Term
| is local anesthesia more successful for the maxilla or mandible? |
|
Definition
|
|
Term
| the maxillary bone is less dense in what area? |
|
Definition
|
|
Term
| does the maxilla or mandible have more variation in anatomy? |
|
Definition
| mandible has more variation |
|
|
Term
| what is the target area for the PSA block |
|
Definition
| PSA nerve as it enters the posterior superior alveolar farmina above maxillary tuberosity |
|
|
Term
| what is the injection site for the PSA block |
|
Definition
height of MB fold
apex of max 2nd molar (D to zygomatic process) |
|
|
Term
| the needle for the PSA injection is inserted in what direction? |
|
Definition
| distal and medial direction 45:45 |
|
|
Term
| for the PSA injection, the syringe should extend from the mouth adjacent to what structure? |
|
Definition
| ipsilateral labial commissure |
|
|
Term
| what injection would be used for the maxillary premolars and MB root of the 1st molar? |
|
Definition
|
|
Term
| which blocks do not anesthetize the buccal mucosa adjacent to their target teeth? |
|
Definition
|
|
Term
| what is the target area for the MSA block |
|
Definition
| apex of maxillary second premolar |
|
|
Term
| is bone contacted for the MSA block |
|
Definition
|
|
Term
| what two blocks are used instead of an IO? |
|
Definition
|
|
Term
| what is the target area for the ASA block |
|
Definition
| ASA nerve at the apex of maxillary canine (anterior to the canine eminence in the canine fossa) |
|
|
Term
| is the canine fossa anterior or posterior to the canine eminence? |
|
Definition
|
|
Term
| what is the injection angle for the ASA block? |
|
Definition
| 10 degrees off from the long axis of the canine |
|
|
Term
| is the bone contacted for an ASA block? |
|
Definition
|
|
Term
| what nerves are anesthetized for the IO block? |
|
Definition
|
|
Term
| when is the IO indicated? |
|
Definition
| procedure involves more than 2 max premolars or anterior teeth and overlying periodontium |
|
|
Term
| what is the target area for the IO block |
|
Definition
| ASA and MSA nerves as they join the infraorbital nerve after it enters the infraorbital foramen |
|
|
Term
| where is the infraorbital foramen located? |
|
Definition
10 mm below the infraorbital rim
1-4 mm medial to the pupil |
|
|
Term
| where is the injection site for the IO block? |
|
Definition
| height of MB fold at apex of max first premolar |
|
|
Term
| for an IO injection, where should the needle contact bone? |
|
Definition
| upper rim of infraorbital foramen |
|
|
Term
| why is the finger held on the infraorbital foramen during needle insertion of the IO block? |
|
Definition
| helps keep the syringe angled toward the foramen and parallel with the long axis of the tooth |
|
|
Term
| when is the greater palatine injection used? |
|
Definition
more than 2 posterior maxillary teeth
palatal soft tissues distal to max canine |
|
|
Term
| what area is anesthetized for the GP block? |
|
Definition
| posterior hard palate up to max first molar and medially to midline |
|
|
Term
| where is the greater palatine foramen in adults and children |
|
Definition
children- apex of max 2nd molar
adults- apex of maxillary 3rd molar |
|
|
Term
| the greater palatine foramen is located at the junction of which two structures? |
|
Definition
maxillary alveolar process
posterior hard palate |
|
|
Term
| how many mm's medially from the lingual margin is the greater palatine foramen? |
|
Definition
|
|
Term
| what angle is the needle inserted for the GP block? |
|
Definition
|
|
Term
| what bone is contacted for the GP block? |
|
Definition
|
|
Term
| what area is anesthetized for the nasopalatine block |
|
Definition
| anterior portion of the hard palate (canine to canine) |
|
|
Term
| what is the target for the NP block |
|
Definition
| L & R nasopalatine nerves as they enter the incisive foramen |
|
|
Term
| which 3 injections use pressure anesthesia? |
|
Definition
Nasopalatine
greater palatine
anterior middle superior alveolar (AMSA) |
|
|
Term
| for the nasopalatine block, do you inject directly into the incisive papilla? |
|
Definition
| no, lateral side (opposite pressure anesthesia) |
|
|
Term
| what is the needle insertion angle for the NP block? |
|
Definition
|
|
Term
| is bone contacted in the NP block? |
|
Definition
|
|
Term
| the Anterior Middle Superior Alveolar (AMSA)block covers the same area as what 4 blocks? |
|
Definition
|
|
Term
| why is the AMSA block preferred by some dentists? |
|
Definition
| doesn't anesthetize facial tissues, allows for smiling to check height of teeth |
|
|
Term
| what is the injection site for the AMSA block? |
|
Definition
bisecting the apex of max premolars
