DENTAL HYGIENE LOCAL
ANESTHESIA STUDY BOARDS
CORRECT 100%
pain perception - ANSWERfear of pain, keeps seeking dental care
What are 2 ways we control pain in dentistry? - ANSWER1. Behavioral Method
2. Pharmacological Method
What is behavioral Method? - ANSWERbreathing exercise, meditation, acupuncture
What are some pharmacological methods? - ANSWER1. LA
2. Inhalation (nitrous)
3. sedation oral premedication (valium)
4. conscious sedation
5. IV sedation
6. general anesthesia
Local anesthesia is for? - ANSWERpain control
Inhalation sedation is for ? - ANSWERhelp control fear
what is armamentarium and the components? - ANSWERequipment to administer LA
1. syringe
2. needle
3. cartridge
4. topical
type of syringes? - ANSWER1.non disposable
2. disposable
3. safety
4. intraosseous systems
5. computer controlled LA delivery system
What are the 5 types of NON DISPOSABLE SYRINGES? - ANSWER1. 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? - ANSWERbreech loading metallic cart.
aspirating
,breech loading means? - ANSWERcartridge isolated from the side
there are 5 components of a syringe what are they? - ANSWER1. 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 ? - ANSWERmove the piston
the finger grip is for what? - ANSWERgrasp and control syringe
the piston connects what two things? - ANSWERthumb ring and harpoon
The harpoon allows for what kind of pressure within cartridge? to check what?> -
ANSWERnegative pressure to check location of lumen of needle
5 advantages of breech loading metallic cart. aspirating syringe? - ANSWER1. visible
cart
2. one hand aspirating
3. autoclavable
4. rust resistant
5. long lasting
what are disadvantage of breech loading metallic cart, aspirating syringe? - ANSWER1.
weight 2. too big 3. infection if improper care
should a non aspirating syringe be used? - ANSWERnever
a non aspirating syringe has risk for? - ANSWERintravascular drug administration
what type of syringe is the standard of care? - ANSWERaspirating
what are the type of needle lengths in dentistry? 3 types and mm length? -
ANSWERLONG which is 32mm
Short 25mm and
ultrashort is 12 mm only in 30 gauge
5 parts to a needle?? draw and label - ANSWERBevel
shaft
hub
syringe adapter
cart penetration end
2 factors to consider about shaft? - ANSWERdiameter lumen
,length from point to hub
what is a gauge? - ANSWERdiameter of lumen. smaller greater diameter
colors of needles? 25? 27? 30? which is largest lumen? - ANSWER25 red is the largest
27 yellow
30 blue
which needle is recommended for inj posing high risk positive aspiration? -
ANSWERred 25 gauge
which needle recommended for injection where positive aspiration is low and tissue
penetration is minimal? - ANSWERyellow 27 guage
4 advantage of using larger gauge? - ANSWER1. less deflection
2. greater accuracy
3. less chance breakage
4. aspiration easier and more reliable
what is deflection? - ANSWERneedle deflects away target area, from bevel
larger needles less deflection more accuracy
change the needle after how many penetrations? - ANSWER3-4
draw and name parts of cartridge? - ANSWERcylindrical glass tube
plunger
Aluminum cap
neck
diaphragm
which component of cart is made of latex? - ANSWERdiaphragm
what are the components of a cartridge? - ANSWERlocal anesthetic drug
Vasoconstrictor
Preservative for vaso
sodium chloride
distilled water
each cart is made of how much soln? - ANSWER1.8ml or 1.8cc
packaging of cart can come in 2 types and number in each? - ANSWERvacuum
sealed*50
sealed blister 10
cart should store in light or dark place? why? - ANSWERdark cause deterioration mainly
vaso. decrease duration of anesth
, can you immerse cart in disinfectant? why? - ANSWERnever, contamination and
corrode cap
topical effective into how much tissue? - ANSWER2-3 mm not deep or hard tissue
what causes leakage during injection? - ANSWERoff center perforation of diaphragm
what causes broken cart? - ANSWERworn syringe, bent harpoon
excess force
needle bend not engaged
what causes disengagement of harpoon? - ANSWERdull harpoon
excess force during aspiration
what happens if piston doesn't move? - ANSWERat syringe end, needle no perforated
to diaphragm
pain on insertion due to? - ANSWERdull needle change 3-4 times
pain on withdraw due to? - ANSWERfishhook barbs caused by manufacturing, or
contact bone
what causes injury to pt or operator? - ANSWERsudden unexpected movement pt
There is a small bubble in cartridge. What is the bubble made of and result of it? can we
use? - ANSWERnitrogen gas
manufacturing process
yes
What do large bubbles in cart indicate? can we use and why? - ANSWERwas frozen
can't use, not sterile
what does a extruded stopper with large bubbles indicate? - ANSWERsoln frozen, soln
not sterile
what does extruded stopper without bubbles indicate? - ANSWERcontaminated in
disinfectant soln
what does a corroded cap indicate? - ANSWERimmersion in disinfectant soln that
contain ammonium salts
what does rust on cap indicate? - ANSWERone of carp leaked
sticky stoppers were common when manufactures used what to lubricate stopper? and
now we use what? - ANSWERparaffin wax
ANESTHESIA STUDY BOARDS
CORRECT 100%
pain perception - ANSWERfear of pain, keeps seeking dental care
What are 2 ways we control pain in dentistry? - ANSWER1. Behavioral Method
2. Pharmacological Method
What is behavioral Method? - ANSWERbreathing exercise, meditation, acupuncture
What are some pharmacological methods? - ANSWER1. LA
2. Inhalation (nitrous)
3. sedation oral premedication (valium)
4. conscious sedation
5. IV sedation
6. general anesthesia
Local anesthesia is for? - ANSWERpain control
Inhalation sedation is for ? - ANSWERhelp control fear
what is armamentarium and the components? - ANSWERequipment to administer LA
1. syringe
2. needle
3. cartridge
4. topical
type of syringes? - ANSWER1.non disposable
2. disposable
3. safety
4. intraosseous systems
5. computer controlled LA delivery system
What are the 5 types of NON DISPOSABLE SYRINGES? - ANSWER1. 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? - ANSWERbreech loading metallic cart.
