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68 Cards in this Set
- Front
- Back
PSA=
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Posterior Superior Alveolar Nerve
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MSA=
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Middle Superior Alveolar Nerve
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ASA=
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Anterior Superior Alveolar Nerve
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Administration Technique:
Locate foramen with index finger. Pull tissue laterally. Advance needle to level of foramen (5-6mm) ASPIRATE! |
Incisive
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Administration Technique:
Syringe parallel & buccal to occlusal plane of molars on side of injection ASPIRATE! |
Buccal
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Administration Technique:
Upward 45" to occlusal plane. Inward & backward. 45" to midsaggital plane. ASPIRATE 2-3X |
PSA
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Administration Technique:
Parallel to long axis of max 2nd bicuspid above the apex. ASPIRATE! |
MSA
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Administration Technique:
Angle needle from lateral toward the bone above the cuspid. ASPIRATE! |
ASA
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Administration Technique:
45"-00" to tissue at edge of incisive papilla. Watch for blanching of tissue. ASPIRATE! |
Nasopalatine
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Administration Technique:
Advance Syringe from opposite side of mouth at right angle to target area. Use pressure anesthesia, topical & swab. ASPIRATE! |
Greater Palatine
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Administration Technique:
Palpate sulcus with Q-tip, find soft spot (aprox 3/4 to 2/3of the way into sulcus) Needle hugs raphe. Syringe barrel rests on bicuspids on opposite side of mouth. ASPIRATE! |
IA (Inferior Alveolar)
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Administration Technique:
Same As IA deposit on entry or retraction of needle. ASPIRATE! |
Lingual
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Local Anesthetic:
Teeth: None |
Nasopalatine
Greater Palatine Lingual Buccal |
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Local Anesthetic:
Teeth: Pulpal anes. of 3rd, 2nd & 1st Max Molars except the mesiobuccal root of Max 1st Molar. |
PSA
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Local Anesthetic:
Teeth: Pulpal of 1st & 2nd Max bicuspids & MB root Max 1st molar |
MSA
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Local Anesthetic:
Teeth: Pulpal anes. of Max. Central lateral and cuspid. |
ASA
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Local Anesthetic:
Teeth: Mandibular teeth to mid line |
Inferior Alveolar (IA)
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Local Anesthetic:
Teeth: 2nd bicuspid to central |
Incisive
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Local Anesthetic:
Gingiva: Buccal periodontium & bone overlying these teeth |
PSA
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Local Anesthetic:
Gingiva: Facial periodontal tissue and bone over same teeth |
MSA
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Local Anesthetic:
Gingiva: Facial periodontium & bone overlying these teeth. |
ASA
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Local Anesthetic:
Gingiva: Anterior 1/3 of hard palate. Hard & Soft palate tissue cuspid to cuspid |
Nasopalatine
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Local Anesthetic:
Gingiva: Posterior 2/3 of palate & its overlying soft tissues 1st bicuspid & posterior midline |
Greater Palatine
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Local Anesthetic:
Gingiva: Buccal Periostuem to midline gingiva premolars to midline |
Inferior Alveolar (IA)
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Local Anesthetic:
Gingiva: Anterior 2/3 tongue. Floor of oral cavity & lingual soft tissue and periosteum. |
Lingual
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Local Anesthetic:
Gingiva: Soft tissue buccal to mandibular molars (2nd bi and 1st molar) |
Buccal
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Local Anesthetic:
Gingiva: Buccal mucoperiosteum and gingiva. 2nd bicuspid to central lower lip, skin of chin |
Incisive
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Anesthetic Solution:
1/2 to 3/4 carpule. 25-Short |
PSA
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Anesthetic Solution:
1/2 Carpule Needle short 25-27 1. 2. |
1. MSA
2. Incisive |
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Anesthetic Solution:
1/2 to 1/3 Carpule Needle short 25-27 |
ASA
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Anesthetic Solution:
1/8 carpule or until tissue blanches, needle 27 short |
Nasopalatine
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Anesthetic Solution:
1/8 carpule or until tissue blanches, needle 25 long |
Greater Palatine
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Anesthetic Solution:
2/3 to 3/4 carpule, needle 25 long (1/2-3/4 in depth) |
Inferior Alveolar (IA)
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Anesthetic Solution:
