the armamentarium of local anasthesi
TRANSCRIPT
The armamentarium of local anasthesia
Dr.Mohamed Rhael Ali2016 - 2017
The equipment necessary for the adminstration of local anasthesia include:
The syringeThe needle
The local anasthetic cartridge
The syringe
Parts of syringe Metal barrel
Plunger (piston)Screw hub
Types of dental syringe
Aspirating dental syringe
Aspirating dental syringe
Aspirating dental syringe
Non aspirating dental syringe
Non aspirating dental syringe
Non aspirating dental syringe
Non aspirating dental syringe
Pressure syringe
Pressure syringe
Needle
Factors considerd in selection of needle
The gauge : Refer to the internal diameter of the lumen
Small number
great diameter
Gauge 30 have smaller diameter than gauge 25
Factors considerd in selection of needle
Th length : Dental needle available in two length Long ( average 32 )
Short ( average 20 )
Cartilage ( carpule )
Cartilage ( carpule )Parts of carpule :Glass tube, Stopper (end) , Alminium cap , Diaphragm
Aspirating syringe
Non aspirating syringe
Clinical proplems associated with
dental syringe
Leakage during injection
Leakage during injection
Bubbles in the cartilage
Broken cartidge
Extruded stopper
Burning on injection
Normal response to PH of the drug
Old (expire ) cartridge
Cartridge contain sterilizing solution
Over heated cartridge
Clinical problems associated with
dental needle
Pain on insertion
Can be avoided by using :
Sharp, new , disposible Needles
Topical anasthesia at the penetration site
Pain on insertion
Repeated use of the needles lead to producing barbs on the tip of the needle making the injection painful
Breakage of needle
Occure mainly due to force the needle against resistance ( contact bone ) or due to sudden
movement of patient during injection
Pain on withdrawal
This occure mainly by fishhook barbs on the tip
This barbs may produced during the manufacturing process ,or during hard contact
with bone
Injury to the patient or the administrator
Occure mainly due to inattention of the operator or sudden movement of the ptient
General Notes• Dental cartidge and needles are disposible and never used in more than
one patient .
• Needles should be changed after several tissue penetration in the same patient .
• Needles should be coverd with a protective sheath when not being used .
• Administor should be aware the position of the needle tip ,whether inside or outside patient mouth to minimize the risk of injury to the patient or the operator .
• Cartridge should be stored at room tempreture and should never used after their expiry date .
Thank you for listening