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Pain Mgmt > Maxillary Injections > Flashcards

Maxillary Injections Flashcards

1
Q

Supraperiosteal needle gauge and length

A

27g short

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2
Q

superaperiosteal area of insertion

A

height of mucobuccal fold above apex of the tooth being anesthetized

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3
Q

supraperiosteal target area

A

apical region of the tooth being anesthetized

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4
Q

supraperiosteal anesthetic amount

A

0.6mL (1/3 carp)

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5
Q

PSA needle gauge and length

A

27g short

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6
Q

PSA area of insertion

A

height of mucobuccal fold above max. second molar

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7
Q

PSA tsrget area

A

PSA nerve - posterior, superior and medial to the posterior border of the maxilla

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8
Q

PSA landmarks

A

mucobuccal fold, maxillary tuberosity, zygomatic process of the maxilla

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9
Q

PSA needle movement

A

upward, inward, backward 45 degrees

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10
Q

PSA penetration depth

A

16mm

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11
Q

PSA anesthetic amount

A

0.9 - 1.8mL (1/2 to 1 carp)

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12
Q

MSA areas anesthetized

A

pulps of the maxillary first and second premolars, mesiobuccal root of the first molar AND buccal periodontal tissues and bone over these teeth

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13
Q

MSA needle gauge and length

A

27g short

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14
Q

MSA area of insertion

A

height of the mucobuccal fold above the maxillary second premolar

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15
Q

MSA target area

A

maxillary bone above the apex of the maxillary second premolar

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16
Q

MSA landmarks

A

mucobuccal fold above the maxillary second premolar

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17
Q

MSA anesthetic amount

A

0.9-1.2mL (1/2 - 2/3 carp)

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18
Q

ASA (infraorbital) nerves anesthetized

A

ASA, MSA, infraorbital

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19
Q

ASA areas anesthetized

A

pulps of maxillary central incisor through the canine, (72% pulps of max. premolars and MB root of the first molar) buccal (labial) periodontium and bone of these teeth, lower eyelid, lateral aspect of the nose, upper lip

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20
Q

ASA needle gauge and lenth

A

25-27g long

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21
Q

ASA area of insertion

A

height of the mucobuccal fold directly over the first premolar

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22
Q

ASA target area

A

infraorbital foramen

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23
Q

ASA landmarks

A

mucobuccal fold, infraorbital notch, intraorbital foramen

24
Q

ADA depth of penetration

A

16mm

25
Q

ASA anesthetic amount

A

0.9-1.2mL (1/2 - 2/3 carp)

26
Q

Greater Palatine NB nerves anesthetized

A

GP nerve

27
Q

GP needle gauge and length

A

27g short

28
Q

GP area of insertion

A

soft tissue slightly anterior to the GP foramen

29
Q

GP target area

A

greater (anterior) palatine nerve as it passes anteriorly between soft tissues and bone of the hard palate

30
Q

GP landmarks

A

GP foramen and junction of the maxillary alveolar process and palatine bone

31
Q

GP depth of penetration

A

5mm

32
Q

GP anesthetic amount

A

0.45-0.6mL (1/4 - 1/3 carp)

33
Q

Nasopalatine nerves anesthetized

A

nasopalatine nerves bilaterally

34
Q

Nasopalatine areas anesthetized

A

anterior portion of the hard palate (soft and hard tissues) bilaterally from the mesial aspect of the right first premolar to the mesial aspect of the left first premolar

35
Q

nasopalatine needle gauge and length

A

27g short

36
Q

nasopalatine area of insertion

A

palatal mucosa just lateral to the incisive papilla

37
Q

nasopalatine target area

A

incisive foramen, beneath the incisive papilla

38
Q

nasopalatine landmarks

A

central incisors and incisive papilla

39
Q

naopalatine depth of penetration

A

5mm

40
Q

nasopalatine anesthetic amount

A

0.45mL (1/4 carp)

41
Q

AMSA nerves anesthetized

A

ASA nerve, MSA nerve, subneural dental plexus of ASA and MSA

42
Q

AMSA areas anesthetized

A

pulpal anesthesia of the maxillary incisors, canines and premolars, buccal attached gingiva of the teeth, attached palatal tissues from midline to free gingival margin on associated teeth

43
Q

AMSA needle gauge and length

A

27g short

44
Q

AMSA area of insertion

A

on hard palate about half way along an imaginary line connecting the midpalatal suture to the free gingival margin (at contact line between first and second premolars)

45
Q

AMSA target area

A

palatal bone at injection site

46
Q

AMSA landmarks

A

intersecting point midway along a line from the midpalatine suture to the free gingival margin intersecting the contact point between the first and second premolars

47
Q

AMSA anesthetic amount

A

1.4-1.8mL (3/4 - 1 carp)

48
Q

Maxillary NB nerve anesthetized

A

maxillary branch of the trigeminal nerve

49
Q

Maxillary NB areas anesthetized

A

pulpal anesthesia of the maxillary teeth on the side of the block, buccal periodontium and bone overlying these teeth, soft tissues and bone of the hard palate and part of the soft palate, medial to midline, skin of the lower eyelid, side of the nose, cheek, and upper lip

50
Q

Maxillary NB needle gauge and length

A

25g long

51
Q

Maxillary NB area of insertion

A

height of the mucobuccal fold above the distal aspect of the maxillary second molar

52
Q

Maxillary NB target area

A

Maxillary nerve as it passes through the pterygopalatine fossa, superior and medial to the target area of the PSA nerve block

53
Q

Maxillary NB landmarks

A

mucobuccal fold at the distal aspect of the maxillary second molar, maxillary tuberosity, zygomatic process of the maxilla

54
Q

Maxillary NB depth of penetration

A

30mm

55
Q

Maxillary NB anesthetic amount

A

1.8mL (1 carp)

Pain Mgmt (1 decks)

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