Anesthetic Quiz #6

You are going to preform soft tissue curettage all around teeth numbers 29-30. The teeth are very sensitive and root planning must also be performed on these two teeth. You should give the following injection:

Lingual, IAN, buccal nerve block

When performing an IAN block on a patient that has poorly defined anatomical landmarks (poor raphae and triangle), it is best to:

inject slightly higher to increase your chance your chances of good anesthesia

You have inserted for the IAN block (with a 25 guage long needle) and have gone over � the length of the needle and have not touched the ramus:

Retract the needle and appropriate length
move syringe toward molars
reinsert

You have inserted for the IAN block (with a 25 guage long needle) and you have touched the ramus when the needle is into the patient about 2/3 the length of the needle:

Aspirate and inject at that point

You have inserted for the IAN block(with a 25 guage long needle) and have touched the ramus when the needle is into the patient about � the length of the needle:

Remove the needle completely from the tissue and start over

1. The syringe is parallel with the MD occulsal plane,
2. From a inferior/superior aspect, the needle should insert � the way between the two
arches
3. The syringe should be positioned in/on the opposite corner of the mouth,
4. The point of insertion is i

Correct procedures for preforming an IAN block

You need to do curettage, buccal and lingual, from tooth #22-27. You may give the following for anesthesia.

Two inferior alveolar nerve blocks with lingual nerve blocks, but one side at one appointment and one side at another appointment the following day

1. Given a syringe parallel to the buccal surface
of the teeth
2. Given posterior to the last tooth in the arch
3. Given just under the tissue

Buccal nerve block

For the mental nerve block:

insertion is usually into the mucosa, a few mm lateral to the vestibule

You have performed an IAN block. A minute later, the patient starts complaining of itching. A rash develops. The patient then begins to have difficulty breathing:

the patient is having a severe allergic reaction

The long needle is used in the following injection:

inferior alveolar nerve block

10. When a right-handed person gives a left inferior alveolar nerve block, the thumb on your left hand is on the external/internal oblique line. The other fingers on this hand are:

on the posterior border of the ramus

The point of insertion for the inferior alveolar nerve block is between the ramus and the pterygomandibular raphe. Your point of insertion is:

close to the raphe in the triangle

How much anesthesia should you use for a lingual nerve block on an adult:

slightly more than � cart

How much anesthesia should you use for an IAN block:

slightly more than � cart