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TOPICAL ANESTHESIA PLACEMENT SITE

MANDIBULAR LOCAL ANESTHESIA

IAN (Inferior Alveolar Nerve)

-Local: Mandibular nerve block (a complete block of the mandibular quadrant)

Topical Placement: mandibular retro molar area

BUCCAL (long buccal nerve)

-Local: molar region\

Topical Placement: distal and buccal to the third molar

MENTAL (Mental Nerve)

-Local: premolars, cuspid

Topical Placement: membrane between first and second premolar

INCISIVE (Incisive Nerve)

-Local: Incisors (centrals and laterals)

Topical Placement: Mucogingival junction at apex of the root of the tooth to be worked on

LINGUAL (Lingual Nerve)

-Local: the anterior 2/3 of the tongue, soft tissue on the lingual surface of the mandibular

Topical Placement: lingual gingival halfway down the root of the tooth to be worked on

Maxillary arch and mandibular incisors: use short needle

Mandibular: use long needle

MAXILLARY LOCAL ANESTHESIA

PSA ( posterior superior alveolar nerve)

-Local: distobuccal and lingual roots of the first molar, and all of the second and third molars

Topical placement: mucogingival junction over the maxillary second molar

MSA (middle superior alveolar nerve)

-Local: mesiobuccal root of the first molar, and all of the first and second premolars

Topical placement: mucogingival junction over the second premolar

ASA (anterior superior alveolar nerve)

-Local: centrals, laterals, cuspids

Topical placement: mucogingival junction above the cuspids and incisors

NP (NASOPALATINE NERVE)

-Local: nasopalatine anterior third of the palate (lingually cuspid to cuspid)

Topical placement: midline just posterior to the central incisors

APN (ANTERIOR PALATINE NERVE)

-Local: greater palatine soft tissue of the hard palate (from the tuberosity to the cuspid region)

Topical placement: gingival border of the maxillary second molar (lingual)

View of the Skull

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Read manuals for each machine use and care

a. Statium

b. Portable x-ray unit

c. Ultrasonic unit

d. Cavitron

f. Autoclave

Patient charting guide lines

SEATTLE VOCATIONAL INSTITUTE

PROGRESS NOTE

DATE	SERVICE PROVIDED	PROVIDER
3-4-03	Exam 4 bwx prophy oral hygiene instruction
	Pt. Very co-op	LD/
	NV: #18 root canal
3-10-03	#18 root canal –RD open irrigate seal
	L.A. 1carp 2% lido L - IAN
	Post op –instruction given pt. Co-op -good	LD/
	NV: cavitron
3-12-03	L – Max L- Man Cavitron Peroguard rinse
	L.A. 2 carp 2% Lido L-PSA,MSA,IAN
	Post op –instructions given pt. Co-op good	LD/
	NV: cavitron
3-14-03	R-Max R- Man Cavitron Peroguard rinse
	L.A. 2 carp 2% Lido R – PSA, MSA, IAN
	Post –op instructions given pt. Co-op good	LD/
	NV:Rest
3-20-03	#2 MOD RD, Prep,Dycal,Amalgam
	L.A. 1 carp 2% Lido R-PSA
	Post-op instructions given pt. Co-op good	LD/
	NV: Rest
3-25-03	# 14 O RD,Prep,Dycal, Amalgam
	L.A. 1 carp 2% Lido L-PSA,MSA
	Post-op instructions given Pt. Co –op good	LD/
	NV: Rest

Patient Name: _____________________ Identification Number: ___________________

SEATTLE VOCATIONAL INSTITUTE

PROGRESS NOTES

DATE	SERVICE PROVIDED	PROVIDER
4-4-03	#8 M # 9 M RD,Prep ,Etch, Bond, Composite,(C3)	LD/
	L .A. 1carp 2% Lido R – L ASA
	Post –op instructions given Pt. Co-op good	LD/
	NV: Rest
4-7-03	#20 MO RD, Prep, Dycal, Amalgam
	L.A. 1 carp 2% Lido L-Mental
	Post – op instructions given Pt. Co-op good	LD/
	NV: Sealant
4-10-03	#3 #30 pumas clean, etch, Helioseal
	Post – op instructions given pt. Co-op good	LD/
	NV: Extraction
	Extractions Referred to T.T. Clinic
4-30-03	#18 Gold Crown,Prep
	L.A. 2 carp 2% Lido L-IAN
	Post-0p instructions given pt. Co-op good	LD/
	NV: crown seat

Patient Name: _____________________ Identification Number: ___________________

Patient Tray Setups

Amalgam Tray

Amalgam at Chairside

Autoclave

Composite Tray at Chairside

Composite Tray

Compsite resin carpuls