Anatomy Of Local Anesthesia

Front 1

local infiltration

Back 1

injection placed near apices of teeth
anesthetizes small area of one or two teeth

Front 2

nerve block

Back 2

anesthesia is deposited near nerve trunk effects a large area

Front 3

you never inject areas that?

Back 3

has and abscess, cellulitus (inflamation), or ostiolitus (infection of the bone).

Front 4

type of injection is determined by?

Back 4

type and length of proceder.

Front 5

maxillary block is more successful than?

Back 5

a mandibular block
1 bone is less dense over facial surface of max teeth

2.less landmarks

Front 6

PSA-posterior superior alveolar block

Back 6

pulp anesthesia
-maxillary first second and third molars may not include MB root of first molar

Buccal periodontium
-gingiva, PDL, alveolar bone,

Lingual periodontium
-greater palatine

Front 7

infiltration of PSA

Back 7

mucobuccal fold of max 2nd molar aped

Front 8

target area of PSA

Back 8

posterior superior and medial on maxillart tuberosity

Front 9

possible complications of PSA

Back 9

if needle goes to far distally may penetrat pteryfoid plexus and max artery causing hematoma
must always aspirate (pull out) so you dont inject into blood vessel

Front 10

MSA-Middle superior alveolar block

Back 10

NOT PRESENT ON ALL PATIENTS

pulp anesthesia
-maxillary premolars and MB root of first molar

buccal periodontium
-gingiva, PDL, alveolar bone

lingual periodontium
-greater palatine block

Front 11

MSA target area

Back 11

mucobuccal fold at apex of second premolar

Front 12

MSA symptoms

Back 12

harmless tingling or numbness of lip, hemotoma is rare

Front 13

ASA anterior suprior alveolar block

Back 13

Pulp Anesthesia
-Mxillary canine amd incisors
may cross midline if not must inject on both sides of arch
Facial periodontum
gingiva,PDL, Alveolar bone

Lingual periodontuim
-achieves a nasopalatine block

Front 14

ASA target area

Back 14

mucobuccal fold of apex of maxillary canine

Front 15

ASA symptoms

Back 15

harmless tingling or numbness of upper lip and hemotoma is rare

Front 16

IO Infraorbital Block

Back 16

Pulp Anestesia
-Maxillary premolars, Canine, and incisors
may cross midline as well

Facial periodontium
-gingiva, PDL, Alveolar bone

Lingual Periodontium
-acjoves a masopalatine block

Front 17

IO target area

Back 17

ASA and MSA as they ascend to join the infraorbital nerve (must pinch nerve or palpate infraorbital foramen)

Front 18

IO symptoms

Back 18

harmless tingling or numbness of eyelid nose and upper lip/ hematoma is rare

Front 19

GP Greater Paltine Block

Back 19

Anesthetizes
-posterior portion of hard palate
-anteriorly to maxillary first premolars
-medialy to midline of palate
-no pulpal effect
-may require nasopalatine also

Front 20

GP taget area

Back 20

greater palatine foramen located at junction of maxillary alveolar process and posterior hard palate
with topical apply pressure with cotton tip while injecting

Front 21

GP symptom

Back 21

numbness in postior portion of palate some patients may gag

Front 22

NP Nasopalatine Block

Back 22

Anesthestizes
-paltal soft tissues
-billateral anterior hard palat
-from mesial max. right premolar to masial of max left first premolar
-no pulp effect
-preanesthetize incisive papilla before injection

Front 23

NP Target area

Back 23

right an left nasopalatine nerve as enters incisive foramen beneath incisive papilla
upply pressure with cotton tip while injecting

Front 24

NP symptoms

Back 24

numbness in anterior poriton of palate

Front 25

AMSA-anterior middle superior alveolar black

Back 25

Pulp anesthesia
-from second premolar to central incisors
-commonly used for cosmetic dentistry

Front 26

AMSA symptoms

Back 26

tissues ischemia and sloughing

Front 27

on mandible what type of anesthesia are most common

Back 27

blocks mor often then infiltration

Front 28

mandible is more dense than

Back 28

maxillary

Front 29

more anatomical land marks on?

Back 29

mandible

Front 30

IA-inferior alveolar block

Back 30

Pulp anesthesia
-all mandibular teeth

Facial periodontum
-gingiva PDL,alveolar bone,from premolars to centrals

Lingual periodontium
-al mandibular teeth on side of injection

Front 31

IA target area

Back 31

above entry poin of the infrior alveolar nerve into mandibular foramen
-lingual nerve will also be anesthesixed
-commonly used not always successful
-use coronoid not and occlusal plane of mandibular molars to lacote target area

Front 32

IA symptoms

Back 32

numbness and tingling of lower upper lip body of tongue and flor of mouth
-lingual shock
-facial paralysis

Front 33

Buccal Block

Back 33

pulp anesthesia
-none

buccal periodontium
-gingiva,PDL,alveolar bone,mand molars

Front 34

Buccal block target area

Back 34

long buccal nerve as passes over the anterior border or ramus

this injection has no symptoms

Front 35

Mental Block

Back 35

Pulp anesthesia
-none
Facial periodontium
-gingiva,PDL,alveolar bone
-mand premolar and anterior teeth

Front 36

mental block target area

Back 36

mental nerve before entering the mental foramen

Front 37

mental block symptoms

Back 37

numbness and tingling of lower lip

Front 38

Incisive block

Back 38

Pulp anesthesia
-mand.teeth anterior to mental foramen(peromolars and anteriors)

Facial periodontium
-mand teeth anterior to mental foramen

Front 39

Incisive block target area

Back 39

mental foramen

Front 40

Incisive block symptoms

Back 40

numbness and tingling of lower lip

Front 41

Gow-Gates Mandibular Nerve Block

Back 41

inferior alveolar, mental, incisive, lingual, mylohyoid, ariculo tempral and long buccal used in quadrant dentistry

all mand teeth and peropdontium

Front 42

Gow-gates mandibular nerve target area

Back 42

anteriomedial border of mand. condyle neck

Front 43

Gow-gates mandibular nerve symptoms

Back 43

injection contraindicated in pation with limited ability to open mouth