LA: Ch 12 Book Questions & review notes

Anterior middle superior alveolar (AMSA) block

Type of injection that anesthetizes most of the maxillary teeth and their associated periodontium as well as most of the facial and lingual gingival tissue in one quadrant

Anterior superior alveolar (ASA) block

Commonly used with MSA instead of using an infraorbital blockterm-47
Anesthetizes the pulp of the maxillary canine and the incisor teeth, the associated periodontium, gingiva, and facial soft tissue
Needle gauge and length: 27-gauge, short.
Landmarks: Can

Crossover-innervation

Overlap of terminal nerve fibers from the contralateral side.

Greater palatine (GP) block

Innervate greater palatine nerve
Anesthetize: Lingual gingival tissue of maxillary premolars and molars and posterior hard palate in one quadrant (no pulpal anesthesia)

Hematoma

Swelling that develops when a blood vessel, particularly an artery, is punctured or lacerated by the needle.

Infraorbital (IO) block

Used when nesthesia is needed for maxillary anterior teeth in one
Anesthetizes: pulps of the maxillary teeth - Central Incisors to mesiobuccal root of the first molar, Buccal hard and soft tissue overlying these teeth, Lower eyelid, lateral aspect of the

Middle superior alveolar (MSA) block

Teeth anesthetized - Maxillary first and second premolars and mesiobuccal root of maxillary first molar in 28% of population
Other structures anesthetized
Periodontium of anesthetized teeth and buccal soft tissue of premolar region
Landmarks: Maxillary mu

Nasopalatine (NP) block

Provides anesthesia to the anterior hard palate
Bilaterally from mesial of the right first premolar to the mesial of the left first premolar
Recommended when lingual soft tissue anesthesia is needed from canine to canine, including the palatal bone and th

Nerve block

Type of injection that anesthetizes a larger area than the local infiltration because the local anesthetic agent is deposited near large nerve trunks.

Posterior superior alveolar (PSA) block

Recommended for pulpal anesthesia of the molar teeth and associated periodontium.
It is recommended that the PSA block be given before any of the other maxillary facial injections or palatal injections to allow the necessary time for the larger molars to

Supraperiosteal injection

Type of injection that anesthetizes a small area�one or two teeth and associated structures�when the local anesthetic agent is deposited near terminal nerve endings.
Recommended when pulpal anesthesia is needed
target area is the apex of selected tooth

Intraosseous (Intraseptal) injection

used when there is a need for additional hemostatic control with the interdental periodontuim and gingiva
higher levels of vasoconstrictor can be used
can use in either dental arch

Visual analog scale (VAS)

An instrument used to measure pain.

1. Anesthesia of the maxillary teeth is MORE successful than the mandibular teeth BECAUSE the maxillary bone overlying the teeth is more dense.
A. Both the statement and the reason are correct and related.
B. Both the statement and the reason are correct

The statement is correct, but the reason is NOT.

2. When performing maxillary nerve anesthesia, which is the ONLY local anesthetic block that requires the clinician to contact bone with the needle to ensure success?
A. Infraorbital block
B. Anterior superior alveolar block
C. Middle superior alveolar bl

Infraorbital block

3. Which block is MOST appropriate to successfully anesthetize the buccal tissue of the maxillary premolars?
A. Greater palatine block
B. Nasopalatine block
C. Anterior superior alveolar block
D. Middle superior alveolar block

Middle superior alveolar block

4. Where is the target area for local anesthetic deposition of the agent located when administering a supraperiosteal injection?
A. Cervix of the tooth
B. Height or depth of the mucobuccal fold
C. Between the mucoperiosteum and bone
D. Between the gingiva

Height or depth of the mucobuccal fold

5. It is ALWAYS important for the clinician to orient the needle as close as possible to the periosteum. This is to ensure the needle glides along the periosteum allowing for more stability.
A. Both the statement and the reason are correct and related.
B.

NEITHER the statement NOR the reason is correct.

6. Which of the following local anesthetic blocks anesthetizes the mesial buccal root of tooth #3 in ONLY 28% of the population?
A. Greater palatine block
B. Nasopalatine block
C. Anterior superior alveolar block
D. Middle superior alveolar block

Middle superior alveolar block

7. Which of the following structures does the infraorbital local anesthetic block anesthetize?
A. The teeth and periodontium in either the upper left or upper right quadrant
B. The teeth and peridontium in the entire maxillary arch
C. The anterior and mid

The anterior and middle superior alveolar nerves in one maxillary quadrant

8. Where is the target area located for the posterior superior alveolar local anesthetic block?
A. The posterior superior alveolar nerve as it enters infratemporal fossa
B. The posterior superior alveolar nerve as it exits the ptergopalatine fossa
C. The

The posterior superior alveolar nerve as it enters the maxilla through the posterior superior alveolar foramina

9. Which local anesthetic block listed below requires the needle insertion point to be at the height of the mucobuccal fold, superior to the apex of the maxillary second molar?
A. Infraorbital block
B. Anterior superior alveolar block
C. Middle superior a

Posterior superior alveolar block

10. If the clinician wanted to anesthetize teeth #9-11, and associated buccal and lingual gingival tissue, it would be BEST to administer which of the following local anesthetic blocks?
A. Infraorbital block only
B. Infraorbital and nasopalatine blocks
C.

