Anti-Anxiety Medications
Needle size/Anesthetic Selection
Teeth Anesthetized
Injection Sites
Contraindications of N2O or LA
100

Produces a pleasant and relaxing experience with minimal side affects and rapid recovery.

What is Nitrous Oxide?

100

MSA or Middle Superior Alveolar injection anesthetizes maxillary first and second premolars, MB root of the first molars and facial/buccal tissue. 

What is short needle with septocaine?

100

Maxillary central incisor, lateral incisors, and canine.

What is ASA?

100

Penetration Site: The needle is inserted posterolaterally into the pterygomandibular raphe, parallel to and about 1 cm above the mandibular occlusal plane.

What is IA?

100

Patient is in their first trimester of pregnancy.

What is contraindication of N2O?
200

Only a trained or certified personnel can administer this for patients undergoing extensive procedures which produces a minimally depressed level of consciousness. 

What is IV sedation?

200

GP or Greater palatine injection anesthetizes posterior portion of the hard palate and tissues?

What is short or x-short needle with septocaine?

200
Individual tooth at site of injection?

What is infiltration?

200

Penetration Site: Palatal mucosa lateral to the widest anteroposterior dimension of the incisive papilla

What is NP?

200

Patient has a substance use history.

What is narcotics and N2O?

300

Anti-anxiety agent prescribed that can produce sleep or sedation. The patient should not drive themselves to and from the appointment.

What is Benzodiazepines like Lorazepam or Diazepam?

300

IA or inferior alveolar anesthetizes mandibular teeth to the midline, penetration site is on the raphe 1 cm above the mandibular occlusal plane.

What is long needle with Lidocaine?

300

Inferior alveolar nerve, anesthetizes mandibular posterior teeth to the midline.

What is IA?

300

Penetration Site: Height of the mucobuccal anterior to the canine fold eminence (caninefossa).

What is ASA?

300

Patient has a respiratory compromise such as COPD or severe asthma?

What is N2O?

400
This inhaled agent, helps patients feel calm and relaxed without putting them to sleep.

What is Nitrous Oxide?

400

LB or Long buccal, penetrates on the buccal fold DB to the posterior molar in the arch. Requiring treatment for Rubberdam.

What is long needle with Lidocaine?
400

No teeth anesthetized, but will anesthetize palatal incisors and canines.

What is NP?

400

Penetration Site: Location varies, check radiographs and gently palpate buccal vestibule beginning at the first mandible molar and move anterior until foramen is located. Close to the apices between the first and second premolar on the mandible.

What is Mental Incisive?

400

Patient has epinephrine allergy.

What is local anesthesia without EPI?

500

Often used for short-term anxiety relief before dental procedures, this mild sedative is commonly taken 1 hour prior to the appointment and may cause drowsiness.

What is antihistamine or hydroxyzine?

500

PDL or periodontal ligament injection, provides localized anesthesia by injecting anesthetic solution under pressure.

What is short or x-short needle with septocaine?

500

Anesthetized maxillary first, second, and third molars except mesiobuccal root of molar, including the facial periodontium.

What is PSA?

500

Penetration Site: Palatal soft tissue slightly anterior to the GP foramen at anterior border of depression of the foramen.

What is GP?

500

Patient has severe cardiac conditions, such as uncontrolled hypertension.

What is a local anesthesia contraindication?

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