Maxillary LA Flashcards

1
Q

name this nerve

A

middle superior alveolar nerve

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2
Q

name this nerve

A

infraorbital nerve

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3
Q

name this nerve

A

anterior superior alveolar nerve

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4
Q

name this nerve

A

posterior superior alveolar nerve

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5
Q

what innervates these teeth?

A

anterior superior alveolar nerve

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6
Q

what innervates these teeth?

A

middle superior alveolar nerve

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7
Q

what innervates these teeth?

A

posterior superior alveolar nerve

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8
Q

name this nerve

A

incisive branch of nasopalatine nerve

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9
Q

name this nerve

A

greater palatine nerve

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10
Q

name this nerve

A

lesser palatine nerve

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11
Q

what nerve innervates this area?

A

anterior superior alveolar nerve

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12
Q

what nerve innervates this area?

A

middle superior alveolar nerve

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13
Q

what nerve innervates this area?

A

posterior superior alveolar nerve

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14
Q

what nerve innervates this area?

A

infraorbital nerve

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15
Q

what nerve innervates this area?

A

incisive branch of nasopalatine nerve

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16
Q

what nerve innervates this area?

A

greater palatine nerve

17
Q

what nerve innervates this area?

A

lesser palatine nerve

18
Q

what does infiltration anaesthesia act on?

A

nerve endings

19
Q

what does infiltration require in order to work?

A

has to diffuse through the bone to root apex

20
Q

what tooth is difficult to anaesthetise using infiltration?

A

upper 1st molar as thicker bone due to buttress system

21
Q

steps for maxillary infiltration

A

dry site

topical anaesthesia gel on cotton wool, 3-5 mins

retract tissue, taught

insert needle, bevel facing bone, syringe at 45 degrees to bone

insert till touch bone, withdraw 1mm

aspirate

1ml solution per minute

22
Q

regional (block) anaesthesia acts on what?

A

nerve trunk

23
Q

regional block anaesthesia is used to block what nerves in the maxilla?

A

incisive branch of nasopalatine nerve

greater palatine nerve

24
Q

where should you aim for a regional block of incisive branch of nasopalatine nerve?

A

between central anteriors in line with canines

25
Q

where should you aim for a regional block of greater palatine nerve?

A

between the 7 and 8 about 1cm away from gingival margins

26
Q

what is aspiration?

A

technique to reduce the risk of IV injection by creating negative pressure at the tip fo the needle so you pull up a sample of the injection site -> if blood then likely its in a vessel

27
Q

what size needle should you use?

A

short
25mm
30gauge