DENTAL HYGIENE LOCAL
ANESTHESIA STUDY BOARDS EXAM
pain perception - Correct Answers -fear of pain, keeps seeking dental care
What are 2 ways we control pain in dentistry? - Correct Answers -1. Behavioral Method
2. Pharmacological Method
What is behavioral Method? - Correct Answers -breathing exercise, meditation,
acupuncture
What are some pharmacological methods? - Correct Answers -1. LA
2. Inhalation (nitrous)
3. sedation oral premedication (valium)
4. conscious sedation
5. IV sedation
6. general anesthesia
Local anesthesia is for? - Correct Answers -pain control
Inhalation sedation is for ? - Correct Answers -help control fear
what is armamentarium and the components? - Correct Answers -equipment to
administer LA
1. syringe
2. needle
3. cartridge
4. topical
type of syringes? - Correct Answers -1.non disposable
2. disposable
3. safety
4. intraosseous systems
5. computer controlled LA delivery system
,What are the 5 types of NON DISPOSABLE SYRINGES? - Correct Answers -1. breech
loading metallic cartridge, aspirating
2. Breech loading, plastic cartridge, aspirating
3. breech loading metallic cartridge, self aspirating
4. pressure
5. jet injector
in SCCC we use which type of syringe? - Correct Answers -breech loading metallic cart.
aspirating
breech loading means? - Correct Answers -cartridge isolated from the side
there are 5 components of a syringe what are they? - Correct Answers -1. Needle
adapter
2. syringe barrel
3. piston and harpoon
4. finger grip
5. thumb ring
The thumb ring traps and controls the syringe as well as ? - Correct Answers -move the
piston
the finger grip is for what? - Correct Answers -grasp and control syringe
the piston connects what two things? - Correct Answers -thumb ring and harpoon
The harpoon allows for what kind of pressure within cartridge? to check what?> -
Correct Answers -negative pressure to check location of lumen of needle
5 advantages of breech loading metallic cart. aspirating syringe? - Correct Answers -1.
visible cart
2. one hand aspirating
3. autoclavable
4. rust resistant
5. long lasting
what are disadvantage of breech loading metallic cart, aspirating syringe? - Correct
Answers -1. weight 2. too big 3. infection if improper care
should a non aspirating syringe be used? - Correct Answers -never
a non aspirating syringe has risk for? - Correct Answers -intravascular drug
administration
what type of syringe is the standard of care? - Correct Answers -aspirating
,what are the type of needle lengths in dentistry? 3 types and mm length? - Correct
Answers -LONG which is 32mm
Short 25mm and
ultrashort is 12 mm only in 30 gauge
5 parts to a needle?? draw and label - Correct Answers -Bevel
shaft
hub
syringe adapter
cart penetration end
2 factors to consider about shaft? - Correct Answers -diameter lumen
length from point to hub
what is a gauge? - Correct Answers -diameter of lumen. smaller greater diameter
colors of needles? 25? 27? 30? which is largest lumen? - Correct Answers -25 red is
the largest
27 yellow
30 blue
which needle is recommended for inj posing high risk positive aspiration? - Correct
Answers -red 25 gauge
which needle recommended for injection where positive aspiration is low and tissue
penetration is minimal? - Correct Answers -yellow 27 guage
4 advantage of using larger gauge? - Correct Answers -1. less deflection
2. greater accuracy
3. less chance breakage
4. aspiration easier and more reliable
what is deflection? - Correct Answers -needle deflects away target area, from bevel
larger needles less deflection more accuracy
change the needle after how many penetrations? - Correct Answers -3-4
draw and name parts of cartridge? - Correct Answers -cylindrical glass tube
plunger
Aluminum cap
neck
diaphragm
which component of cart is made of latex? - Correct Answers -diaphragm
what are the components of a cartridge? - Correct Answers -local anesthetic drug
, Vasoconstrictor
Preservative for vaso
sodium chloride
distilled water
each cart is made of how much soln? - Correct Answers -1.8ml or 1.8cc
packaging of cart can come in 2 types and number in each? - Correct Answers -vacuum
sealed*50
sealed blister 10
cart should store in light or dark place? why? - Correct Answers -dark cause
deterioration mainly vaso. decrease duration of anesth
can you immerse cart in disinfectant? why? - Correct Answers -never, contamination
and corrode cap
topical effective into how much tissue? - Correct Answers -2-3 mm not deep or hard
tissue
what causes leakage during injection? - Correct Answers -off center perforation of
diaphragm
what causes broken cart? - Correct Answers -worn syringe, bent harpoon
excess force
needle bend not engaged
what causes disengagement of harpoon? - Correct Answers -dull harpoon
excess force during aspiration
what happens if piston doesn't move? - Correct Answers -at syringe end, needle no
perforated to diaphragm
pain on insertion due to? - Correct Answers -dull needle change 3-4 times
pain on withdraw due to? - Correct Answers -fishhook barbs caused by manufacturing,
or contact bone
what causes injury to pt or operator? - Correct Answers -sudden unexpected movement
pt
There is a small bubble in cartridge. What is the bubble made of and result of it? can we
use? - Correct Answers -nitrogen gas
manufacturing process
yes
ANESTHESIA STUDY BOARDS EXAM
pain perception - Correct Answers -fear of pain, keeps seeking dental care
What are 2 ways we control pain in dentistry? - Correct Answers -1. Behavioral Method
2. Pharmacological Method
What is behavioral Method? - Correct Answers -breathing exercise, meditation,
acupuncture
What are some pharmacological methods? - Correct Answers -1. LA
2. Inhalation (nitrous)
3. sedation oral premedication (valium)
4. conscious sedation
5. IV sedation
6. general anesthesia
Local anesthesia is for? - Correct Answers -pain control
Inhalation sedation is for ? - Correct Answers -help control fear
what is armamentarium and the components? - Correct Answers -equipment to
administer LA
1. syringe
2. needle
3. cartridge
4. topical
type of syringes? - Correct Answers -1.non disposable
2. disposable
3. safety
4. intraosseous systems
5. computer controlled LA delivery system
,What are the 5 types of NON DISPOSABLE SYRINGES? - Correct Answers -1. breech
loading metallic cartridge, aspirating
2. Breech loading, plastic cartridge, aspirating
3. breech loading metallic cartridge, self aspirating
4. pressure
5. jet injector
in SCCC we use which type of syringe? - Correct Answers -breech loading metallic cart.
