All local anesthetics (except Cocaine) are:

Influences of Pain Reaction of your patient is important to assess.

Compare general anesthesia to local anesthesia:

Local Anesthesia is defined as the loss of sensation in a localized area of the body caused by the depression of nerve endings or an obstruction of the conduction process of the peripheral nerves.

Desirable properties of local anesthetics include all of the following except one. Which one is the exception?

The most concentration of Epinephrine is in a cartridge labeled as 1: _______?

When seeing a patient experiencing pain, it is more difficult to achieve appropriate pain control with local anesthesia when the patient has reported a history of _______ and the dental hygienist notes __________ in the periodontal chart.

Assessment of your patient's medical and dental history is the best strategy to prevent or minimize a medical emergency. When considering the very young patient and the elderly patient, these groups of individuals are of particular risk when considering maximum recommended dosages (MRD) of dispensed local anesthesia by the dental hygienist. Respond to these statements:

Ester topical anesthetics, Benzocaine being an example of this type of anesthetic, is hydrolyzed where?

How many milliliters of local anesthetic is typically in 2 cartridges containing 4% Articaine dental anesthetic?

Your patient is a 10 year old ASA 1 child, weighing 55 pounds. All of the following factors add to the increase risk of local anesthesia overdose in this patient except one? Which one is the exception?

Match the following Dimensions of Oral Health and Human need categories with the characteristics : Physical and Developmental

Match the following Dimensions of Oral Health and Human need categories with the characteristics : Intellectual

Match the following Dimensions of Oral Health and Human need categories with the characteristics : Emotional

Match the following Dimensions of Oral Health and Human need categories with the characteristics : Social

Match the following Dimensions of Oral Health and Human need categories with the characteristics : Spiritual

Case Scenario: Your ASA III diabetic patient with a history of anxiety disorder and general psychosis is seated in your operatory chair for periodontal debridement by quadrants. This patient may receive local anesthesia with a limited level of vasopressor. You may choose to provide this patient with anesthesia injections with one cartridge containing epinephrine in combination with one cartridge that does not contain epinephrine. Respond to this statement:

A local anesthesia drug overdose develops when_________________

What is an appropriate response to these statements below: An overdose is likely when administering a topical ester anesthetic to a patient with allergies. A localized allergic reaction is more likely to occur when the dental hygienist drips an amide local anesthesia on the patient's buccal mucosa.

Which injection is usually recommended to be administered along with the Inferior Alveolar block injection in order to anesthetize one quadrant without overlapping coverage?

Which injection is usually recommended to be administered to provide anesthesia to teeth # 14 buccal and #15 buccal?

Which injection is usually recommended to be administered to provide anesthesia to teeth # 1- #5 lingual?

If your patient is experiencing root sensitivity on teeth # 31 and #32 buccal during a periodontal debridement procedure, which injection would your administer to provide pain relief to your patient?

Which injection is usually recommended to be administered to provide anesthesia to teeth # 6 through 11 lingual?

Which injection is usually recommended to be administered to provide soft tissue only anesthesia for teeth # 20 buccal and # 29 buccal?

Which injection is usually recommended to be administered to provide anesthesia to teeth # 10 and #9 facial?

The following individual presents as a dental hygiene patient: Stanley, your 9am patient is in need of local anesthesia. He is noted as an ASA II patient and is missing the following teeth, # 30, #31 and #32. Which injection will you most appropriately administer to your patient to achieve the best results in the lower right quadrant?

What injection anesthetizes the tongue to the greatest degree and is suggested to avoid administering both in the left and right quadrants in the same appointment?

Juanita is your 10am patient and is treatment planned for periodontal debridement with local anesthesia in the upper and lower left quadrants. How much for the PSA?

Juanita is your 10am patient and is treatment planned for periodontal debridement with local anesthesia in the upper and lower left quadrants. How much for the ASA?

Juanita is your 10am patient and is treatment planned for periodontal debridement with local anesthesia in the upper and lower left quadrants. How much for the GP?

Juanita is your 10am patient and is treatment planned for periodontal debridement with local anesthesia in the upper and lower left quadrants. How much for the Long Buccal?

Juanita is your 10am patient and is treatment planned for periodontal debridement with local anesthesia in the upper and lower left quadrants. How much for the IA?

Which image demonstrates an Nasopalatine injection

When seeing a dental hygiene patient, ethical and legally consideration of the techniques used when administering local anesthesia is important. In order to minimize the risk of Trismus, the dental hygienist will do the following?

When providing anesthesia, you provide the most appropriate technique, however, a hematoma has formed following administration of the Mental/Incisive injection in the buccal area of tooth # 21. A hematoma can be described as:

Mary is your 9am patient and is being seen for quadrant scaling with local anesthesia. Her medical history reveals a blood disorder where excessive bleeding may be a concern. Her ASA classification is ASAIII. The hygienists receives medical clearance to treat the patient, and chooses an anesthetic with the highest concentration of epinephrine (most amount of vasoconstriction). Which product was appropriately chosen by the hygienists?

Soreness of the TMJ muscles caused by muscle spasms is called what?

