Local Anesthesia Of Mandible Anatomy And Techniques

Front 1

NAME 2 ROOTS OF TRIGEMINAL NERVE

Back 1

1. MOTOR ROOT
2. SENSORY ROOT

Front 2

MOTOR ROOT ARISES FROM

Back 2

1. NUCLEUS OF PONS
2. NUCLEUS OF MEDULLA OBLONGATA

Front 3

MUSCLES ASSOCIATED W/ MOTOR ROOT OF V NERVES

Back 3

1. ALL MUSCLES OF MASTICATION
2. MYLOHYHOID
3. ANTERIOR BELLY OF DIGASTRIC
4. TENSOR TYMPANI
5. TENSOR VELI PALATINI

Front 4

MOTOR ROOT OF V NERVE EMERGES THROUGH________ TO JOIN V3

Back 4

1. FORAMEN OVALE

Front 5

SENSORY ROOT OF V NERVE ARISES FROM

Back 5

1. SEMILUNAR OR GASSERIAN GANGLION

Front 6

3 PARTS OF THE SENSORY ROOT OF V NERVE

Back 6

1. OPHTHALMIC V1
2. MAXILLARY V2
3. MANDIBULAR V3

Front 7

SENSORY ROOT OF V NERVE PROVIDE SENSORY TO

Back 7

1. FACE
2. MUCOUS MEMBRANE OF CRANIAL VISCERA
3. ORAL CAVITY

Front 8

SENSORY ROOT OF V NERVE PROVIDE SENSORY TO ORAL CAVITY EXCEPT

Back 8

1. PHARYNX
2. BASE OF TONGUE

Front 9

NERVE PHARYNX AND BASE OF TONGUE RECEIVE SENSORY INNERVATION FROM

Back 9

1. GLOSSOPHARYNGEAL NERVE

Front 10

OPHTHALMIC OF V NERVE EMERGES FROM

Back 10

1. SUPERIOR OBITAL FISSURE

Front 11

MAXILLARY OF V NERVE EMERGES FROM

Back 11

1. FORAMEN ROTUNDUM

Front 12

MANDIBULAR OF V NERVE EMERGES FROM

Back 12

1. FORAMEN OVALE

Front 13

MANDIBULAR DIVISION OF V NERVE IS ASSOCIATED W/

Back 13

1. LARGEST BRANCH OF V NERVE
2. SENSORY AND MOTOR
3. 3 PARTS MAIN TRUNK

Front 14

2 DIVISION OF V3

Back 14

1. ANTERIOR DIVISION
2. POSTERIOR DIVISION

Front 15

A V3 DIVISION THAT IS SMALL AND MOSTLY MOTOR

Back 15

1.ANTERIOR DIVISION

Front 16

A V3 DIVISION THAT IS LARGE AND MOSTLY SENSORY

Back 16

1. POSTERIOR DIVISION

Front 17

V3 NERVE ASSOCIATED W/ MAIN TRUNK

Back 17

1. NERVUS SPINOSUS
2. MEDIAL PTERYGOID NERVE

Front 18

NERVUS SPINOSUS IS ASSOCIATED W/

Back 18

1. SENSORY TO DURA
2. SENSORY TO MASTOID AIR CELL
3. PASSES INTRACRANIALLY THROUGH FORAMEN SPINOSUM

Front 19

MEDIIAL PTERYGOID NERVE OF MAIN TRUNK IS ASSOCIATED W/

Back 19

1. MOTOR TO MEDIAL PTERYGOID MUSCLE
2. TENSOR TYMPANI
3. TENSOR VELI PALATINE

Front 20

3 PARTS OF MANDIBULAR DIVISION OF V NERVE

Back 20

1.MAIN TRUNK
2. ANTERIOR DIVISION
