Module 5 Flashcards
What injection is utilized when a pt. has little/no opening ability?
Vazarani-Akinosi
Akinosi is also called?
Closed Mouth Mandibular Nerve Block
Tuberosity Technique
What nerves are affected during an Akinosi injection?
All the the IA gets PLUS the Mylohyoid
The penetration site for the Akinosi Injection is ______ to the ramus adjacent to the ______ at the height of the ________ adjacent to the MX ____?
medial
tuberosity
mucogingival junction
3rd molar
The Akinosi injection site is ____ the IA and _____ the Gow Gates?
above
below
One advantage to the Akinosi is when a pt. has ______ IA and mandibular canals?
bifud
What injection is a TRUE Mandibular Nerve Block?
Gow-Gates
What are the two nerve the Gow Gates anesthetizes that the IA/Akinosi does not?
Auriculotemporal and buccal
The penetration site for the Gow-Gates injection is _______ to the rams lined up from the _____ ____ to the ____ of the mouth distal to the ______ tooth?
Medial
Intertragic Notch
corner
MX 2nd molar (ML cusp)
What is the site of deposition on a Gow-Gates Injection?
Lateral side of the condylar neck
What structures are affected with a A-MSA injection?
Pulp and tissues of premolar to the central on one side
What nerves does a P-ASA affect?
ASA
Nasopalatine
What structures are affected with a P-ASA injection?
PALATAL Tissues and pulps of centrals through canines (BILATERALLY)
What is the target on a P-ASA injection?
Nasopalatine Foramen
What is the landmark for a P-ASA injection?
Nasopalatine Papilla
What is the target area for the MX Nerve Block?
Greater Palatine Foramen
What structures are affected with a MX Nerve Block?
All teeth and gingiva on 1 side
Skin of lower eye, side of nose, cheek, and upper lip
What is the Periodontal Ligament injection more commonly called?
Intraosseous
What structures are affected by the PDL injection?
terminal nerve endings @ site of injection and the apex of the tooth
When would a PDL injection be good?
when pulp anesthesia is needed on 1-2 teeth
When can we NOT use a PDL injection?
On primary teeth with permanent tooth buds showing
You only use _____ml of anesthetic for a PDL injection per tooth?
.2
What is one advantage to a PDL injection?
Can work on both mandibular arches the same day
What is the deposition site for a PDL injection?
Depth of gingival sulcus
What is the penetration site for a PDL injection?
Long axis of tooth
(M/D) aspect
What accessory injection is similar to the PDL but is useful in site of infection?
Intraseptal
What procedures would you be doing if you did an Intraseptal injection
Gingival curetage
Surgical flaps
What is the insertion point for a Intraseptal injection?
center of papilla
The needle goes into interdental septum ___ ___ mm with the intraseptal injection?
1-2
What structures does an Intraseptal injection anesthetize?
bone, soft tissue, and root structures of tooth
The bevel faces which direction for an Intraseptal injection?
apex of tooth
What type of injection utilizes a STABIDENT?
Intraosseous
How much anesthetic is used in an intraosseous injection?
.6 ml (1-2 teeth)
What type of injection is inserted directly into a pulp chamber/canal?
Intrapulpal
How much anesthetic is used for an Intrapulpal injection?
.2-.3 ml