mucosa

A

V1 OR ophthalmic division

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8
Q

sensory to dentition and surrounding periodontium

A

V2 or maxillary

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9
Q

sensory to pulpal,periodontium,mucosa and teeth of the mandible
motor to muscle of mastication

A

V3 or mandibular

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10
Q

what are the muscle innervated by v3

A

masseter
temporalis
lateral and medial pterygoid

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11
Q

supply the upper molar except the mesiobuccal root of the first molar and outside of infraorbital canal.

A

posterior superior alveolar nerve ( PSAN)

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12
Q

from the mesiobuccal root of the 1st molar to 1st and 2nd premolar and supporting structures and will enter the infraorbital canal

A

middle superior alveolar nerve (MSAN)

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13
Q

Anterior teeth and supporting buccally and will enter the infraorbital canal

A

anterior superior alveolar nerve (ASAN)

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14
Q

Part of dental plexus of the maxilla

A

PSAN, MSAN, ASAN

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15
Q

what are the terminal branches of the infraorbital nerve

A

inferior palpebral nerve
nasal nerve
superior labial nerve

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16
Q

what terminal branch of infraorbital nerve will supply the lower eyelid

A

inferior palpebral nerve

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17
Q

what terminal branch in infaorbital nerve will supply the side or lateral of the nose

A

nasal nerve

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18
Q

what terminal branch of infraorbital nerve will supply the upper lip and purely sensory

A

superior labial nerve

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19
Q

what do you call the buldge behind the central incisor in the hard palate

A

incisive papilla

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20
Q

what foramen behind the central incisor and underneath of incisive papilla

A

incisive foramen

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21
Q

what nerve exits the incisive foramen (canine to canine) and does not have pulpal innervation

A

nasopalatine nerve

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22
Q

mucosa,gingiva, bony strutures and distal to the canine up to the most posterior part of the hard palate

A

greater palatine foramen

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23
Q

it innervates the soft palate including the uvula

A

lesser palatine nerve

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24
Q

what nerves exiting the lesser palatine foramen

A

middle palatine nerve and lesser palatine nerve or posterior palatine nerve

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25
Q

what nerve is not all individiual has this

A

middle palatine nerve

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26
Q

what kind of anesthesia is used when doing restoration, endodontics and prosthodontics?

A

pulpal anesthesia

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27
Q

what kind of anesthesia is used when doing extraction

A

pulpal and palatal anesthesia

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28
Q

what are the nerve anesthesized during supraperiosteal injection

A

large terminal branches of the dental plexus

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29
Q

what are areas anesthesized during supraperiosteal injection

A

pulp, root areas of the tooth
buccal periosteum
connective tissue
mucous membrane

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30
Q

means above the periosteum

A

supraperiosteal

31
Q

membrane above the bone under the mucosa

A

periosteum

32
Q

bevel of the needle should be?

A

face of the bone

33
Q

what happen if subperiosteal is injected

A

painful for the patient

34
Q

area of insertion of supraperiosteal or local infiltration

A

height of mesiobuccal fold above the apex of the tooth

35
Q

how many solution deposited in local infiltration

A

0.5-1.5 ml

36
Q

what nerve anesthesized in infraorbital nerve block

A

ASAN, MSAN
Inferior palpebral nerve
lateral nasal nerve
superior label nerve

37
Q

what are the areas anesthesized by infraorbital nerve block

A

pulps of asan
pulps of msan
buccal periodontium and bone
lower eyelid
lateral aspect of the nose
upper lip

38
Q

what extraoral landmark is needed in infraorbital nerve block

A

infraorbital notch , 5-10 mm below to locate the infraorbital foramen

39
Q

what approach in intraoral landmark, opposite the lateral incisor

A

midline approach

40
Q

specific landmarks for midline approach

A

mesioincisal line angle
disto cervical line angle on central incisor
height of the mucolabial fold opposite the lateral incisor

41
Q

insertion will be at the height of the muccobuccal fold, following the long axis of the tooth using 1st PM

A

bicuspid or vertical approach

42
Q

what gauge and length of the needle needed for patients in infraorbital nerve block

A

25 gauge long needle

43
Q

what gauge and length of the needle needed for smaller patients in infraorbital nerve block

A

25 gauge short

44
Q

position of the clinician in infraorbital nerve block

A

10 o’clock

45
Q

position of the patient in infraorbital nerve block

A

supine or semisupine with neck extended slightly

46
Q

how many solution deposited in infraorbital nerve block in vertical approach

A

1 ml

47
Q

nerve anesthesized in msan block

A

middles superior alveolar nerve

48
Q

areas anesthesized in msan block

A

pulps of maxillary PM
mesiobuccal root of first molar
buccal periodontal tissues and bone

49
Q

area of insertion of msan block

A

height of the mucobuccal fold above the maxillary 2nd PM

50
Q

how many solution deposited in msan block

A

0.9m-1.2ml

51
Q

nerve anesthesized in psan block

A

posterior superior alveolar nerve

52
Q

areas of anesthesized in psan block

A

all upper molars except mesiobuccal root of first molar
buccal periodontium and bone

53
Q

area of insertion of psan block

A

height of muccobuccal fold above the maxillary 2nd molar

54
Q

landmarks in psan block

A

mucobuccal fold
maxillary tuberosity
zygomatic process of the maxilla

55
Q

how many solution deposited in psan block

A

0.9-1.8 ml

56
Q

complication in psan block

A

hematoma
mandibular anesthesia

57
Q

what technique of anesthesia used in torus palatinus

A

nasopalatine nerve block
greater palatine nerve block
local infiltration

58
Q

a direct vision procedure

A

nasopalatine nerve block

59
Q

what is the landmark for nasopalatine nerve block

A

incisive papilla

60
Q

how many ml of solution deposited in nasopalatine nerve

A

0.2-0.3ml

61
Q

landmark in greater palatine nerve block

A

opposite or slightly distal to the 3rd molar

62
Q

how many ml of anesthesia deposited in greater palatine nerve block

A

0.45- 0.6 ml

63
Q

what nerve block has the high chance of positive aspiration

A

greater palatine nerve block

64
Q

complication in greater palatine nerve block

A

ischemia of soft palate
anesthesia of the soft palate

65
Q

reportded by ____ and ____ in 1997

A

friedman and hochman

66
Q

area anesthesized in amsan block

A

maxillary incisors, canine and premolar ( ASAN AND MSAN)

67
Q

advantages in amsan block

A

allows for an accurate smile line assesment or cosmetic dentistry
eliminate the postoperative inconvenience of numbness

68
Q

disadvantage of amsan block

A

slow administration
can cause operator fatigue because of resistance
uncomfortable
need supplemental anesthesia in central and lateral incisors
ischemia
1:50,000 la with epinephrine is contraindicated
long onset

69
Q

when using 4% LA such as articaine and prilocaine, reduce the volume by?

A

0.7-0.9 ml

70
Q

how many solution deposited using 2% LA in amsan block

A

1.4-1.8ml

71
Q

how many solution is needed in asan - palatal block

A

1.4-1.8 ml

72
Q

needle penetrates more ______ and more ____ of ______ ______than nasopalatine injection

A

more deeply and more volume of anesthetic solution

73
Q

Nerve and area anesthesized in ASAN- palatal

A

Nerve: nasopalatine nerve and anterior branches of ASAN

Area: pulp of maxillary central and lateral incisor and canine

Facial periodontal tissue and palatal periodontal tissue of same teeth

74
Q

Nerve and area anesthesized of greater palatine nerve block

A

Nerve: greater palatine nerve

Area anesthesized: 1.9 mm posterior border of hard palate

ANES (7 decks)

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