Exam 12: Injections for Maxillary Pain Control

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The treatment plan for Florence Anderson includes restoration of teeth #6, #7, and #8. -Which other injection(s) can be considered if needle penetrations are not limited?

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infiltrations #6, #7, #8

Describe the field of anesthesia for the infraorbital (IO) nerve block.

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The IO nerve block will affect structures innervated by the anterior and middle superior alveolar and IO nerves. Areas anesthetized include the pulps of the maxillary central incisors through the canines, premolars, and their facial periodontium; and the lower eyelid, lateral aspect of nose, and upper lip. In some individuals, the mesiobuccal root of the maxillary first molar is also anesthetized.

Color in the field of anesthesia and list the structures anesthetized by an IO nerve block. Color in the field of anesthesia and list the structures anesthetized by an IO nerve block.

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In a typical adult, how far below the inferior orbital ridge is the IO deposition site located?

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Small PSA foramina are located on the

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Which of the following correctly describes the needle pathway for an MSA injection?

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The ________ nerve block is indicated for pain management of anterior and premolar teeth in one quadrant.

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Color in the field of anesthesia and list the structures anesthetized by an MSA nerve block. Color in the field of anesthesia and list the structures anesthetized by an MSA nerve block.

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Which injection will most easily remedy cross-over innervation to a central incisor?

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What is the correct deposition site for a PSA nerve block?

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Jana Adams is a semi-retired 65 year-old. She is a routine patient and reliable historian. She reports no change in her health and takes a daily multi-vitamin with minerals. Her blood pressure is 126/80 today, pulse 76, and respiration 14 breaths per minute. She is 5' 1" and weighs 130 pounds. Ms. Adams is scheduled for the replacement of two discolored restorations on the facial aspects of #7 and #8. She has had no past difficulties with local anesthesia and tolerated the injection procedure today. The preparation of #7 is completed in comfort however shortly after the preparation of tooth #8 begins Ms. Adams reports the tooth is painful. -What is the most likely cause of the pain experienced during the preparation of #8?

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The needle pathway of an MSA injection parallels the long axis of the ________.

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What is an adequate range of volumes for MSA nerve blocks?

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The treatment plan for Marjorie Dickens includes restorations for #11D and #12MO. -Which needle length and gauge is typically used for injection(s) of #11 and #12?

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What is the correct penetration depth for a maxillary nerve block for a palatal approach?

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Match the following : -Infiltration

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The deposition site for an infiltration injection is at the ________ of the tooth.

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The ASA nerve is a branch of the ________ division of the trigeminal nerve.

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Color in the field of anesthesia and list the structures anesthetized by an ASA nerve block. Color in the field of anesthesia and list the structures anesthetized by an ASA nerve block.

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Color in the field of anesthesia and list the structures anesthetized by a PSA nerve block. Color in the field of anesthesia and list the structures anesthetized by a PSA nerve block.

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