Local Anesthetic Blocks in Veterinary Dentistry
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Questions and Answers

Which of the following best describes the purpose of aspirating during a local anesthetic injection?

  • To confirm correct placement within the nerve.
  • To prevent injecting anesthetic directly into a blood vessel. (correct)
  • To reduce the risk of nerve damage during injection.
  • To ensure adequate distribution of the anesthetic solution.

A medium-sized dog requires a dental procedure. Using the rule of thumb for maximum local anesthetic volume per location, what is the maximum amount that should be administered at one site?

  • 0.2 ml (correct)
  • 2.0 ml
  • 0.3 ml
  • 0.1 ml

Following an inferior alveolar nerve block in a dog, which anatomical structures would you expect to be affected?

  • The bone, soft tissue, and teeth rostral to the injection site on the corresponding side. (correct)
  • The entire mandible on the contralateral side.
  • The soft tissue and bone of the hard palate on the injected side.
  • The muscles of mastication and the temporomandibular joint.

During a rostral approach maxillary block, which teeth will be anesthetized?

<p>Premolar 3 and all teeth mesial on the injected side. (A)</p> Signup and view all the answers

What is the purpose of applying pressure over the foramen after administering a local anesthetic?

<p>To help the anesthetic stay in the desired area. (C)</p> Signup and view all the answers

Flashcards

Local Anesthetics

Common local anesthetics used in veterinary medicine, such as Bupivacaine and Lidocaine.

Local Anesthetic Toxicity

Potential adverse effects of local anesthetics, including anaphylaxis, nerve damage and Skeletal muscle illness.

Max Dosage Rule of Thumb

The maximum safe dose of local anesthetic to administer, typically 2mg/kg.

Foramen Definition

An anatomical opening where nerves pass, commonly targeted for nerve blocks to anesthetize specific regions of the face.

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Proper Nerve Block Technique

Use a 25 gauge needle and 1ml syringe. Aspirate before injecting to prevent intravascular administration. Apply pressure post-injection for 60 seconds to ensure that the anesthetic stays in place.

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Study Notes

  • Local anesthetics typically include bupivacaine and lidocaine

Toxicity Reactions

  • Potential toxicity reactions to local anesthetics include anaphylaxis, nerve damage, and skeletal muscle illness

Rule of Thumb

  • The maximum dosage for local anesthetics is 2mg/kg

Maximum Dosage Per Location

  • Cats: 0.1 ml
  • Medium dogs: 0.2 ml
  • Large dogs: 0.3 ml

Foramens: Common Block Locations

Infraorbital Block

  • Maxillary rostral approach is used
  • Block PM3 and all teeth mesial on the same side
  • Apply pressure for 60 seconds after administration to ensure anesthetic stays in place
  • Tilt the nose up to help anesthetic block nerve

Caudal Maxillary Block

  • Affects several branches of the maxillary nerve
  • Blocks bone, teeth, and soft tissue of the upper jaw
  • Blocks bone of the hard palate and soft tissue of the corresponding side

Middle Mental Foramen Block

  • Rostral approach mandibular block
  • Blocks canine and incisors with bone and soft tissue of the corresponding side

Inferior Alveolar Block

  • Requires extra oral and intraoral approach
  • Look for facial vascular notch
  • Blocks bone, teeth, and soft tissue rostral to the site of corresponding side

Proper Nerve Block Technique

  • Use a 25-gauge 1 ml syringe
  • Insert the needle into the desired area
  • Continually aspirate to ensure the local anesthetic is not being injected into vasculature
  • Put pressure over the foramen to keep anesthetic in the desired area

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Description

Overview of local anesthetic blocks in veterinary dentistry, typical anesthetics, toxicity reactions, and maximum dosages. Includes block locations like infraorbital, caudal maxillary, and middle mental foramen blocks, with specific approaches and areas affected.

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