3. POSTERIOR DIVISION

Front 21

4 NERVES ASSOCIATED W/ ANTERIOR DIVISION OF V NERVE

Back 21

1. DEEP TEMPORAL NERVE
2. MASSETERIC NERVE
3. LATERAL PTERYGOID NERVE
4. BUCCAL NERVE :LONG BUCCAL

Front 22

ANTERIOR DIVISION NERVE THAT CARRY MOTOR TO TEMPORALIS MUSCLE

Back 22

1. DEEP TEMPORAL NERVE

Front 23

ANTERIOR DIVISION NERVE THAT CARRY MOTOR TO MASSETER MUSCLE

Back 23

1. MASSETERIC NERVE

Front 24

ANTERIOR DIVISION NERVE THAT CARRY MOTOR TO LATERAL PTERYGOID MUSCLE

Back 24

1. LATERAL PTERYGOID NERVE

Front 25

BUCCAL NERVE OR LONG BUCCAL OF ANTERIOR DIVISION OF V3 PROVIDE

Back 25

1. SENSORY TO CHEEK
2. SENSORY TO BUCCAL GINGIVAL OF MANDIBULAR MOLAR
3.COURSE ALONG W/ LATERAL PTERYGOID TO TEMPORALIS TO:
4. CROSS OVER ANTERIOR BORDER OF MASSETER AND MANDIBLE IN AREA OF OCCLUSAL PLANE OF MANDIBULAR 2ND/3RD MOLAR
5. PENETRATE BUCCINATOR INTO CHEEK

Front 26

NERVE OF THE POSTERIOR DIVISION OF V3

Back 26

1. AURICULOTEMPORAL NERVE
2. LINGUAL NERVE
3. INFERIOR ALVEOLAR NERVE
4. INCISIVE NERVE
5. MENTAL NERVE
6. NERVE TO MYLOHYOID

Front 27

AURICULOTEMPORAL NERVE PROVIDE SENSORY TO

Back 27

1. SKIN IN PRE-AURICULAR AND TEMPORAL AREA
2. POSTERIOR TMJ
3. TRAGUS
4. ANTERIOR HELIX &EXTERNAL AUDITORY MEATUS TYMPANI MEMBRANE OF EAR
5. VASOMOTOR SUPPLY TO PAROTID GLAND, THROUGH COMMUNICATION W/ OTIC GANGLION

Front 28

LINGUAL NERVE OF POSTERIOR DIVISION OF V3 IS ASSOCIATED W/

Back 28

1. PTERYGOMANIBULAR SPACE FROM MEDIAL/LATERAL, PTERYGOID RUN ANTERIOR TO INFERIOR ALVEOLAR NERVE
2. COURSE ANTERIORLY INTO THE TONGUE
3.PROVIDE SENSORY SUPPLY TO ANTERIOR 2/3 OF TONGUE
4. CARRIES TASTE FROM CHORDA TYMPANI OF FACIAL NERVE FROM ANTERIOR OF TONGUE
5. FLOOR OF MOUTH
6. LINGUAL MANDIBULAR GINGIVIA

Front 29

INFERIOR ALVEOLAR NERVE OF POSTERIOR DIVISION OF V3 IS ASSOCIATED W/

Back 29

1. ENTER MANDIBULAR ON MEDIAL RAMUS THROUGH MANDIBULAR FORAMEN
2. ACCOMPANIED BY ARTERY AND VEIN
3.SENSORY TO PULP AND BUCCAL PERIODONTAL TISSUE OF MANDIBULAR TEETH

Front 30

INCISIVE NERVE OF POSTERIOR OF V3 IS ASSOCIATED W/

Back 30

1. CONTINUATION OF IAN PAST, MENTAL FORAMEN INTO ANTERIOR MANDIBULAR
2. SENSORY TO PULP AND BUCCAL PERIODONTAL TISSUE OF ANTERIOR 3RD MOLAR

