Podcast
Questions and Answers
What anatomical consideration primarily dictates using a supraperiosteal or PDL injection as an alternative when a PSA nerve block is contraindicated due to bleeding risks?
What anatomical consideration primarily dictates using a supraperiosteal or PDL injection as an alternative when a PSA nerve block is contraindicated due to bleeding risks?
- These techniques avoid the highly vascular pterygopalatine fossa, reducing hematoma risk. (correct)
- They rely on diffusion through denser cortical bone, minimizing vascular disruption.
- These injections have a smaller needle gauge, inherently decreasing bleeding.
- They directly target the PSA nerve as it exits the foramen rotundum.
A patient reports experiencing numbness in their cheek following a PSA nerve block. Which anatomical structure is MOST likely involved if the local anesthetic also inadvertently anesthetized this area?
A patient reports experiencing numbness in their cheek following a PSA nerve block. Which anatomical structure is MOST likely involved if the local anesthetic also inadvertently anesthetized this area?
- Infraorbital nerve
- Nasopalatine nerve
- Buccal nerve (correct)
- Mental nerve
A dentist is planning to extract a maxillary first molar. While the PSA nerve block typically anesthetizes the mesiobuccal root, what additional injection is MOST often required to achieve complete pulpal anesthesia?
A dentist is planning to extract a maxillary first molar. While the PSA nerve block typically anesthetizes the mesiobuccal root, what additional injection is MOST often required to achieve complete pulpal anesthesia?
- Nasopalatine nerve block
- Greater palatine nerve block
- Infraorbital nerve block
- Middle superior alveolar (MSA) nerve block (correct)
Following the administration of a nasopalatine nerve block, a patient reports numbness and tingling in the area of the incisive papilla. What is the anatomical explanation for this sensation?
Following the administration of a nasopalatine nerve block, a patient reports numbness and tingling in the area of the incisive papilla. What is the anatomical explanation for this sensation?
A patient requires palatal soft tissue manipulation in the posterior maxillary region. If a greater palatine nerve block is administered, what is the anterior anatomical landmark that estimates the block's effective anesthetized border?
A patient requires palatal soft tissue manipulation in the posterior maxillary region. If a greater palatine nerve block is administered, what is the anterior anatomical landmark that estimates the block's effective anesthetized border?
A patient reports feeling pain during a dental procedure on their maxillary first molar, despite having received a PSA nerve block. Which anatomical variation is most likely contributing to the anesthetic failure?
A patient reports feeling pain during a dental procedure on their maxillary first molar, despite having received a PSA nerve block. Which anatomical variation is most likely contributing to the anesthetic failure?
Following a PSA nerve block, a patient experiences swelling and discoloration in the buccal region. What immediate action should the dentist take to manage this complication?
Following a PSA nerve block, a patient experiences swelling and discoloration in the buccal region. What immediate action should the dentist take to manage this complication?
A dental student is about to administer a PSA nerve block. Which step is most crucial to minimize the risk of complications during the procedure?
A dental student is about to administer a PSA nerve block. Which step is most crucial to minimize the risk of complications during the procedure?
A dentist is considering using a PSA nerve block for multiple restorations on the maxillary molars. What is the most significant advantage of using a PSA block over local infiltration for these procedures?
A dentist is considering using a PSA nerve block for multiple restorations on the maxillary molars. What is the most significant advantage of using a PSA block over local infiltration for these procedures?
After administering a PSA nerve block, the patient reports numbness in the lower eyelid and the side of the nose. Which of the following is the most likely explanation for this occurrence?
After administering a PSA nerve block, the patient reports numbness in the lower eyelid and the side of the nose. Which of the following is the most likely explanation for this occurrence?
Flashcards
PSA block alternative
PSA block alternative
Supraperiosteal or PDL injection
PSA nerve exit point
PSA nerve exit point
Pterygopalatine fossa
PSA block complication
PSA block complication
Hematoma
Nasopalatine nerve target
Nasopalatine nerve target
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Greater palatine nerve target
Greater palatine nerve target
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PSA Nerve Block Target
PSA Nerve Block Target
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PSA Block Success Rate
PSA Block Success Rate
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PSA Block Failure Rate (MB Root)
PSA Block Failure Rate (MB Root)
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PSA Block Needle
PSA Block Needle
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Study Notes
- The PSA nerve block primarily anesthetizes the maxillary third, second, and first molars.
- The PSA nerve block technique has a 95% success rate.
- The PSA nerve block fails to anesthetize the mesiobuccal root of the maxillary first molar in 28% of patients.
- A potential complication of the PSA nerve block is hematoma formation.
- The recommended needle type for a PSA nerve block is a 27-gauge short needle.
- A short needle is used in a PSA nerve block primarily to decrease the risk of hematoma.
- An alternative injection technique recommended if the PSA nerve block is contraindicated due to bleeding risk is supraperiosteal or PDL injection.
- The PSA nerve exits the skull through the pterygopalatine fossa.
- The most common PSA nerve block complication is hematoma.
- The PSA nerve supplies sensory innervation to all of the following except the hard palate.
- The nasopalatine nerve supplies the palatal mucosa from canine to canine.
- The greater palatine nerve block anesthetizes the palatal soft tissues and bone from the premolars to the posterior region.
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