Term
| How do we use psychological management? |
|
Definition
-through pt control(explaining things to them to make them feel like they have the control)
-behavorial management techniques |
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Term
| How deep to topical anesthetics penetrate? |
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Definition
|
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Term
| What can the high concentration of local anesthetics lead to? |
|
Definition
| -toxicity locally and systemically |
|
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Term
| What may benzocaine or other flavoring agents lead to? |
|
Definition
|
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Term
| What is the most frequently used dental anesthetic? What kind is it? What are some benefits? |
|
Definition
-benzocaine
-ester
-low toxicity and prolonged duration |
|
|
Term
| What is dyclonine hydrochloride? |
|
Definition
| ketone used for patient with sensitivity to others |
|
|
Term
|
Definition
-amide with low incidence of allergic reaction
-used on lacerated tissue |
|
|
Term
| What should you do to the area before applying topical anesthetic? How long before injection should it be applied? |
|
Definition
-dry area, wipe with a 2x2
-apply 2 mins before injection |
|
|
Term
| Where does the semilunar ganglion lie? |
|
Definition
| in Meckle's cavity in the bottom of the middle cranial fossa |
|
|
Term
| What are the 3 branches of the superior dental plexus? What does it supply feeling to? |
|
Definition
-posterior superior-3 molars except MB root of 1st molar, buccal tissue
-middle superior-premolars and MB root of 1st molar and buccal
-anterior superior-all anterior teeth |
|
|
Term
| What does an infraorbital injection target? What does it anesthesize? |
|
Definition
-the infraorbital foramen
-anesthesizes premolars, incisors, and facial tissue |
|
|
Term
| What does an ASA(anterior superior alveolar)infiltration anesthetize? Target? |
|
Definition
-target is slight mesial to and above apex of canine
-anesthetizes anterior teeth and facial tissue |
|
|
Term
| What doea MSA infiltration anesthetize? What is the target? |
|
Definition
-target is above the apex of the 2nd premolar
-premolars and MB root of 1st molars are anesthetized |
|
|
Term
| Does everyone have a middle superior alveolar nerve? |
|
Definition
| no it is only present in 25% of the population |
|
|
Term
| What is the target of a PSA block? What does it anesthetize? |
|
Definition
-target is slightly above and distal to the last molar(max tub)
-anesthetizes all max molars except MB root of 1st |
|
|
Term
| What is there a risk for with PSA/tuberosity injections? |
|
Definition
| greater chance for hematoma due to promity of ptereygoid plexus |
|
|
Term
| What does the nasopalatine nerve bring feeling to? |
|
Definition
| mucous membrane and gingiva of anterior hard palate are innervated |
|
|
Term
| What does the greater palatine nerve innervate? |
|
Definition
| posterior hard palate and gingiva |
|
|
Term
| What is the target of a nasopalatine infiltration? Block? What do these inesthetize? |
|
Definition
-infiltration-lateral to incisive papilla
-block-on incisive papilla
-these anesthetize the gingiva and mucus membranes of the anterior hard palate |
|
|
Term
| What is the target of a greater palatine injection? What does it anesthetize? |
|
Definition
-target if palatine foramen, above and lingial to second molar
-posterior mucus membranes and hard palate gingiva are innervated |
|
|
Term
| What does the inferior alveolar nerve innervate? |
|
Definition
| -teeth and gingiva of jaw |
|
|
Term
| What does the lingial nerve innervate? |
|
Definition
| lingial gingiva of the molar region |
|
|
Term
| What does the sublingial nerve innervate? |
|
Definition
| anterior aspect of the lower jaw and the mucosa of the floor of the mouth |
|
|
Term
| What is the target of the inferior alveolar/lingual injection? WHat does it inesthetize? |
|
Definition
-target is ramus slightly superior to mandibular foramen
-the teeth, peridontal tissues, and tongue are anesthetized |
|
|
Term
| What does the buccal nerve innervate? |
|
Definition
| the buccal gingiva between the second premolar and molar |
|
|
Term
| What is the target of a long buccal injection? What is innervated? |
|
Definition
-target is distal and buccal to the most posterior molar
-innervates buccal gingiva between 2nd premolar and second molar |
|
|
Term
| What can a mental nerve injection anesthetize? What is the target? |
|
Definition
-innervates buccal gingiva between midline and the second premolar, the lower lip and the skin.
