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 |
|
|
Term
How deep to topical anesthetics penetrate? |
|
Definition
|
|
Term
What can the high concentration of local anesthetics lead to? |
|
Definition
-toxicity locally and systemically |
|
|
Term
What may benzocaine or other flavoring agents lead to? |
|
Definition
|
|
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. |
|
|