Front 31

MENTAL NERVE OF POSTERIOR DIVISION OF V3 IS ASSOCIATED W/

Back 31

1. EXIT MANDIBLE AT MENTAL FORAMEN
2. SENSORY TO LOWER LIP AND CHIN

Front 32

PATH OF THE NERVE TO MYLOHYOID OF POSTERIOR DIVISION OF V3

Back 32

1. BRANCH OF IAN PRIOR TO ENTERING MANDIBLE
2. COURSES ANTERIORLY IN GROOVE ON LINGUAL MANDIBLE TO PROVIDE MOTOR SUPPLY TO MYLOHYOID AND ANTERIOR BELLY OF DIAGASTIC
4. PROVIDE SENSORY TO CHIN, SOME PULPAL FIBER TO INCISOR
5. SOME MANDIBULAR MOLAR: MESIAL ROOT OF 1ST MOLAR

Front 33

LARGEST AND STRONGEST FACIAL BONE

Back 33

1. MANDIBLE

Front 34

MANDIBLE BONE IS ASSOCIATED W/

Back 34

1. HORSESHOE IN SHAPE
2. ALVEOLAR PROCESS
3. MENTAL FORAMEN
4. MYLOHYOID LINE
5. MANDIBULAR FORAMEN
6. CORONOID PROCESS
7. CONDYLE

Front 35

A HORIZONTAL BUCCAL AND LINGUAL BODY W/ MIDLINE SYMPHYSIS AND BUCCAL AND LINGUAL PERPENDICULAR RAMI

Back 35

1. HORSESHOE IN SHAPE

Front 36

A BONE HOUSING THE TEETH, LESS DENSE ANTERIORLY

Back 36

1. ALVEOLAR PROCESS

Front 37

MIDWAY B/W UPPER AND LOWER BORDER IN AREA OF 2ND PREMOLAR ON BUCCAL, THROUGH WHICH MENTAL NERVE AND ARTERY EXIT

Back 37

1. MENTAL FORAMEN

Front 38

ORIGIN OF MYLOHYOID MUSCLE, ON THE LINGUAL MANDIBLE

Back 38

1. MYLOHYOID LINE

Front 39

DESCRIPTION OF MANDIBULAR FORAMEN

Back 39

1. ON MEDIAL SURFACE OF RAMUS
2. APPROX 1/2 WAY B/W SUPERIOR AND INFERIOR BORDERS
3. 2/3 DISTANCE FROM ANTERIOR TO POSTERIOR BORDER
4. ENTRANCE FOR IAN, ARTERY, NERVE INTO MANDIBULAR CANAL
5. BOUND ANTERIORLY BY LINGULA

Front 40

ANTERIOR SUPERIOR BORDER OF RAMUS, HAS CONCAVE ANTERIOR BORDER -CORONOID NOTCH

Back 40

1.CORONOID PROCESS

Front 41

POSTERIOR SUPERIOR PART OF RAMUS, ATTACHED VIA CONDYLAR NECK, SEPARATED FROM CORONOID BY SIGMOID NOTCH

Back 41

1. CONDYLE

Front 42

DIFFERENCE NERVE BLOCK OF MANDIBULAR ANESTHESIA

Back 42

1. INFERIOR ALVEOLAR NERVE BLOCK
2. BUCCAL NERVE
3. MANDIBULAR: GOW -GATES
4. CLOSED MOUTH MANDIBULAR: VAZIRANI-AKINOSI
5. MENTAL NERVE
6. INCISIVE NERVE
7. PERIODONTAL LIGAMENT, INTRASEPTAL, INTRAOSSEOUS, PULPAL INJECTION

Front 43

TECHNIQUE USED TO ANESTHETIZES INFERIOR ALVEOLAR, INCISIVE, MENTAL, AND LINGUAL NERVE

Back 43

1. INFERIOR ALVEOLAR NERVE
2. MANDIBULAR NERVE BLOCK(MN)

Front 44

BLOCKS THAT PROVIDE ANESTHESIA TO ALL MANDIBULAR TEEH TO MIDLINE, BODY OF MANDIBLE, INFERIOR RAMUS, BUCCAL MUCOPERIOSTEUM ANTERIOR TO MANDIBULAR 1ST MOLAR

