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14 Cards in this Set
- Front
- Back
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Trismus causes |
Inflammation of muscles of mastication (usually pterygoids) (contamination sometimes) trauma to muscles or blood vessels (injection) post-injection infection (super rare) hematoma large volumes of local anes Hemmorrhage |
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Local Complications of Local Anesthesia |
Sloughing Tissue (Necrosis) Self-inflicted soft tissue injury Facial nerve paralysis Infection |
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Oral lesion causes |
Local allergy Local ischemia from vasoconstrictor (palate usually) Prolonged pressure Herpetic lesions |
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Post-herpetic neuralgia is an example of |
Persistent and unrelenting Neuralgia |
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Cluster Headaches are an example of? |
Recurring and remitting Chronic Pain |
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Hyperalgesia & Allodynia |
- Spontaneous pain - decreased pain threshold - increased magnitude or perceived pain for a given stimulus ex. "throbbing" pulpits |
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Endogenous opiod peptides |
enkephalin dynorphin B-endorphin |
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Facial Nerve paralysis danger |
Too deep into parotid gland too superficial during auriculotemporal block too post inf alv. (facial is at tail of pterygomandibular raphe) |
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What teeth can the mylohyoid innervate |
mandibular molar pulp |
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Medial management Prevention Further research |
Centralization of pain |
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distal to the Max M2 at the unction of the hard palate and the maxillary alveolar process |
location of greater palatine foramen |
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Arachidonic acid catalyze by what? and produces what? |
Cat: lipoxygenase Produces: leukotrienes |
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Leukotrienes do what? |
promost plasma extravasation chemotactic for inflamm cells increase free radicals cause hyperalgesia (increased sensitivity to pain) |
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Allergies with local: |
usually with esters (PABA)
- Cross-allergenicity can occur Rare with amides -no cross-allerginicity Never epi - but to Methylparaben - or to sodium bisulfite / meta bisulfite |