1/8 carpule, Needle 25 long 1. 2. |
1. Lingual
2. Buccal |
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Adverse Effects:
Bad Taste |
Greater Palatine
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Adverse Effects:
Needle inserted too far posterior and superior may tear max. artery or pterygoid plexus of veins resulting in Hemastoma |
PSA
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Adverse Effects:
Pain from injecting too close to periosteum or too rapid deposition |
MSA
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Adverse Effects:
Scrape periosteum from injecting too close to periosteum or too rapidly |
ASA
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Adverse Effects:
Pain from injecting into incisive foramen |
Nasopalatine
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Adverse Effects:
Hematoma of inferior alveolar artery. Trismus of muscles. too far posterior parotid gland which facial nerve innervates-can't close eyes. |
Inferior Alveolar (IA)
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Adverse Effects:
"Shocking" Pain if lingual nerve is touched |
Lingual
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Adverse Effects:
Trismus of tendonous attachment of temporalis, Ballooning of tissues. |
Buccal
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Adverse Effects:
Few & extremely rare Hematoma, burning sensation. |
Incisive
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Landmarks:
Base of mucobuccal fold, distal to 2nd bicuspid |
Incisive
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Landmarks:
External oblique ridge. Mandibular molars |
Buccal
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Landmarks:
Coronoid notch, internal oblique ridge. Pterygomandibular raphae, sulcus. 1. 2. |
1. IA
2. Lingual |
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Landmarks:
Halfway between free gingival margin & midline of palate. Anterior to soft palate between 1st and 2nd molars, 40% of population has depression |
Greater Palatine
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Landmarks:
Maxillary central incisors, incisive papillae |
Nasopalatine
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Landmarks:
Mucobuccal fold, maxillary lateral fossa above lateral |
ASA
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Landmarks:
Mucobuccal fold. Maxillary second bicuspid Zygomatic Process |
MSA
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Landmarks:
Mucobuccal fold zygomatic. Process of maxillary tuberosity, 2nd maxillary molar. |
PSA
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Injection Site:
Height of Mucobuccal fold. Distal root of 2nd molar |
PSA
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Injection Site:
Height of Mucobuccal fold above apex of Maxillary 2nd bicuspid. |
MSA
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Injection Site:
Height of Mucobuccal fold. Mesial to root of cuspid, above lateral in lateral fossa. |
ASA
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Injection Site:
Either side of incisive papilla |
Nasopalatine
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Injection Site:
Soft tissue slightly anterior to greater palatine foramen |
Greater Palatine
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Injection Site:
Center of ptergomandibular triangle: medial border is pterygomandibular raphae. Lateral border is internal oblique ridge. Root is tendonous attachment of temporalis. 1. 2. |
1. Inferior Alveolar (IA)
2. Lingual |
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Injection Site:
Penetrate 1 cm above occlusal plane between internal and external ridges. |
Buccal
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Injection Site:
Mucobuccal fold just posterior to mental foramen |
Incisive
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Deposit Location:
Check on radiograph for mental foramen, advance to penetration (5-6mm) |
Incisive
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Deposit Location:
Penetrate mucous membrane until bone is contacted |
Buccal
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Deposit Location:
Retract needle halfway from depth of IA injection |
Lingual
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Deposit Location:
Penetrate mucous membrane until bone is contacted |
Inferior Alveolar (IA)
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Deposit Location:
At junction of vertical and horizontal planes of hard palate 5-7 mm or about 1/6 deep. |
Greater palatine
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Deposit Location:
Through tissue next to incisive papilla about 3-5 mm deep |
Nasopalatine
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Deposit Location:
Penetrate mucous membrane over lateral fossa angle to apex of cuspid |
ASA
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Deposit Location:
Penetrate mucous membrane, advance needle until tip is located above apex of 2nd bicuspid (1/4 to 1/2 in deep) |
MSA
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Deposit Location:
In vicinity of forament of PSA nerve. Through soft tissue. Needle penetrating 1/2 to 3/4 in deep apex of 3rd molar. |
PSA
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