-target is mental nerve as it exits mental foramen. |
|
|
Term
| What does the aspiring syringe do? |
|
Definition
| creates negative pressure in the cartridge to check for blood |
|
|
Term
| What is the incidence of positive aspiration? |
|
Definition
|
|
Term
| Who has stated that needle guards are not approved? |
|
Definition
|
|
Term
| How long is a short needle? Long? |
|
Definition
|
|
Term
| With the gauge of the lumen is the smallest number the smallest gauge? |
|
Definition
| no it is the opposite, the larger the number the smaller the gauge |
|
|
Term
| What is the benefit of a larger gauge? Where are these preferred? |
|
Definition
less deflection and ease of aspiration
-preferred in areas with higher risk of positive aspiration |
|
|
Term
| What are the gauge sizes? What color goes with each size? |
|
Definition
-25(biggest, red)
-27(yellow)
-30(smallest, blue) |
|
|
Term
| What does the color tell you? |
|
Definition
| gauge size not needle length |
|
|
Term
| What are cartridges labeled with? (6) |
|
Definition
-volume
-name
-concentration of anesthetic and vascoconctrictor
-supplier
-manf #
-expiration date |
|
|
Term
| Where does the CDC say we have to dispose of carpules? |
|
Definition
| if aspirated(have blood in them) we put them in the sharps container, if not they can go in the trash |
|
|
Term
| What are we inspecting prior to injecting? |
|
Definition
-breakage
-air bubbles
-cloudiness |
|
|
Term
| What is the general shelf life for injections? |
|
Definition
|
|
Term
| How much solution is in each carpule? |
|
Definition
|
|
Term
| When can we not use a cartridge? |
|
Definition
| if there is an airbubble under the metal cap when held vertically |
|
|
Term
| Solutions with epinephrine must be protected from BLANK. |
|
Definition
|
|
Term
| When should cartridges be loaded? |
|
Definition
|
|
Term
| What speed should we inject at? |
|
Definition
|
|
Term
|
Definition
| provides pain relief and its needle free application avoids patient concerns regarding needles and injections |
|
|
Term
| Do we inject oraquix? How quick is the onset? |
|
Definition
|
|
Term
| What is the maximum that could be applied? |
|
Definition
|
|
Term
| Amide local anesthetics have been replaced with what? |
|
Definition
| ester (procaine, tetracaine) |
|
|
Term
| What is a preservative in local anesthetics containing a vascocontrictor that is a potential allergen? |
|
Definition
|
|
Term
| What are some possible drug interactions to some local anesthetics? |
|
Definition
-triclyic antidepressants to noradrenaline
-beta blockers for HBP or migraine to vascoconttrictor
-MAOI to sympaticomimetric amines |
|
|
Term
| What can injecting someone too fast cause? |
|
Definition
|
|
Term
| How much solution should we utilize? |
|
Definition
|
|
Term
| Where do we document the use of local anesthetics? |
|
Definition
|
|
Term
| What is he minimum % oxygen concentration to be used with nitrous oxide? |
|
Definition
|
|
Term
| How full should the reserve bag be during respiration? |
|
Definition
|
|
Term
| How much should we increase the nitrous oxide concentration by as we increase? |
|
Definition
| 0.5, decrease oxygen at the same |
|
|
Term
| BLANK mins of BLANK % oxygen is needed after nitrous oxide delivery. |
|
Definition
| 5 mins of 100% oxygen is needed after nitrous oxide delivery. |
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