Infraorbital and nasopalatine blocks

11. BECAUSE the greater palatine block local anesthetic does NOT provide pulpal anesthesia, the use of the middle superior alveolar block and/or posterior superior alveolar block is also indicated when instrumenting on the maxillary premolars.
A. Both the

Both the statement and the reason are correct and related.

12. Which of the following local anesthetic blocks require the needle angulation to be at 45 degrees within three separate planes during administration?
A. Infraorbital block
B. Anterior superior alveolar block
C. Middle superior alveolar block
D. Posteri

Posterior superior alveolar block

13. Where is the needle insertion point recommended for the nasopalatine local anesthetic block?
A. Lateral to the incisive papilla
B. Anterior to the greater palatine foramen
C. Posterior to the incisive foramen
D. Near the maxillary labial frenum

Lateral to the incisive papilla

14. Where is the target area located for the middle superior alveolar local anesthetic block?
A. Apex of the maxillary canine
B. Apex of the maxillary first premolar
C. Apex of the maxillary second premolar
D. Mesial buccal root of the maxillary first mol

Apex of the maxillary second premolar

15. Where is the needle insertion point for the anterior superior alveolar local anesthetic block?
A. Mucobuccal fold at the apex of the maxillary canine
B. Mucobuccal fold at the apex of the maxillary first premolar
C. Mucobuccal fold at the apex of the

Mucobuccal fold at the apex of the maxillary canine

16. What is the usual depth of needle penetration for the anterior superior alveolar local anesthetic block?
A. 5 mm
B. 10 mm
C. 16 mm
D. 20 mm

5 mm

17. What is the needle insertion point for the infraorbital local anesthetic block?
A. Mucobuccal fold at the apex of the maxillary canine
B. Mucobuccal fold at the apex of the maxillary first premolar
C. Mucobuccal fold at the apex of the maxillary secon

Mucobuccal fold at the apex of the maxillary first premolar

18. After receiving an infraorbital local anesthetic block, the patient reports slight numbness of the lower eyelid. What should the clinician do?
A. Stop treatment and explain facial nerve paralysis to the patient
B. Nothing since this is normal for this

Nothing since this is normal for this block

19. Where is the greater palatine foramen usually located?
A. About 10 mm medial and directly superior to the lingual gingival margin
B. About 10 mm medial and directly inferior to the lingual gingival margin
C. Lateral to the incisive papilla and lingual

About 10 mm medial and directly superior to the lingual gingival margin

20. Pressure anesthesia to control patient discomfort upon injection with the needle can be used during which of the following local anesthetic blocks?
A. Posterior alevolar and greater palatine local anesthetic blocks
B. Greater palatine and nasopalatine

Greater palatine and nasopalatine local anesthetic blocks

Which division of the fifth cranial nerve exits the skull through the foramen rotundum?
A. Mandibular division
B. Ophthalmic division
C. Maxillary division
D. Facial division

Maxillary Division

If you wanted to anesthetize the maxillary canine, what nerve block would you give?
A. Infraorbital
B. Nasopalatine
C. Greater palatine
D. Posterior superior alveolar

infraorbital

When anesthetizing the maxillary central incisors, you must anesthetize which nerve?
A. Anterior superior alveolar
B. Anterior palatine
C. Nasopalatine
D. Incisal

ASA

For block anesthesia of the maxillary molars (except for the mesiobuccal root of the first molar), you must deposit anesthesia very near which nerve?
A. Buccal nerve
B. Middle superior alveolar nerve
C. Infraorbital nerve
D. Posterior superior alveolar ne

PSA

When aligning the syringe for the Infraorbital Nerve Block injection, which of the following is an important guideline?
A. Syringe aligns parallel to the long axis of the roots
B. Insertion point is 3-5 millimeters buccal to the height of the mucobuccal f

Syringe aligns with the medial edge of the pupil

To anesthetize the soft tissue of the posterior palate, which nerve must you anesthetize?
A. The Greater Palatine
B. The Infraorbital
C. The PSA
D. The Nasopalatine

Greater Palatine

If you are scaling the palatal of tooth #6 and your patient is uncomfortable, which nerve should you anesthetize?
A. The Greater Palatine
B. The Infraorbital
C. The PSA
D. The Nasopalatine

Nasopalatine

To anesthetize the soft tissue of the anterior palate, which nerve must you anesthetize?
A. The Greater Palatine
B. The Infraorbital
C. The PSA
D. The Nasopalatine

Nasopalatine

Local anesthesia of the maxilla is more successful than that of the mandible because the cortical bone over the facial surface is ______ than that of the mandible.

less dense

_________ injections are recommended when pulpal anesthesia is needed on a limited number of teeth.

Supraperiosteal

The _____ injection is recommended for pulpal anesthesia of the molar teeth and associated periodontium.

PSA

The ______ injection is recommended for pulpal anesthesia of the premolar teeth and associated periodontium.

MSA

The ______ injection is recommended for pulpal anesthesia of the anterior teeth and associated periodontium.

ASA

The ____ injection is recommended for pulpal anesthesia of the anterior teeth and premolars in one quadrant.

IO

The _____ injection is recommended when lingual soft tissue anesthesia is needed distal to the canine.

GP

The _____ injection is recommended when lingual soft tissue anesthesia is needed from canine to canine.

NP