aspirating
breech loading means? - Correct Answers -cartridge isolated from the side
there are 5 components of a syringe what are they? - Correct Answers -1. Needle
adapter
2. syringe barrel
3. piston and harpoon
4. finger grip
5. thumb ring
The thumb ring traps and controls the syringe as well as ? - Correct Answers -move the
piston
the finger grip is for what? - Correct Answers -grasp and control syringe
the piston connects what two things? - Correct Answers -thumb ring and harpoon
The harpoon allows for what kind of pressure within cartridge? to check what?> -
Correct Answers -negative pressure to check location of lumen of needle
5 advantages of breech loading metallic cart. aspirating syringe? - Correct Answers -1.
visible cart
2. one hand aspirating
3. autoclavable
4. rust resistant
5. long lasting
what are disadvantage of breech loading metallic cart, aspirating syringe? - Correct
Answers -1. weight 2. too big 3. infection if improper care
should a non aspirating syringe be used? - Correct Answers -never
a non aspirating syringe has risk for? - Correct Answers -intravascular drug
administration
what type of syringe is the standard of care? - Correct Answers -aspirating
,what are the type of needle lengths in dentistry? 3 types and mm length? - Correct
Answers -LONG which is 32mm
Short 25mm and
ultrashort is 12 mm only in 30 gauge
5 parts to a needle?? draw and label - Correct Answers -Bevel
shaft
hub
syringe adapter
cart penetration end
2 factors to consider about shaft? - Correct Answers -diameter lumen
length from point to hub
what is a gauge? - Correct Answers -diameter of lumen. smaller greater diameter
colors of needles? 25? 27? 30? which is largest lumen? - Correct Answers -25 red is
the largest
27 yellow
30 blue
which needle is recommended for inj posing high risk positive aspiration? - Correct
Answers -red 25 gauge
which needle recommended for injection where positive aspiration is low and tissue
penetration is minimal? - Correct Answers -yellow 27 guage
4 advantage of using larger gauge? - Correct Answers -1. less deflection
2. greater accuracy
3. less chance breakage
4. aspiration easier and more reliable
what is deflection? - Correct Answers -needle deflects away target area, from bevel
larger needles less deflection more accuracy
change the needle after how many penetrations? - Correct Answers -3-4
draw and name parts of cartridge? - Correct Answers -cylindrical glass tube
plunger
Aluminum cap
neck
diaphragm
which component of cart is made of latex? - Correct Answers -diaphragm
what are the components of a cartridge? - Correct Answers -local anesthetic drug
, Vasoconstrictor
Preservative for vaso
sodium chloride
distilled water
each cart is made of how much soln? - Correct Answers -1.8ml or 1.8cc
packaging of cart can come in 2 types and number in each? - Correct Answers -vacuum
sealed*50
sealed blister 10
cart should store in light or dark place? why? - Correct Answers -dark cause
deterioration mainly vaso. decrease duration of anesth
can you immerse cart in disinfectant? why? - Correct Answers -never, contamination
and corrode cap
topical effective into how much tissue? - Correct Answers -2-3 mm not deep or hard
tissue
what causes leakage during injection? - Correct Answers -off center perforation of
diaphragm
what causes broken cart? - Correct Answers -worn syringe, bent harpoon
excess force
needle bend not engaged
what causes disengagement of harpoon? - Correct Answers -dull harpoon
excess force during aspiration
what happens if piston doesn't move? - Correct Answers -at syringe end, needle no
perforated to diaphragm
pain on insertion due to? - Correct Answers -dull needle change 3-4 times
pain on withdraw due to? - Correct Answers -fishhook barbs caused by manufacturing,
or contact bone
what causes injury to pt or operator? - Correct Answers -sudden unexpected movement
pt
There is a small bubble in cartridge. What is the bubble made of and result of it? can we
use? - Correct Answers -nitrogen gas
manufacturing process
yes
