1. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 1 PowerPoint ® Presentation for Oral Health, Nutrition, and Anatomy and Physiology Module: Pain and Anxiety Management in Dentistry

2. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 2 Module: Pain and Anxiety Management in Dentistry Pain and Anxiety Management in Dentistry Part A: The Anesthetic Syringe Part B: Anesthesia and Nitrous Oxide Sedation

3. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 3 Module: Pain and Anxiety Management in Dentistry Learning Objectives 1. Define the Key Terms 2. List the steps for preparing to administer local anesthetic. 3. Explain various types of topical anesthetic and their placement. 4. State injection sites for maxillary and mandibular anesthetic.

4. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 4 Module: Pain and Anxiety Management in Dentistry Learning Objectives 5. Discuss nitrous oxide sedation. 6. Demonstrate anesthetic syringe preparation. 7. Demonstrate assisting with placement of topical anesthetic and in the administration of local anesthetic.

5. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 5 Key Terms Carpules Computer-controlled local anesthetic Field block anesthesia General anesthetic Infiltration anesthesia Local anesthesia NIOSH Nerve block anesthesia Nitrous oxide Topical anesthetic Vasoconstrictors

6. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 6 Part A: The Anesthetic Syringe Appropriate sterile syringe Prescribed anesthetic carpule Proper needle length and gauge 2x2 gauze

7. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 7 The Anesthetic Syringe Needle –Short –Long –Gauge / diameter –Lumen –Protective cover Carpule / cartridge –Glass –Color coded –Rubber stopper –Aluminum cap –Diaphram –Label

8. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 8 Part B: Anesthesia and Nitrous Oxide Sedation Preoperative and intraoperative anesthesia considerations

9. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 9 Anesthetics and Sedation General anesthesia Local anesthesia Sedation Topical anesthesia

10. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 10 Topical Anesthetic

11. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 11 Vasoconstrictors Vasoconstrictor 1:200,000 1:50,000 1:20,000 1:100,000

12. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 12 Injection Types Local infiltration Field block Nerve block

13. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 13 Local Anesthetic Solutions Amides Esters

14. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 14 Other Anesthetic Techniques Intraosseous injection Periodontal ligament injection Intrapulpal injection Electronic anesthesia Computer-controlled local anesthesia

15. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 15 Nitrous Oxide with Oxygen Relieve apprehension Monitor patient Direct supervison Proper mask fit Nausea / restlessness –100% oxygen

16. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 16 Assessment Questions Which is the larger-size needle between the 30 gauge and the 25 gauge? The 25 ga is larger than the 30 ga. Which anesthetic has more epinephrine, the 1:100,000 or the 1:50,000? The 1:50,000 has more vasoconstrictor. What is important to remember about the nitrous oxide mask? That it fits snugly on the patient’s nose.

17. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 17 Summary of Module Key Terms The anesthetic syringe Anesthesia Nitrous oxide sedation