Term
| Supraperiosteal injection (local infiltration) |
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Definition
| Used for management of small,isolated areas such as pulpal anesthesia and soft tissue anesthesia of maxillary teeth |
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Term
| Supraperiosteal injection indications |
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Definition
-pulpal anesthesia of maxillary teeth when tx is limited to one or two teeth
-soft tissue anesthesia when indicated for surgical procedures in a small circumscribed area |
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Term
| Supraperiosteal injection contraindications |
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Definition
| dense bone covering the apices of teeth |
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Term
| Supraperiosteal injection advantages |
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Definition
-high success rate (>95%)
-technically easy (hard to miss)
-fairly atraumatic
-very low rate of + aspiration (<1%) |
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Term
| Supraperiosteal injection disadvantages |
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Definition
| -not recommended for large areas because of need for multiple needles insertions and possible use of larger volumes of anesthesia solution |
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Term
| Supraperiosteal injection alternatives |
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Definition
| PDL injection, nerve block |
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Term
| Supraperiosteal injection needle size |
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Definition
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Term
| Supraperiosteal injection area of insertion |
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Definition
| height of mucobuccal fold above apex of tooth to be anestetized |
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Term
| Supraperiosteal injection target area |
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Definition
| apex of tooth to be anestetized |
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Term
| Supraperiosteal injection landmarks |
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Definition
| mucobuccal fold, crown of the tooth, root contour of the tooth |
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Term
| Supraperiosteal injection bevel direction |
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Definition
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Term
| Supraperiosteal injection - what to do with lip |
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Definition
| lift lip and pull tissue taut (harder to penetrate if lip is flacid) |
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Term
| Supraperiosteal injection direction of syringe in relation to tooth |
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Definition
| syringe is parallel to the long axis of the tooth |
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Term
| Supraperiosteal injection amount injected |
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Definition
| .6 ml (one third of cartridge) over 20 seconds |
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Term
| Supraperiosteal injection reasons for failure |
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Definition
-needle tip is below apex
-needle tip is too far from bone |
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Term
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Definition
| LA is deposited close to a main nerve trunk, usually at a distance from the site of operative intervention |
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Term
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Definition
pulps of maxillary third, second and first molars (except 28% of mb root of 1st molar)
-buccal periodontium and bone overlying these teeth |
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Term
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Definition
-treatment of 2 or more maxillary molars
-if supraperiosteal injection has been ineffective |
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Term
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Definition
-usually atraumatic
-high success rate (>90%)
-potentially minimizes # and vol of injections given |
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Term
|
Definition
-usually atraumatic
-high success rate (>90%)
-potentially minimizes # and vol of injections given |
|
|
Term
|
Definition
-usually atraumatic
-high success rate (>90%)
-potentially minimizes # and vol of injections given |
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