Back 44

1. IAN
2. MANDIBULAR NERVE BLOCK
3. MENTAL NERVE

Front 45

BLOCK THAT PROVIDE ANESTHESIA TO ANERIOR 2/3 OF TONGUE,FLOOR OF THE MOUTH AND LINGUAL MUCOPERIOSTEUM (LINGUAL NERVE)

Back 45

1. IAN
2. MANDIBULAR NERVE BLOCK

Front 46

IAN BLOCK PROVIDES ADEQUATE ANESTHESIA FOR

Back 46

1. QUADRANT DESTISTRY
2. LINGUAL SOFT TISSUE PROCEDURE
3. BUCCAL SOFT TISSUE PROCEDURE ANTERIOR TO 1ST MOLAR
4. NEEDLE INSERT FROM OVER CONTRALATERAL PREMOLAR
5. 3/4 DISTANCE FROM CORONOID NOTCH TO PTERYOMANDIBULAR RAPHAE
6. PARALLEL TO OCCLUSAL PLANE AT LEVEL OF CORONOID NOTCH
7. BONE ENCOUNTERED 20-25 MM (2/3 OR 3/4 LONG NEEDLE)

Front 47

LINGUAL NERVE ANESTHETIZE BY

Back 47

1. W/DRAWAL (1/2 WAY OUT)

Front 48

INDICATION OF ANESTHESIA BUT NOT INDICATIVE OF DEPTH

Back 48

1. TINGLING
2. NUMBNESS OF LIP AND TONGUE

Front 49

AT THE LEVEL OF THE LINGULA, THE INFERIOR ALVEOLAR ARTERY AND VEIN ARE LOCATED ________ RELATIVE TO THE INFERIOR ALVEOLAR NERVE

Back 49

1. POSTERIOR

Front 50

FAILURE OF IAN BLOCK

Back 50

1. LOW INJECTION
2. ANTERIOR OR POSTERIOR DEPOSITION OF ANESTHETIC
3. ACCESSORY INNERVATION ( MYLOHYOID NERVE OVERLAP FROM CONTRALATERAL IAN IN ANTERIOR)

Front 51

COMPLICATION OF IAN BLOCK

Back 51

1. HEMATOMA
2. TRISMUS (SPASM)
3. FACIAL PARALYSIS

Front 52

BLOCK THAT ANESTHETIZE BUCCAL BRANCH OF ANTERIOR DIVISION OF MANDIBULAR NERVE

Back 52

1. BUCCAL NERVE OR LONG BUCCAL NERVE BLOCK

Front 53

LOCATION OF ANESTHESIA PROVIDED DURING BUCCAL NERVE BLOCK

Back 53

1. MUCOPERIOSTEUM: BUCCAL
TO MANDIBULAR MOLAR

Front 54

BUCCAL NERVE BLOCK REQUIRED WHEN

Back 54

1. MANDIBULAR BUCCAL AREA IS NEEDED

Front 55

PATH OF NEEDLE FOR A BUCCAL NERVE BLOCK

Back 55

1. INSERTED NEEDLE DISTO-BUCCAL TO MOST POSTERIOR MOLAR IN MUCOBUCCAL FOLD
2. UNTIL BONE IS ENCOUNTED

Front 56

A HIGHER LEVEL BLOCK THAN IAN BLOCK

Back 56

1. MANDIBULAR NERVE BLOCK (MN) OR
2. GOW- GATES TECHNIQUE

Front 57

A BLOCK THAT REQUIRED CLINICAL EXPERIENCE FOR SUCCESS

Back 57

1. MANDIBULAR NERVE BLOCK OR
2. GOW-GATES

Front 58

AREAS MANDIBULAR NERVE BLOCK PROVIDE ANESTHESIA

Back 58

1.SAME AREAS AS IAN
2. SAME AREAS AS BUCCAL NERVE
3. PREAURICULAR AND TEMPORAL SKIN
4. ACCESSORY PULPAL MYLOHYOID INNERVATION W/ ONE INJECTION

