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Local Anesthesia
N/A
12
Dentistry
Undergraduate 4
07/11/2014

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Cards

Term
ASA
Definition
1. Field of anesthesia: Canine, lateral, central
2. The penetration site for inserting your needle: height of mucobuccal fold above canine.
3.Landmarks to help identify target:above apex of canine.
4.What length of needle is recommended: short 25/27 gauge.
5.Angle of insertion: needle directed 25 degrees medially bevel toward bone.
6. Penetration (How much of the needle is inserted?): variable, needle tip inserted to a point above apex of canine.
7. Recommended amount of anesthesia): 0.9-1.2ml
Term
MSA
Definition
1.Field of anesthesia (what gets numb):Maxillary premolars and mesiobuccal root of first molar.
2.The penetration site for inserting your needle: height of mucobuccal fold above the second premolar
3.Landmarks to help identify target:Well above apex of second premolar.
4.What length of needle is recommended: short 25/27 gauge.
5.Angle of insertion: Needle directed 20 degrees medially bevel toward bone.
6.Penetration (How much of the needle is inserted?):Variable, needle tip inserted to a point well above apex of second premolar.
7.Recommended amount of anesthesia):0.9-1.2ml
Term
IO
Definition
1. Field of anesthesia (what gets numb): Premolars, canine, lateral, central teeth
2. The penetration site for inserting your needle: Height of mucobuccal folder above first premolar.
3. Landmarks to help identify target: Infraorbital foramen.
4. What length of needle is recommended: Short or long 25/27 gauge
5. Angle of insertion: Needle parallel to long axis of tooth bevel toward bone.
6. Penetration (How much of the needle is inserted?): Variable, needle tip inserted to a point lateral to the infraorbital foramen.
7. Recommended amount of anesthesia): 0.9-1.2ml
Term
PSA
Definition
1. Field of anesthesia (what gets numb): Maxillary molars except mesiobuccal root of first molar
2. The penetration site for inserting your needle: height of mucobuccal fold above second molar.
3. Landmarks to help identify target: Slightly above and distal to distobuccal root of last olar, second or third if present.
4. What length of needle is recommended: Short 25/27 gauge.
5. Angle of insertion: Needle advanced along a path 45 degrees medially to midsaggital place, 45 degrees superior to occlusal plain.
6. Penetration (How much of the needle is inserted?):Needle tip inserted to a depth of 16mm
7. Recommended amount of anesthesia): 9.0-1.8ml
Term
Infiltration
Definition
1. Field of anesthesia (what gets numb): At injection site
2. The penetration site for inserting your needle: Height of mucobuccal fold buccal to tooth
3. Landmarks to help identify target: Selected soft tissue, gingival or apex of tooth.
4. What length of needle is recommended: Extra-Short or Short 25/27/30 gauge.
5. Angle of insertion: Approximately 20 degrees to long axis of tooth, directed toward apex of tooth bevel toward bone.
6. Penetration (How much of the needle is inserted?): Needle tip inserted to a depth of 3-6 mm to apex.
7. Recommended amount of anesthesia): 0.6 ml
Term
NP or PASA
Definition
1. Field of anesthesia (what gets numb): Central, lateral, canine teeth.
2. The penetration site for inserting your needle: Infiltration: just lateral to incisive papilla.
Block: center of papilla on midline
3. Landmarks to help identify target: Beneath incisive papilla, slightly into incisive foramen.
4. What length of needle is recommended: Extra-Short or Short 30/27 gauge.
5. Angle of insertion: Approach at 45 degree angle bevel toward palate.
6. Penetration (How much of the needle is inserted?): 6-10 mm
7. Recommended amount of anesthesia): 1.4-1.8 ml
Term
GP
Definition
1. Field of anesthesia (what gets numb): None
2. The penetration site for inserting your needle:In the anterior depression of the GP foramen, at junction of palatine bone and alveolar precess above and lingual to second molar.
3. Landmarks to help identify target: Greater palatine foramen.
4. What length of needle is recommended: Extra-Short or Short 30-27 gauge.
5. Angle of insertion: From opposite side of mouth at right angle to target area bevel toward palate.
6. Penetration (How much of the needle is inserted?): Needle is inserted to 4-6 mm
7. Recommended amount of anesthesia): 0.4-0.6 ml
Term
IA
Definition
1. Field of anesthesia (what gets numb): All teeth in quadrant.
2. The penetration site for inserting your needle: Medial to internal oblique ridge, lateral to pterygonamndibular raphe, at or above height of coronoid notch.
3. Landmarks to help identify target: On medial surface of ramus, slightly superior to mandibular foramen.
4. What length of needle is recommended: Long 25/17 gauge.
5. Angle of insertion: 2/3 to 3/4 lenght of eedle until contact with bone, bevel toward bone.
6. Penetration (How much of the needle is inserted?): 2/3 to 3/4 length of needle, until contact with bone, bevel toward bone.
7. Recommended amount of anesthesia):1.5-1.8 ml
Term
Buccal
Definition
1. Field of anesthesia (what gets numb): None
2. The penetration site for inserting your needle: Mucous membrane distal and lateral to most posterior molar.
3. Landmarks to help identify target: Supraperiosteal, distal, and buccal to ost posterior molar.
4. What length of needle is recommended: Short or Long 25/27 gauge.
5. Angle of insertion: Syringe parallel to occlusal plane, lateral to teeth, bevel toward bone.
6. Penetration (How much of the needle is inserted?): 4 or more mm, bevel under tissue, evel toward bone.
7. Recommended amount of anesthesia): 0.2-0.3 ml
Term
Mental
Definition
1. Field of anesthesia (what gets numb): Short 25/27 gauge.
2. The penetration site for inserting your needle: Mucobuccal fold at or just anterior to mental foramen.
3. Landmarks to help identify target: Slightly superior to mental foramen.
4. What length of needle is recommended: Short 25/27 gauge.
5. Angle of insertion: Approximately 20 degees to long axis of remolars, bevel toward bone.
6. Penetration (How much of the needle is inserted?): 5-6 mm.
7. Recommended amount of anesthesia): 0.6 ml
Term
Mental
Definition
1. Field of anesthesia (what gets numb): Short 25/27 gauge.
2. The penetration site for inserting your needle: Mucobuccal fold at or just anterior to mental foramen.
3. Landmarks to help identify target: Slightly superior to mental foramen.
4. What length of needle is recommended: Short 25/27 gauge.
5. Angle of insertion: Approximately 20 degees to long axis of remolars, bevel toward bone.
6. Penetration (How much of the needle is inserted?): 5-6 mm.
7. Recommended amount of anesthesia): 0.6 ml
Term
Lingual
Definition
1. Field of anesthesia: Lingual soft tissues, the floor of the mouth, and the anterior two-thirds of the tongue (to the midline).
2. The penetration site for inserting your needle: Medial to internal oblique ridge, lateral to pterygomandibular raphe, at or above height of coronoid notch.
3.Landmarks to help identify target: Close proximity to the inferior alveolar nerve and is usually located medial and anterior to it.
4.What length of needle is recommended: Long 25/27 gauge.
5.Angle of insertion: 2/3 to 3/4 length of needle until contact with bone, bevel toward bone.
6. Penetration (How much of the needle is inserted?): 2/3 to 3/4 length of needle until contact with bone, bevel toward bone.
7. Recommended amount of anesthesia): 1.5-1.8 ml
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