midway between lingual gingiva and median palatal suture |
|
|
Term
| what should the syringe orientation be for the AMSA block |
|
Definition
| from contralateral premolars |
|
|
Term
| what is the angle of needle penetration for the AMSA |
|
Definition
|
|
Term
| is bone contacted for the AMSA injection? |
|
Definition
|
|
Term
| Where is the mandibular bone thickest? |
|
Definition
|
|
Term
| what block is used for pulpal anesthesia of the mandibular teeth |
|
Definition
| inferior alveolar (mandibular block) |
|
|
Term
| what tissues are anesthetized for the IA block? |
|
Definition
all lingual
buccal for anterior and premolars |
|
|
Term
| what structure overhands the mandibular foramen? |
|
Definition
|
|
Term
| what is the target area for the IA block? |
|
Definition
| superior to the mandibular foramen |
|
|
Term
| which two nerves are anesthetized during the IA block? |
|
Definition
|
|
Term
| what is the injection site for the IA block |
|
Definition
| mandibular tissues on medial border of mandibular ramus |
|
|
Term
| what is the correct injection height for the IA block? |
|
Definition
|
|
Term
| what is the correct direction for the IA block? |
|
Definition
| anteroposterior direction |
|
|
Term
| what space is the needle inserted into for the IA block? |
|
Definition
|
|
Term
| overinsertion of the needle on an IA block may resulting in piercing of what structure? |
|
Definition
|
|
Term
| if bone is contacted too soon in an IA block, what structure would block to the flow of anesthetic to the target area? |
|
Definition
| sphenomandibular ligament |
|
|
Term
| what block would be used for anesthesia of the buccal periodontium of the mandibular molars?? |
|
Definition
|
|
Term
| what is the target area for the buccal block |
|
Definition
| buccal nerve as it passes over the anterior border of the ramus |
|
|
Term
| what is the injection site for the buccal block |
|
Definition
| buccal tissue distal and buccal to the last mandibular molar (anterior border of ramus) |
|
|
Term
| is bone contacted for the buccal block? |
|
Definition
|
|
Term
| what is the mental blocked used for? |
|
Definition
| facial periodontium of mandibular premolars and anterior teeth |
|
|
Term
| what is the target area for the mental block |
|
Definition
|
|
Term
| what is the injection site for the mental block |
|
Definition
| height of MB fold between 1st and 2nd premolars apical to mental foramen depression |
|
|
Term
| is bone contacted for the mental block? |
|
Definition
|
|
Term
| what does the incisive block anesthetize? |
|
Definition
| pulpal and facial tissues of mandibular teeth anterior to mental foramen (anteriors and possible 1st premolar) |
|
|
Term
| the target area for the incisive block is the same as what other block |
|
Definition
|
|
Term
| what is the different between the method of injection for the mental and incisive block |
|
Definition
more anesthetic for the incisive
pressure applied after incisive to move anesthetic forward and into the mental foramen |
|
|
Term
| what nerves are anesthetized in the gow-gates block? (7) |
|
Definition
inferior alveolar
mental
incisive
lingual
mylohyoid
auriculotemporal
buccal |
|
|
Term
| what is the target area for he Gow Gates |
|
Definition
| anteromedial border of mandibular condylar neck inferior to insertion of lateral pterygoid muscle |
|
|
Term
| what is the injection site for the gow gates |
|
Definition
mesial of the mandibular ramus
distal to the height of the mesiolingual cusp of the max 2nd molar |
|
|
Term
| what imaginary line should you trace for the gow gates |
|
Definition
| ipsilateral intertragic notch to the ipsilateral labial commissure |
|
|
Term
| for the gow gates, the syringe barrel should be over which contralateral teeth? |
|
Definition
| mandibular canine-premolar area |
|
|
Term
| is bone contacted for the gow gates? |
|
Definition
|
|
Term
| An extraoral hematoma can result from an incorrect PSA block because overinsertion results in penetration of what structure? |
|
Definition
| pterygoid plexus of veins |
|
|
Term
which ofthe following is not anesthetized during the IA block
buccal
lingual
mental
incisive |
|
Definition
|
|
Term
| what facial structures are usually anesthetized during an infraorbital block |
|
Definition
upper lip
side of nose
lower eyelid |
|
|
Term
| what landmark should be located before administering an IA block |
|
Definition
|
|
Term
| what happens if the bone is contacted early during an inferior alveolar local anesthetic block |
|
Definition
| needle tip located too far anteriorly on the ramus |
|
|
Term
| in which location is the use of local infiltrations most successful? |
|
Definition
| facial surface of anterior maxilla |
|
|
