Nerve Names
Landmarks
Techniques
Complications
Real-Life Scenarios
100

This nerve is targeted during a PSA injection.

What is the posterior superior alveolar nerve?

100

This bony structure serves as a landmark for a greater palatine injection.

What is the greater palatine foramen?

100

For the ASA injection, the needle is inserted at this angle.

What is approximately 25 degrees to the long axis of the canine?

100

This hematoma is most likely from which maxillary injection?

What is the PSA?

100

Your patient complains of burning during injection, and blanching occurs. What likely happened?

what is too rapid of an injection or a vasoconstrictor near a blood vessel?

200

Maxillary premolars and mesiobuccal root of maxillary 1st molar

What is Middle Superior Alveolar Nerve?

200

The height of mucobuccal fold above maxillary 2nd premolar, 1/4 (5mm) length of short needle.

What is the MSA injection?

200

After administering an ASA injection, the patient still feels discomfort during instrumentation.

What is incomplete anesthesia?

200

Apply pressure, reassure patient, document, and monitor.

What is a Hematoma?

200

Your patient reports feeling numb in the upper lip but not in the teeth after the ASA injection. 

What is incomplete anesthesia? Needle placement may have been too shallow. 

300

Insert the needle directly over the first maxillary premolar.

What is the Infraorbital Nerve Block?

300

This bony structure serves as a landmark for a Nasopalatine injection.

What is the Incisive foramen?

300

Insert at mucobuccal fold above 2nd premolar. Advance well above apices of bicuspid teeth

What is MSA?

300

Remain calm, try to retrieve if visible, and refer for surgical removal if necessary. Avoid bending needles or inserting them to hub.

What is a needle breakage?

300

After a GP injection, the patient experiences difficulty swallowing.

What is diffused anesthetic to the soft palate or pharyngeal area? 

400

Anesthetizes: soft tissue overlying the hard palate; bone posterior to the first premolar to the midline

What is the Greater Palatine Nerve Block?

400

The ASA injection site.

What is the mesial aspect of the canine tooth eminence, at the height of the mucobuccal fold? 

400

Withdraw slightly, change needle and cartridge, reattempt with correct angulation to avoid vascular penetration.

What is a positive aspiration?

400

Presence of large buccal frenum at site, pain on insertion with needle against periosteum, and dense bone

What is MSA complications?

400

Patient has swelling and bruising 10 minutes after injection.

What is documenting, applying pressure, and monitoring?  

500

Potentially the most traumatic

What is the Nasopalatine Nerve Block (NP)?

500

The height of the mucobuccal fold just mesial to canine eminence. Parallel to long axis at 10-15 degree angle; 1/4 (5mm) length of short needle.

What is the ASA injection?

500

Mucobuccal fold just Mesial to canine eminence; parallel to the long axis and at the apex of the canine (10-degree angle). Insertion:  1/4 length of needle

What is Anterior Superior Alveolar nerve?

500

Pull the lip out and down to allow for deeper insertion.

What is encounter bone? 

500

Handle a patient who complains of burning during the injection.

What is slow the rate of deposition, and ensure the solution is at room temperature?

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