Module 14 Flashcards
what is the deposition of local anesthetic solution in to the cancellous bone that supports the teeth
intraosseous anesthesia
what are the 3 types of intraosseous anesthesia
- periodontal ligament injection
- intraseptal injection
- intraosseous injection
what injection involves anesthetizing the terminal nerve endings at site and at apex of the tooth, along with bone, soft tissue, and apical and pulpal tissues in the area of injection
periodontal ligament injection
what are the indications for periodontal ligament injection
- pulpal anesthesia of one to two teeth
- to avoid bilateral IANB
- patients who dislike soft tissue anesthesia
- adjunctive technique after nerve block if partial anesthesia is present
what are the contraindications of periodontal ligament injection
- infection or inflammation at site
- patients who require numb sensation to be at ease
what are the advantages of periodontal ligament injections
- no anesthesia to lip, tongue, other soft tissues
- minimum dose of LA necessary (0.2 mL per root)
- rapid onset
- less traumatic than conventional block injections
what are the disadvantages of periodontal ligament injections
- leakage of LA in patient’s mouth / bad taste
- excessive pressure or overly rapid injection could break glass carpule
- excessive pressure can cause tissue damage
- potential for extrusion exists if too much pressure or volume are used
what needle is used for the periodontal ligament injection
27 short
where does insertion occur in the periodontal ligament injection
along long axis of tooth to be treated, interproximally near the roots
what is the target area of the periodontal ligament injection
depth of gingival sulcus, weding the needle between the root and interproximal bone
what is the specific technique for the periodontal ligament injection
- bevel toward root
- advance apically until resistance
- deposit 0.2 mL at minimum of 20 sec
what injection anesthetizes the terminal nerve endings at the site of injection and adjacent to hard and soft tissues
intraseptal injections
what are the indications for intraseptal injections
- when pain and heme control are needed for soft tissue and osseous periodontal treatment
- some minor restorative procedures on mandibular teeth
what are contraindications of intraseptal injections
infection or severe inflammation at injection site
what are the advantages of intraseptal injections
- no anesthesia of lip, tongue
- minimum dose of LA necessary
- minimized bleeding during surgical procedure
- atraumatic
- useful on periodontally involved teeth (avoids infected pockets)