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DENT 4411 Restorative Final

Terms in this set (156)

What is the largest cranial nerve?
trigeminal nerve
Where does the trigeminal nerve originate?
originates at pons, enlarges into the trigeminal ganglion

two ganglia: each supplying one side of the face
What are the divisions of the trigeminal nerve and where do they exit?
V1 - ophthalmic -----> superior orbital fissure
V2 - maxillary-------> foramen rotundum
V3 - mandibular-----> foramen ovale
ASA
Area anesthetized:
Landmarks:
Insertion:
Depth:
Volume:
Needle gauge:
Area anesthetized: MX central, lateral, cuspid, periosteum, and buccal soft tissue to midline
Landmarks: canine fossa between lateral and canine
Insertion: height of muccobuccal fold 25 degrees medially to root of canine
Depth: 4-6 mm, 1/4"
Volume: 1/2-2/3 cartridge
Needle gauge: 25 or 27 short
MSA
Area anesthetized:
Landmarks:
Insertion:
Depth:
Volume:
needle gauge:
ABSENT IN LARGE % OF POPULATION

Area anesthetized: MX premolars, MB root of MX 1st molar, periosteum, buccal tissue
Landmarks: zygomatic process, MX premolars
Insertion: height of muccobuccal fold over MX 2nd premolar
Depth: 4-10mm, 1/4-1/2" or 5-8 mm
Volume: 1/2-2/3 cartridge
Needle Gauge: 25 or 27 short
PSA
Area anesthetized:
Landmarks:
Insertion:
Depth:
Volume:
needle gauge:
Area anesthetized: 3rd, 2nd and 1st MX molars (EXCEPT MB root of 1st molar), periosteum, B tissue
Landmarks: zygomatic eminence MX tuberosity, ala of nose, corner of mouth
Insertion: height of muccobuccal fold in concavity distal to zygomatic buttress, above 2nd molar, 45 degrees angle superior to occlusal plane. DB root of 2nd molar
Depth: 16-20 mm, 3/4" (3-4 mm from hub)
Volume: 1/2- 1 cartridge
Needle Gauge: 25 or 27 short
GP - Greater Palatine
Area anesthetized:
Landmarks:
Insertion:
Depth:
Deposition/Target site:
Volume:
needle gauge:
Area anesthetized: no teeth. hard palate and lingual tissue posterior to 1st premolar and medial to midline
Landmarks: vertical/horizontal process of MX and palatine bones, 2nd or 3rd molar apices
Insertion: greater palatine foramen at junction of MX alveolar process and palatine bone. Lingual to 2nd molar.
Depth: approx. 4-6 mm, 1/8-1-4"
Target site: slightly anterior to greater palatine foramen
Volume: 1/4-1/3
Needle Gauge: 27 or 30 short or extra short
Nasopalatine
Area anesthetized:
Landmarks:
Insertion:
Depth:
Volume:
deposition/target site:
needle gauge:
Area anesthetized: no teeth. anterior 1/3 of hard palate, lingual tissues from cuspid to cuspid
Landmarks: MX centrals, incisive papilla
Insertion: lateral to incisive papilla at widest aspect. 45 degrees angle to anterior palate
Depth: 3-5 mm, 1-8-1/4"
Volume: 1/8-1/4 cartridge (1 stopper full)
deposition/target site: Incisive foramen beneath papilla
*one injection will anesthetize both right and left NP nerves
Needle Gauge: 27 or 30 short or extra short
Inferior alveolar
Area anesthetized:
Landmarks:
Insertion:
Depth:
Volume:
Deposition/target site:
needle gauge:
Area anesthetized: MD teeth to midline, buccal tissue only from premolars to midline (no molar tissue)
Landmarks: coronoid notch, pterygomandibular raphe, occlusal plane of MD premolar teeth and commisure of contra lateral side
Insertion: medial to internal oblique ridge, lateral to pterygomandibular raphe, at or above height of coronoid notch
Depth: 20-25 mm (2/3-3/4" of needle)
Volume: 3/4-1 cartridge
deposition/target site: Directly above mandibular foramen.
Needle Gauge: 25 or 27 long
Lingual
Area anesthetized:
Landmarks:
Insertion:
Depth:
Volume:
Deposition/target site:
needle gauge:
Area anesthetized: no teeth. lingual gingiva of MD quad, anterior 2/3 of tongue, floor of mouth
Landmarks: coronoid notch, pterygomandibular raphe, occlusal plane of MD premolar teeth and commisure of contra lateral side
Insertion: medial to internal oblique ridge, lateral to pterygomandibular raphe, at or above height of coronoid notch
Depth: 1/2 of lingual, 10-13 mm
Volume: 1/8 of cartridge (1 stopper full)
deposition/target site: Half the distance to mandibular foramen at lingual nerve.
Needle Gauge: 25 or 27 long
Buccal
Area anesthetized:
Landmarks:
Insertion:
Depth:
Volume:
Needle gauge:
Area anesthetized: no teeth! soft tissues and periosteum buccal to MD molars
Landmarks: external oblique ridge and 2nd molar. retromolar pad
Insertion: muccobuccal fold distal and lateral to last molar; parallel w/occlusal plane
Depth: 3-4 mm (1-8")
Volume: 1 stopper full
Needle Gauge: 25 or 27 long because it usually follows IA
Mental
Area anesthetized:
Landmarks:
Insertion:
Depth:
Volume:
needle gauge:
Area anesthetized: no teeth. buccal soft tissue from mental foramen to midline and soft tissues of lower lip and chin
Landmarks: mental foramen between 2 MD premolars
Insertion: mental foramen between apices of 1st and 2nd premolar at height of muccobuccal fold
Depth: 5-6 mm (approx. 1/4")
Volume: 1/3 cartridge
Needle Gauge: 25 or 27 short
Incisive
Area anesthetized:
Landmarks:
Insertion:
Depth:
Volume:
Target/deposition:
needle gauge:
Area anesthetized: teeth anterior to mental foramen (premolars, cuspid, lateral, central)
Landmarks: mental foramen between 2 MD premolars
Insertion: mental foramen between apices of 1st and 2nd premolar at height of muccobuccal fold
Depth: 5-6 mm (approx. 1/4")
Volume: 1/3 cartridge
Target/deposition: over mental foramen, use finger to direct solution into foramen
Needle Gauge: 25 or 27 short
AMSA
Area anesthetized:
Landmarks:
Insertion:
Depth:
Volume:
Area anesthetized: pulpal of premolars to midline, palatal tissue of entire MX quad 3rd molar to midline. No lip! 1st molar, MB root pulpal also.
Landmarks: horizontal bone meets vertical bone
Insertion: point bisecting MX premolars and midway between palatal suture and free gingival margin
Depth: 4-7 mm
Volume: 2/3-1 cartridge SLOWLY
Gow Gates
Area anesthetized:
Landmarks:
Insertion:
Depth:
Volume:
deposition and target site:
Low incidence of positive aspiration
Area anesthetized: entire MD quad. all teeth, facial and lingual gingiva, soft tissues of lower lip and chin, anterior 2/3 of tongue, floor of mouth, auriculotemporal area
Landmarks: Extraoral: tragus, corner of mouth. Intraoral: mesiolingual cusp of max, 2nd molar.
Insertion: Height-mesiolingual cusp of maxillary 2nd molar. Penetration- distal to maxillary 2nd molar Barrel of syringe on opposite side (ranges from canine to molar) needle inclined up toward tragus.
Depth: Average 25mm - 3/4 length of long needle, must contact bone
Volume: 1 cartridge
deposition/target site: Lateral side of neck of condyle.
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