Front 59

PATH OF THE NEEDLE FOR MANDIBULAR NERVE BLOCK OR GOW-GATES BLOCK

Back 59

1. INSERTED NEEDLE FROM CONTRALATERAL CORNER OF MOUTH UNDER MESIOPALATAL CUSP OF MAXILLARY 2ND MOLAR
2. PARALLELING LINE FROM CORNER OF MOUTH TO INTERTRAGIC NOTCH (IPSILATERAL SIDE) TO PENETRATE MUCOSA ON MEDIAL RAMUS DISTAL TO MAXILLARY 2ND MOLAR
3. AIMING FOR LATERAL CONDYLAR NECK WHERE ANESTHESIA DEPOSITED AFTER BONY CONTACT AT DEPTH ABOUT 25 MM

Front 60

COMPLICATION OF MANDIBULAR NERVE OR GOW-GATES BLOCK

Back 60

1. HEMATOMA
2. TRISMUS LESS THAN W/ IAN
3. TEMPORARY PTOSIS
4. DIPLOPIA

Front 61

A BLOCK AS AN ALTERNATIVE TO IAN AND GOW-GATES BLOCK, USEFUL IN CASES OF TRISMUS OR INABILITY TO VISUALIZE LANDMARK

Back 61

1. CLOSED MOUTH MANDIBULAR BLOCK: OR
2. VAZIRANI- AKINOSIS TECHNIQUE

Front 62

AKINOSIS ANESTHETIZE NERVES SAME AS IAN BUT IN ADDITION TO

Back 62

1. MYOHYOID NERVE

Front 63

PATH OF THE NEEDLE FOR AKINOSIS BLOCK

Back 63

1. ADVANCED ALONG MAXILLARY MUCOGINGIVAL JUNCTION W/ MOUTH CLOSED: TO PENETRATE MUCOSA MEDIAL TO RAMUS
2. POSTERIOR TO TUBEROSITY TO A DEPTH ABOUT 25 MM (BEVEL OF NEEDLE FACING MEDIALLY)

Front 64

BLOCK THAT ANESTHETIZE MENTAL NERVE

Back 64

1. MENTAL NERVE BLOCK

Front 65

AREAS MENTAL NERVE BLOCK PROVIDE ANESTHESIA

Back 65

1. LOWER LIP
2. CHIN
3. MUCOBUCCAL TISSUE: ANTERIOR TO MENTAL FORAMEN

Front 66

BLOCK INDICATED FOR SOFT TISSUE PROCEDURE ONLY

Back 66

1. MENTAL NERVE BLOCK

Front 67

PATH OF NEEDLE FOR MENTAL NERVE BLOCK

Back 67

1. INSERTED NEEDLE APICAL TO CANINE OR 1ST PREMOLAR
2. DIRECTED TOWARD MENTAL FORAMEN
3. LOCATED BY PALPATION OR
RADIAGRAPHICALLY
4. ANESTHETIC DEPOSITED 5-6 MM DEPTH

Front 68

BLOCK THAT ANESTHETIZE INCISIVE AND MENTAL NERVE

Back 68

1. INCISIVE NERVE BLOCK

Front 69

BLOCK THAT IS QUESTIONABLE IN EFFECTIVENESS, PROBABLY LEAST PREDICTABLE BLOCK AND SOME AUTHOR DO NOT RECOGNIZE IT AS VALID BLOCK

