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MAXILLARY ANESTHESIA Flashcards

(74 cards)

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1
Q

5 PILLARS of patient management

A

case selection and treatment planning
identify the patient
intraoperative procedure
post operative management
recall

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2
Q

small terminal nerve endings in the area

A

infiltration

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3
Q

deposited close to main nerve trunk

A

nerve block

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4
Q

porous and has thin cortical plate and most common method is infiltration

A

maxillary anesthesia

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5
Q

has dense cortical plate except the incisor region and method is nerve block

A

mandibular anesthesia

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6
Q

what nerve is in the cranial nerve V

A

Trigeminal nerve

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7
Q

sensory to the skin and mucosa

A

V1 OR ophthalmic division

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8
Q

sensory to dentition and surrounding periodontium

A

V2 or maxillary

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9
Q

sensory to pulpal,periodontium,mucosa and teeth of the mandible
motor to muscle of mastication

A

V3 or mandibular

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10
Q

what are the muscle innervated by v3

A

masseter
temporalis
lateral and medial pterygoid

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11
Q

supply the upper molar except the mesiobuccal root of the first molar and outside of infraorbital canal.

A

posterior superior alveolar nerve ( PSAN)

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12
Q

from the mesiobuccal root of the 1st molar to 1st and 2nd premolar and supporting structures and will enter the infraorbital canal

A

middle superior alveolar nerve (MSAN)

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13
Q

Anterior teeth and supporting buccally and will enter the infraorbital canal

A

anterior superior alveolar nerve (ASAN)

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14
Q

Part of dental plexus of the maxilla

A

PSAN, MSAN, ASAN

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15
Q

what are the terminal branches of the infraorbital nerve

A

inferior palpebral nerve
nasal nerve
superior labial nerve

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16
Q

what terminal branch of infraorbital nerve will supply the lower eyelid

A

inferior palpebral nerve

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17
Q

what terminal branch in infaorbital nerve will supply the side or lateral of the nose

A

nasal nerve

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18
Q

what terminal branch of infraorbital nerve will supply the upper lip and purely sensory

A

superior labial nerve

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19
Q

what do you call the buldge behind the central incisor in the hard palate

A

incisive papilla

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20
Q

what foramen behind the central incisor and underneath of incisive papilla

A

incisive foramen

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21
Q

what nerve exits the incisive foramen (canine to canine) and does not have pulpal innervation

A

nasopalatine nerve

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22
Q

mucosa,gingiva, bony strutures and distal to the canine up to the most posterior part of the hard palate

A

greater palatine foramen

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23
Q

it innervates the soft palate including the uvula

A

lesser palatine nerve

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24
Q

what nerves exiting the lesser palatine foramen

A

middle palatine nerve and lesser palatine nerve or posterior palatine nerve

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25
what nerve is not all individiual has this
middle palatine nerve
26
what kind of anesthesia is used when doing restoration, endodontics and prosthodontics?
pulpal anesthesia
27
what kind of anesthesia is used when doing extraction
pulpal and palatal anesthesia
28
what are the nerve anesthesized during supraperiosteal injection
large terminal branches of the dental plexus
29
what are areas anesthesized during supraperiosteal injection
pulp, root areas of the tooth buccal periosteum connective tissue mucous membrane
30
means above the periosteum
supraperiosteal
31
membrane above the bone under the mucosa
periosteum
32
bevel of the needle should be?
face of the bone
33
what happen if subperiosteal is injected
painful for the patient
34
area of insertion of supraperiosteal or local infiltration
height of mesiobuccal fold above the apex of the tooth
35
how many solution deposited in local infiltration
0.5-1.5 ml
36
what nerve anesthesized in infraorbital nerve block
ASAN, MSAN Inferior palpebral nerve lateral nasal nerve superior label nerve
37
what are the areas anesthesized by infraorbital nerve block
pulps of asan pulps of msan buccal periodontium and bone lower eyelid lateral aspect of the nose upper lip
38
what extraoral landmark is needed in infraorbital nerve block
infraorbital notch , 5-10 mm below to locate the infraorbital foramen
39
what approach in intraoral landmark, opposite the lateral incisor
midline approach
40
specific landmarks for midline approach
mesioincisal line angle disto cervical line angle on central incisor height of the mucolabial fold opposite the lateral incisor
41
insertion will be at the height of the muccobuccal fold, following the long axis of the tooth using 1st PM
bicuspid or vertical approach
42
what gauge and length of the needle needed for patients in infraorbital nerve block
25 gauge long needle
43
what gauge and length of the needle needed for smaller patients in infraorbital nerve block
25 gauge short
44
position of the clinician in infraorbital nerve block
10 o'clock
45
position of the patient in infraorbital nerve block
supine or semisupine with neck extended slightly
46
how many solution deposited in infraorbital nerve block in vertical approach
1 ml
47
nerve anesthesized in msan block
middles superior alveolar nerve
48
areas anesthesized in msan block
pulps of maxillary PM mesiobuccal root of first molar buccal periodontal tissues and bone
49
area of insertion of msan block
height of the mucobuccal fold above the maxillary 2nd PM
50
how many solution deposited in msan block
0.9m-1.2ml
51
nerve anesthesized in psan block
posterior superior alveolar nerve
52
areas of anesthesized in psan block
all upper molars except mesiobuccal root of first molar buccal periodontium and bone
53
area of insertion of psan block
height of muccobuccal fold above the maxillary 2nd molar
54
landmarks in psan block
mucobuccal fold maxillary tuberosity zygomatic process of the maxilla
55
how many solution deposited in psan block
0.9-1.8 ml
56
complication in psan block
hematoma mandibular anesthesia
57
what technique of anesthesia used in torus palatinus
nasopalatine nerve block greater palatine nerve block local infiltration
58
a direct vision procedure
nasopalatine nerve block
59
what is the landmark for nasopalatine nerve block
incisive papilla
60
how many ml of solution deposited in nasopalatine nerve
0.2-0.3ml
61
landmark in greater palatine nerve block
opposite or slightly distal to the 3rd molar
62
how many ml of anesthesia deposited in greater palatine nerve block
0.45- 0.6 ml
63
what nerve block has the high chance of positive aspiration
greater palatine nerve block
64
complication in greater palatine nerve block
ischemia of soft palate anesthesia of the soft palate
65
reportded by ____ and ____ in 1997
friedman and hochman
66
area anesthesized in amsan block
maxillary incisors, canine and premolar ( ASAN AND MSAN)
67
advantages in amsan block
allows for an accurate smile line assesment or cosmetic dentistry eliminate the postoperative inconvenience of numbness
68
disadvantage of amsan block
slow administration can cause operator fatigue because of resistance uncomfortable need supplemental anesthesia in central and lateral incisors ischemia 1:50,000 la with epinephrine is contraindicated long onset
69
when using 4% LA such as articaine and prilocaine, reduce the volume by?
0.7-0.9 ml
70
how many solution deposited using 2% LA in amsan block
1.4-1.8ml
71
how many solution is needed in asan - palatal block
1.4-1.8 ml
72
needle penetrates more ______ and more ____ of ______ ______than nasopalatine injection
more deeply and more volume of anesthetic solution
73
Nerve and area anesthesized in ASAN- palatal
Nerve: nasopalatine nerve and anterior branches of ASAN Area: pulp of maxillary central and lateral incisor and canine Facial periodontal tissue and palatal periodontal tissue of same teeth
74
Nerve and area anesthesized of greater palatine nerve block
Nerve: greater palatine nerve Area anesthesized: 1.9 mm posterior border of hard palate

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