An overdose reaction to an injectable anesthetic may be considered what type of complication?

Alfred has received an anterior infiltration injection. He has a bleeding disorder and a hematoma has now been observed by the dental hygienist. What is the first step in managing a hemotoma?

Before administrating local anesthetics, the dental hygienist should describe the risks and benefits to the patient. What terms should be used?

In the State of Connecticut, practicing with in the scope of practice means ___________?

Your 75 year old female recall patient is in need of local anesthesia. You obtain consent from her care giver. Consent of dental hygiene/local anesthesia procedures includes:

Preventing pain on injection can best be minimized by all of the following except one. Which one is the EXCEPTION?

A 1/4 cartridge of LA should be appropriately dispensed over _____ minutes or seconds?

A 4% local anesthetic contains _______ mg/ml of product and ______mg/ml of anesthetic in one cartridge. Fill in the blanks

Maximum Recommended Dose of Vasoconstrictors: Your cardiac patient needs local anesthesia. You determine the patient will receive local anesthesia containing epinephrine in a ratio of 1:200,000. How many cartridges may this patient safely receive during the appointment?

The least concentration of Epinephrine is in a cartridge labeled as 1: _______?

When seeing a patient experiencing pain, it is more difficult to achieve appropriate pain control with local anesthesia when the patient has reported a history of _______ and the dental hygienist notes __________ in the periodontal chart.

The very young and the elderly are of particular risk when considering maximum recommended dosages of dispensed local anesthesia by the dental hygienist. Assessment of your patient's medical and dental history is the best strategy to prevent or minimize a medical emergency.

Ester topical anesthetics are hydrolyzed where?

Your ASA III cardiac patient is seated for periodontal debridement. This patient may receive local anesthesia with a limited level of vasoconstrictor. You may choose to provide this patient with anesthesia injections with one cartridge containing epinephrine in combination with one cartridge that does not contain epinephrine.

Maryanne is an ASA III (cardiac issues) patient and is in need of pain management during periodontal debridement. Maryanne weighs 100 lbs. Drug choice: 4% Articaine, 1:100,000. MRD for a person under 150lbs for the drug choice is 3.2 mg/lb. In considering MRD of the chosen anesthetic, respond to the following matching questions. How many mg/ml is in this anesthetic?

Maryanne is an ASA III (cardiac issues) patient and is in need of pain management during periodontal debridement. Maryanne weighs 100 lbs. Drug choice: 4% Articaine, 1:100,000. MRD for a person under 150lbs for the drug choice is 3.2 mg/lb. In considering MRD of the chosen anesthetic, respond to the following matching questions. How many ml of solution is in two cartridges of anesthetic??

Maryanne is an ASA III (cardiac issues) patient and is in need of pain management during periodontal debridement. Maryanne weighs 100 lbs. Drug choice: 4% Articaine, 1:100,000. MRD for a person under 150lbs for the drug choice is 3.2 mg/lb. In considering MRD of the chosen anesthetic, respond to the following matching questions. How many mg of anesthetic is in two cartridges of anesthetic?

Maryanne is an ASA III (cardiac issues) patient and is in need of pain management during periodontal debridement. Maryanne weighs 100 lbs. Drug choice: 4% Articaine, 1:100,000. MRD for a person under 150lbs for the drug choice is 3.2 mg/lb. In considering MRD of the chosen anesthetic, respond to the following matching questions. What if this patient did not have ASA III cardiac issues? How many cartridges can a health person have in this appointment?

Maryanne is an ASA III (cardiac issues) patient and is in need of pain management during periodontal debridement. Maryanne weighs 100 lbs. Drug choice: 4% Articaine, 1:100,000. MRD for a person under 150lbs for the drug choice is 3.2 mg/lb. In considering MRD of the chosen anesthetic, respond to the following matching questions. What is the maximum number of cartridges can this patient receive in on appointment (day)?

Maryanne is an ASA III (cardiac issues) patient and is in need of pain management during periodontal debridement. Maryanne weighs 100 lbs. Drug choice: 4% Articaine, 1:100,000. MRD for a person under 150lbs for the drug choice is 3.2 mg/lb. In considering MRD of the chosen anesthetic, respond to the following matching questions. What is the cardiac dose in mg for the chosen anesthetic?

Local anesthesia prevents which of the following

Local Anesthesia's effect is most dependent

A short-medium acting local anesthetic agent lasts how long?

What has more concentration

What is the sequence to locating the IA injection landmark?

When administering an IA block injection you contact too soon, What is your next step

Your ASA III cardiac pt may have?

ASA I patient with bee allergy is receiving LA for the first time? Concern?

You look at your schedule for today. What patient are you most concerned about giving LA to?

Some Beta Blocker medication may cause?

What term best describes Nitrous oxide

What color is the cartridge band on lidocaine

The Gauge refers to the thickness or size of the

What do local anesthesia do

2% lidocaine with epic 1:100,000 contains how many mg of anesthetic

Patient with hemophilia- what injection should you avoid

Parathesia

Local complication of LA called Trismus affects which muscle?

Which injection does not provide pupal anesthesia

Which local anesthesia has the longest duration