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W09 Pain/Anxiety 2
Exam 2
48
Other
Professional
02/19/2009

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Term
local infiltration
Definition
___ ___ affects small terminal nerve endings.
Term
field block
Definition
___ ___ affects larger terminal branches.
Term
nerve block
Definition
___ ___ blocks the main nerve trunk.
Term
supraperiosteal (local infiltration)
Definition
___ anesthetizes the pulp and root area of the tooth, buccal periosteum, connective tissue and mucous membrane.
Term
near the area of the zygomatic bone and the area of bone underneath the nose
Definition
Name two areas in the maxilla in which dense bone covers the apices of teeth to be anesthetized, making local infiltration contraindicative.
Term
short (25 or 27 gauge short) needle
Definition
A (short/long) needle is used for supraperiosteal technique.
Term
False! There should be no bony resistance during injection.
Definition
T/F: You should touch bone in supraperiosteal anesthesia.
Term
Maxillary molars except the MB root of the 1st molar, also anesthetizes the buccal periodontium and bone overlying the teeth
Definition
Which teeth does the PSA nerve block?
Term
False! There is a great risk of hemorrhage in PSA.
Definition
T/F: There is no risk of hemorrhage in a PSA nerve block injection.
Term
25-gauge short needle = PSA
Definition
Which length/gauge needle is used for PSA?
Term
16mm, 4mm visible
Definition
The depth of penetration for an average sized adult is ___mm (leaving __mm visible in the oral cavity).
Term
middle superior alveolar
Definition
___ ___ ___ nerve block affects the maxillary premolars, all overlying buccal periosteal tissues, bone and the MB root of the first molar.
Term
infection or inflammation in the area of the needle insertion
Definition
What is a contraindication for all local anesthesia?
Term
25- or 27-gauge short needle
Definition
What length/gauge needle is used for MSA?
Term
MSA
Definition
___ ___ ___ injections are often difficult because the bone at the site of the injection is very dense.
Term
25-gauge long in adults, short in children and small adults
Definition
What length/gauge of needle is used in an ASA?
Term
IAN, Incisive nerve block, gow-gates, akinosi
Definition
___, ___, ___ and ___ provide regional anesthesia to the pulps of some or all mandibular teeth in a quadrant.
Term
mental nerve block and buccal nerve block
Definition
___ and ___ nerve blocks provide regional anesthesia to soft tissue only.
Term
IAN
Definition
What is the most frequently used injection technique?
Term
IAN block
Definition
Which nerve block has the highest percentage of clinical failures?
Term
mandibular block... this is not accurate because the mandibular block anesthetizes the inferior alveolar nerve, incisive nerve, mental nerve and lingual nerve.
Definition
IAN is sometimes referred to as the ___ ___.
Term
Mandibular teeth to midline, body of mandible, inferior portion of ramus, buccal mucoperiosteum, mucous membrane anterior to mandibular 1st molar, anterior 2/3 of tongue, floor of oral cavity, lingual soft tissues and periosteum (by way of the lingual nerve)
Definition
What does the IAN anesthetize?
Term
inferior alveolar nerve block
Definition
Which nerve block has the highest incidence of positive aspiration?
Term
coronoid notch, pterygomandibular raphe and occlusal plane of mandibular molars
Definition
What are the landmarks for the IAN?
Term
25-gauge long needle
Definition
What length/gauge needle is used in IAN?
Term
False! The needle MUST contact bone. The average depth of pepntration to bony contact will be 20-25mm (2/3-3/4 length of long needle)
Definition
T/F: The needle does not contact bone in the IAN.
Term
medial of the condylar neck just below the insertion of the lateral pterygoid muscle
Definition
What is the target area for the mandibular block?
Term
akinosi closed mouth mandibular block
Definition
____ technique is used when there is limited mandibular opening, making other techniques almost impossible to use.
Term
akinosi closed mouth mandibular block
Definition
____ anesthetizes the inferior alveolar nerve, incisive, mental, lingual, and mylohyoid nerves.
Term
True!
Definition
T/F: Akinosi closed mouth mandibular block is contraindicated for patients at risk of biting their lips of tongue.
Term
mucogingival junction of the maxillary 3rd molar, maxillary tuberosity, and coronoid notch of the mandibular ramus
Definition
What are the landmarks for the Akinosi Closed Mouth Mandibular block?
Term
akinosi
Definition
____ block's target area is soft tissue at the medial border of ramus in the region of the IAN, lingual, and mylohyoid nerves as the run inferiorly from the foramen ovale toward the mandibular foramen.
Term
False! It is very rare to fail
Definition
T/F: The mental nerve block is commonly failed.
Term
It anesthetizes the mental and incisive nerve which supplies the buccal mucous membrane anterior to the mental foramen, lower lip, skin of cheeks, pulps of premolars, canines and incisors.
Definition
What does the incisive nerve block anesthetize?
Term
False!
Definition
T/F: The incisive nerve block is commonly used because it provides anesthesia to areas that are not successfully anesthetized by an IAN block.
Term
intraosseous anesthesia
Definition
___ anesthesia involved deposition of anesthetic solution into the bone that supports the teeth.
Term
intraseptal, intraosseous and periodontal ligament injections
Definition
___ injection, ___ ___ injection and ____ injection are all intraosseous anesthetic techniques.
Term
intrapulpal
Definition
____ anesthesia is when solution is deposited directly into the pulp chamber of a pulpally involved tooth.
Term
periodontal ligament injection
Definition
___ ___ injection provides pulpal and soft tissue anesthesia in a very localized area without producing extensive soft tissue anesthesia.
Term
periodontal ligament injection
Definition
Which injection is indicated for pediatric patients to reduce the risk of self-mutilation.
Term
True! Isn't that stupid?
Definition
T/F: Periodontal ligament injection is indicated for pediatric patients, but contraindictated for primary teeth.
Term
interseptal injection
Definition
___ injection provides anesthesia to bone, soft tissue and root structure in the are of injection.
Term
interseptal injection
Definition
___ injection is indicated when both pain control and hemostasis are desired for soft tissue and osseous periodontal treatment.
Term
the apex of the tooth
Definition
When administering an interseptal injection, the bevel should be facing what?
Term
PDL and intraosseous
Definition
Which two injections require a special syringe?
Term
intrapulpal
Definition
___ injection is used for additional pain control during endodontic treatment when other techniques prove to be insufficient.
Term
intrapulpal and PDL
Definition
The wand is used in which two injections?
Term
electronically... it is contraindicated in patients with paemakers, pregnant patients and patients prone to seizures.
Definition
CEDETA system blocks the pain signal how instead of chemically?
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