Overview Flashcards

1
Q

how innervated are oral structures?

A

heavily innervated

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2
Q

what does stimulation of tooth pulps cause?

A

Due to being highly innervated , stimulation produces almost exclusively the sensation pain so most operative procedures involving teeth have the potential to be extremely painful

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3
Q

what is anaesthesia?

A

loss of all sensation

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4
Q

what is analgesia?

A

loss of pain sensation

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5
Q

what is local anaesthesia?

A

a method of anaesthesia that acts in a local (i.e. specific) area of the body and does not result in a loss of consciousness

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6
Q

what is local anaesthesia used for?

A
  • Pain control: during a procedure / post operatively
  • Diagnosis
  • Haemostasis (due to vasoconstrictor)
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7
Q

Name the different types of local anaesthesia.

A
  • topical
  • infiltration
  • regional
  • supplementary
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8
Q

what is topical anaesthesia?

A

anaesthesia of surface tissues

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9
Q

what is the use of topical anaesthesia?

A
  • aid to pain free injections
  • very minor oral surgery
  • abscess incision
  • palate for impressions
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10
Q

what is infiltration anaesthesia?

A

Anaesthesia achieved by diffusion of the anaesthetic solution to the site of action and site of operation - in the case of teeth, the root apex

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11
Q

how is infiltration effectiveness determined?

A

effectiveness determined by the permeability of the tissues (especially bone) through which the solution has to pass

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12
Q

what are the limitations of infiltration anaesthesia?

A

dependent on thickness of bone therefore not as useful with upper and lower molar regions

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13
Q

what is regional block anaesthesia?

A

anaesthesia achieved by blocking a nerve trunk, often at some distance from the site of operation

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14
Q

What nerves are commonly blocked in block anaesthesia?

A
  • inferior alveolar (dental)
  • mental and incisive
  • lingual
  • long buccal
  • greater palatine
  • naso-palatine
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15
Q

when are supplemental techniques used?

A

when other types of anaesthesia have failed to work or need an alternate option

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16
Q

what is the importance of excellent technique?

A

Dental Anxiety / Fear

-45% of UK population identified fear as a major barrier to attending the dentist

17
Q

what is dental fear or phobia caused by?

A
  • Bad or traumatic dental experience

- Direct or indirect (i.e. friend/relative) experience

18
Q

what are bad experiences often due to?

A
  • Administration of LA
  • Failure of LA
  • Management of failure of the LA