Test 1- Mandibular Flashcards

(36 cards)

1
Q

What is the second most frequently used injection after the infiltration

A

IA

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2
Q

which injection has the highest percentage of failures

A

IA

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3
Q

when is a supplemental injection needed with an IA

A

when the buccal soft tissue in the posterior region needs to be numb

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4
Q

what are other names for the IA

A

mandibular nerve block

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5
Q

what nerves are anesthetized in the IA

A
  • IA (branch of V3)
  • incisive
  • mental
  • lingual
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6
Q

what are the areas anesthetized in the IA

A
  • mandibular teeth to midline
  • body of mandible, inferir portion of ramus
  • buccal mucoperiosteum, mucous membrane anterior to mental foramen
  • anterior 2/3 of tongue and floor of oral cavity
  • lingual soft tissues and periosteum
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7
Q

What are the landmarks for the IA

A

coronid notch
ptergomandibular raphe
occlusal plane of mandibular posterior teeth

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8
Q

what is the average depth of penetration in the IA

A

20 to 25 mm

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9
Q

how much anesthetic is depostited in an IA

A

1.5 ml over 60 seconds

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10
Q

where does the buccal nerve lie

A

immediately beneath the mucous membrane

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11
Q

what are the other names for the buccal nerve

A

long buccal nerve, buccinator nerve

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12
Q

what are the nerves anesthetized in the buccal nerve block

A

buccal

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13
Q

what are the areas anesthetized in the buccal nerve block

A

soft tissues and periosteum buccal to the mandibular molar teeth

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14
Q

What are the landmarks for the buccal nerve block

A

mandibular molars, mucobuccal fold

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15
Q

how much anesthetic is deposited the a buccal nerve block

A

.3 mL over 10 seconds

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16
Q

What is anesthetized the the mandibular nerve block gow gates technique

A
-IA
mental
incisive
lingual
mylohyoid
auriculotemporal
buccal
17
Q

what areas are anesthetized in the gow gates mand nerve block

A
  • mand teeth to midline
  • buccal mucoperiosteum and mucous membranes
  • anterior 2/3 of tongue and floor of oral cavity
  • lingual soft tissues and periosteum
  • body of mandible, inferior portion of ramus
  • skin over zygoma, posterior portion of cheek and temporal regions
18
Q

what are the extraoral landmarks for the gow gates mandibular injection

A
  • lower border of tragus (ext aud. meatus)

- corner or mouth

19
Q

what are the intraoral landmarks for the gow gates mandibular injection

A
  • placement of needle tip just below the mesiolingual cusp of max second molar
  • penetration of soft tissues just distal to max second molar
20
Q

what is the penetration depth of the gow gates mandibular injection

21
Q

how much anesthesia is deposited in the gow gates

A

1.8 mL solution over 60 to 90 seconds

22
Q

what are the nerves anesthetized in the vazirani closed mouth mand block

A
IA
incisive
mental
lingual 
mylohyoid
23
Q

what are the areas anesthetized in the Vazirani

A
  • mand teeth to midline
  • body of mand. and inferior portion of ramus
  • buccal mucoperiosteum and mucous membrane anterior to mental foramen
  • anterior 2/3 of tongue and floor of oral cavity
  • lingual soft tissues and periosteum
24
Q

what are the landmarks for the Vazirani

A

MGH of max third or second molar
maxillary tuberosity
coronoid notch on mandibular ramus

25
How far is the needle advanced in the Vazirani
25 mm
26
how much anesth is deposited in the Vazirani
1.5 to 1.8 mL of anesthetic solution in 60 seconds
27
what nerves are anesthetized in the mental nerve block
mental, terminal branch of the IA
28
what areas are anesthetized in the mental nerve block
buccal mucous membranes anterior to the mental foramen to the midline and skin of the lower lip
29
what are the landmarks for the mental nerve block
mandibular premolars and mucobuccal fold
30
what is the depth of penetration for the mental nerve block
5 to 6 mm
31
how much anesthetic is deposited for the mental nerve block
.6 mL over 20 seconds
32
Incisive nerve block areas anesthetized
mental and incisive
33
what are areas are anesthetized in the incisive nerve block
buccal mucous membrane anterior to the mental foramen, usually second premolar to midline - lower lip and skin of chin - pulpal nerve fibers to premolar, canine and incisors
34
what are the landmarks for the incisive nerve block
mandibular premolars and mucobuccal fold
35
what is the depth of penetration for the incisive nerve block
5 to 6 mm
36
what is the amt of anesth depostied for an incisive nerve block
.6 mL over 20 seconds