aspirating
,breech loading means? - ANSWERcartridge isolated from the side
there are 5 components of a syringe what are they? - ANSWER1. 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 ? - ANSWERmove the piston
the finger grip is for what? - ANSWERgrasp and control syringe
the piston connects what two things? - ANSWERthumb ring and harpoon
The harpoon allows for what kind of pressure within cartridge? to check what?> -
ANSWERnegative pressure to check location of lumen of needle
5 advantages of breech loading metallic cart. aspirating syringe? - ANSWER1. visible
cart
2. one hand aspirating
3. autoclavable
4. rust resistant
5. long lasting
what are disadvantage of breech loading metallic cart, aspirating syringe? - ANSWER1.
weight 2. too big 3. infection if improper care
should a non aspirating syringe be used? - ANSWERnever
a non aspirating syringe has risk for? - ANSWERintravascular drug administration
what type of syringe is the standard of care? - ANSWERaspirating
what are the type of needle lengths in dentistry? 3 types and mm length? -
ANSWERLONG which is 32mm
Short 25mm and
ultrashort is 12 mm only in 30 gauge
5 parts to a needle?? draw and label - ANSWERBevel
shaft
hub
syringe adapter
cart penetration end
2 factors to consider about shaft? - ANSWERdiameter lumen
,length from point to hub
what is a gauge? - ANSWERdiameter of lumen. smaller greater diameter
colors of needles? 25? 27? 30? which is largest lumen? - ANSWER25 red is the largest
27 yellow
30 blue
which needle is recommended for inj posing high risk positive aspiration? -
ANSWERred 25 gauge
which needle recommended for injection where positive aspiration is low and tissue
penetration is minimal? - ANSWERyellow 27 guage
4 advantage of using larger gauge? - ANSWER1. less deflection
2. greater accuracy
3. less chance breakage
4. aspiration easier and more reliable
what is deflection? - ANSWERneedle deflects away target area, from bevel
larger needles less deflection more accuracy
change the needle after how many penetrations? - ANSWER3-4
draw and name parts of cartridge? - ANSWERcylindrical glass tube
plunger
Aluminum cap
neck
diaphragm
which component of cart is made of latex? - ANSWERdiaphragm
what are the components of a cartridge? - ANSWERlocal anesthetic drug
Vasoconstrictor
Preservative for vaso
sodium chloride
distilled water
each cart is made of how much soln? - ANSWER1.8ml or 1.8cc
packaging of cart can come in 2 types and number in each? - ANSWERvacuum
sealed*50
sealed blister 10
cart should store in light or dark place? why? - ANSWERdark cause deterioration mainly
vaso. decrease duration of anesth
, can you immerse cart in disinfectant? why? - ANSWERnever, contamination and
corrode cap
topical effective into how much tissue? - ANSWER2-3 mm not deep or hard tissue
what causes leakage during injection? - ANSWERoff center perforation of diaphragm
what causes broken cart? - ANSWERworn syringe, bent harpoon
excess force
needle bend not engaged
what causes disengagement of harpoon? - ANSWERdull harpoon
excess force during aspiration
what happens if piston doesn't move? - ANSWERat syringe end, needle no perforated
to diaphragm
pain on insertion due to? - ANSWERdull needle change 3-4 times
pain on withdraw due to? - ANSWERfishhook barbs caused by manufacturing, or
contact bone
what causes injury to pt or operator? - ANSWERsudden unexpected movement pt
There is a small bubble in cartridge. What is the bubble made of and result of it? can we
use? - ANSWERnitrogen gas
manufacturing process
yes
What do large bubbles in cart indicate? can we use and why? - ANSWERwas frozen
can't use, not sterile
what does a extruded stopper with large bubbles indicate? - ANSWERsoln frozen, soln
not sterile
what does extruded stopper without bubbles indicate? - ANSWERcontaminated in
disinfectant soln
what does a corroded cap indicate? - ANSWERimmersion in disinfectant soln that
contain ammonium salts
what does rust on cap indicate? - ANSWERone of carp leaked
sticky stoppers were common when manufactures used what to lubricate stopper? and
now we use what? - ANSWERparaffin wax
