Dentistry: Local Anesthetics and Their Applications

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Questions and Answers

What is the primary purpose of ring block anesthesia?

  • To anesthetize a circular area around the operation site (correct)
  • To reduce pain during injection
  • To provide spinal anesthesia
  • To numb a specific nerve

Which type of anesthesia is not typically used with cocaine?

  • Nerve block
  • Spinal anesthesia
  • Epidural anesthesia
  • All of the above (correct)

What is the primary reason for adding a topical anesthetic agent before injection?

  • To reduce the risk of paresthesia
  • To reduce the pain of injection (correct)
  • To reduce the risk of needle fracture
  • To prolong the anesthetic effect

What is the first step in managing a broken needle during injection?

<p>Remove the broken part immediately with a hemostat if accessible (D)</p> Signup and view all the answers

What is a common complication of dental local anesthetic blocks?

<p>All of the above (C)</p> Signup and view all the answers

What is the first step in treating a nerve damaged due to dental local anesthesia?

<p>Managing the patient's pain (B)</p> Signup and view all the answers

What may be mistaken for myocardial infarctions or cerebrovascular accidents?

<p>Deaths caused by local anesthetics (D)</p> Signup and view all the answers

What are common manifestations of acute anxiety in patients given local anesthetics?

<p>Pallor, unrest, sweating, fatigue, palpitation, nausea, and fainting (D)</p> Signup and view all the answers

What is the likely cause of most non-psychogenic systemic reactions in adult patients?

<p>Accidental intravascular injections (B)</p> Signup and view all the answers

What is often mistakenly attributed to local anesthetics?

<p>Adverse effects caused by the process of injection (B)</p> Signup and view all the answers

Why may some deaths be attributed to local anesthetics?

<p>Because procedural stress is causally related to drug administration (D)</p> Signup and view all the answers

What is the primary mechanism of action of local anesthetics in blocking pain sensation?

<p>Blocking the influence of stimulation on Na+ conductance (A)</p> Signup and view all the answers

Which of the following is an example of an ester-based local anesthetic?

<p>Procaine (D)</p> Signup and view all the answers

What is the primary purpose of surface anesthesia?

<p>To reduce pain due to fissure or ulcer (A)</p> Signup and view all the answers

Which of the following techniques of local anesthesia involves injecting local anesthetics into the skin or deep tissue?

<p>Infiltration anesthesia (A)</p> Signup and view all the answers

What is the effect of local anesthetics on nerve conduction?

<p>Slowing of conduction (A)</p> Signup and view all the answers

Which of the following is NOT a technique of local anesthesia?

<p>General anesthesia (D)</p> Signup and view all the answers

What is recommended to decrease local anesthesia-dependent nerve injury?

<p>Using 2% lidocaine as standard and preventing repeated injections (B)</p> Signup and view all the answers

Why may local anesthesia lack effect in some cases?

<p>Due to poor technique in reaching the mandibular nerve during injection (C)</p> Signup and view all the answers

What is the primary contribution of local anesthetics to oral health?

<p>Improving patient acceptance of dental treatment (A)</p> Signup and view all the answers

Why is local anesthesia often safer in dentistry than in medicine?

<p>Because dosages used in dentistry are often less than in medicine (B)</p> Signup and view all the answers

What is the estimated mortality rate associated with local anesthetic administrations?

<p>1 death in 1.4 million administrations (C)</p> Signup and view all the answers

What is the purpose of using local anesthetics in dentistry?

<p>To control pain during dental procedures (B)</p> Signup and view all the answers

Flashcards

Ring Block Anesthesia Purpose

To anesthetize a circular area around the operation site.

Anesthesia Type with Cocaine

All of the above.

Topical Anesthetic Purpose

To reduce the pain of injection.

Managing a Broken Needle

Remove the broken part immediately with a hemostat if accessible.

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Common Complication of Local Anesthetic Blocks

All of the above.

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Treating Nerve Damage

Managing the patient's pain.

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Conditions Mimicked by Anesthetic Reactions

Deaths caused by local anesthetics.

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Manifestations of Acute Anxiety

Pallor, unrest, sweating, fatigue, palpitation, nausea, and fainting.

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Cause of Non-Psychogenic Systemic Reactions

Accidental intravascular injections.

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Mistaken Anesthetic Attribution

Adverse effects caused by the process of injection.

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Deaths Attributed to Local Anesthetics

Because procedural stress is causally related to drug administration.

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Local Anesthetics Mechanism

Blocking the influence of stimulation on Na+ conductance.

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Example of Ester-Based Anesthetic

Procaine.

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Primary Purpose of Surface Anesthesia

To reduce pain due to fissure or ulcer.

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Anesthesia via Injection

Infiltration anesthesia.

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Effect of Local Anesthetics on Nerves

Slowing of conduction.

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NOT a Technique of Local Anesthesia

General anesthesia.

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Decrease Nerve Injury

Using 2% lidocaine as standard and preventing repeated injections.

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Lacking Anesthesia Effect

Due to poor technique in reaching the mandibular nerve during injection.

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Anesthetics Contribution to Oral Health

Improving patient acceptance of dental treatment.

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Safer Anesthesia in Dentistry

Because dosages used in dentistry are often less than in medicine.

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Mortality Rate

1 death in 1.4 million administrations.

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Purpose in Dentistry

To control pain during dental procedures.

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