Back 69

1. INCISIVE NERVE BLOCK

Front 70

AREAS INCISIVE NERVE BLOCK PROVIDES ANESTHESIA

Back 70

1. PREMOLAR
2. CANINES
3. INCISOR

Front 71

BLOCK THAT DOES NOT PROVIDE ANY LINGUAL ANESTHESIA

Back 71

1. INCISIVE NERVE BLOCK

Front 72

TECHIQUE USED WHEN GIVING AN INCISIVE NERVE BLOCK INJECTION

Back 72

1. SAME AS BUCCAL NERVE BLOCK BUT
2. AFTER INJECTION, PRESSURE MUST BE HELD OVER MENTAL FORAMEN FOR 2 MINUTES TO ALLOW DIFFUSION OF ANESTHETIC INTO MANDIBULAR CANAL

Front 73

SUPPLEMENTAL INJECTIONS (SI)

Back 73

1. SUPRAPERIOSTEAL INFILTRATION
2. PARTIAL LINGUAL NERVE BLOCK

Front 74

SI EFFECTIVE IN THE ANTERIOR MANDIBLE OR IN CHILDERN DUE TO DECREASE THICKNESS OF ALVEOLAR BONE

Back 74

1. SUPRAPERIOSTEAL INFILTRATION

Front 75

SI GIVEN BY INJECTING IN LINGUALLY AND APICALLY ONE TOOTH DISTAL TO AREA TO BE ANESTHETIZED

Back 75

1. PARTIAL LINGUAL NERVE BLOCK

Front 76

SI INJECTED DIRECTLY INTO THE PULP THROUGH PATHOLOGICAL OR SURGICAL EXPOSURE WHICH CAN NOT BE ANESTHETIZE ESPECIALLY MANDIBULAR MOLARS

Back 76

1. INTRAPULPAL INJECTION

Front 77

SI GIVEN INTERDENTALLY IN GINGIVAL SULCUS ALONG LONG ACCESS OF TOOTH MESIALLY OR DISTALLY OR BOTH MOLAR, ANESTHETIC IS INJECTED AGAINST RESISTANCE

Back 77

1. SUPPLEMENTAL INJECTION (SI) TECHNIQUE SUCH AS:
2. PERIODONTAL LIGAMENT
3. INTRALIGAMENTARY
4. PERIDENTAL INJECTION

Front 78

AREAS PERIODONTAL LIGAMENT, INTRALIGAMENTARY AND PERIDENTAL INJECTION PROVIDE PROFOUND ANESTHESIA

Back 78

1. TOOTH AND
2.ASSOCIATED SOFT TISSUES
3. DIFFUSION APICALLY AND INTO MARROW SPACE

Front 79

SI THAT USED SPECIAL SYRINGES BUT REGULAR NEEDLE AND SYRINGES ARE ADEQUATE

Back 79

1. PERIODONTAL LIGAMENT
2. INTRALIGAMENTARY
3. PERIDENTAL INJECTION

Front 80

SI NOT USE ON PRIMARY TEETH MAY RESULT IN ENAMEL HYPOPLASIA OF PERMANENT TOOTH

Back 80

1. PERIODONTAL LIGAMENT
2. INTRALIGAMENTARY
3. PERIDENTAL INJECTION

Front 81

SI THAT MAY CAUSED PATIENT TO EXPERIENCE POST- INJECTION DISCOMFORT

Back 81

1. PERIODONTAL LIGAMENT
2. INTRALIGAMENTARY
3. PERIDENTAL INJECTION

Front 82

SI SIMILAR TO PERIODONTAL LIGAMENT INJECTION: DEPEND ON DIFFUSION INTO MARROW AND SOFT TISSUES

Back 82

1. INTRASEPTAL INJECTION
2. INTRAOSSEOUS INJECTION

Front 83

SI GIVEN IN DENTAL PAPILLA TO ACHIEVE ANESTHESIA (HEMOSTASIS) OF ADJECENT SOFT AND HARD TISSUES

Back 83

1. INTRA SEPTAL INJECTION

Front 84

SI UTILIZED SPECIAL SYSTEMS TO PERFORATE CORTICAL BONE AFTER WHICH NEEDLE IS USE TO DEPOSIT ANESTHETIC INTO MARROW

Back 84

1. INTRAOSSEOUS INJECTION