ARMAMENTARIUM TWO CATEGORIES USED TO OBTAIN REGIONAL ANALGESIA USED IN THE TREATMENT OF COMPLICATIONS AND EMERGENCIES USED TO OBTAIN

AIN REGIONAL ANALGESIA NEEDLES To direct the local anesthetic solution from the dental cartridge into the tissues surrounding the tip Stainless steel & are disposable PARTS OF A NEEDLE 1. BEVEL tip of needle 2. SHANK / SHAFT needle gauge & needle length 3. HUB metal or plastic through which the needle attaches to the syringe 4. SYRINGE ADAPTOR 5. SYRINGE END perforates rubber diaphragm CARE & HANDLING Must never be used on more than one patient Should be changed after several tissue penetration Always cover with protective sheath when not in use Be aware of the position of the uncovered needle tip Must be properly disposed of after use Never force a needle against resistance CARTRIDGE Glass cylinder containing among other ingredients, the local anesthetic drug Commonly referred to as carpule COMPONENTS OF A CARTRIDGE 1. CYLINDRICAL GLASS TUBE 2. STOPPER receives the harpoon of the syringe 3. ALUMINUM CAP- holds the diaphragm 4. DIAPHRAGM receives the syringe end of needle CARTRIDGE CONTENTS 1. LOCAL ANESTHETIC DRUG 2. PRESERVATIVE 3. SODIUM CHLORIDE 4. DISTILLED WATER 5. VASOCONSTRICTOR CARE & HANDLING Should not be autoclaved Keep the cartridge in their original container Store at room temperature Apply an alcohol wipe moistened with alcohol SYRINGE A vehicle whereby the contents of the dental cartridge are delivered through the needle to the patient CRITERIA FOR ACCEPTANCE OF A LOCAL ANESTHETIC SYRINGE Must be durable & able to withstand repeated sterilization without damage Capable of accepting a wide variety of cartridge & needles of different manufacture Should permit repeated use Inexpensive, self-contained, light weight & simple to use with one hand Should provide for effective aspiration

TYPES OF SYRINGE A. ACCORDING TO RESTERILIZABILITY 1. REUSABLE 2. DISPOSABLE B. ACCORDING TO FORM  Breech loading, metallic , cartridge-type, aspirating  Breech loading, plastic, cartridge-type, aspirating  Breech loading, metallic, cartridge-type,self aspirating  Pressure  Jet injector PARTS OF A SYRINGE 1. NEEDLE ADAPTOR engages the hub 2. SYRINGE BARREL supports the cartridge 3. PISTON WITH HARPOON contacts the rubber stopper 4. THUMB RING & FINGER BAR/GRIP - for added control over the syringe CARE & HANDLING Throroughly wash & rinse the syringe after each use Autoclave Clean the harpoon Replace dull harpoons PROBLEMS : NEEDLE Pain on insertion Breakage Pain on withdrawal Injury to the patient or administrator PROBLEMS : CARTRIDGE Burning on injection Sticky stopper Corroded cap Rust on cap Bubble in the cartridge Extruded stopper Broken cartridge Leakage during injection PROBLEMS : SYRINGE Bent harpoon Disengagement of harpoon from plunger during aspiration Surface deposits ADDITIONAL ARMAMENTARIUM TOPICAL ANTISEPTICS TOPICAL ANESTHETICS APPLICATOR STICKS COTTON GAUZE HEMOSTAT USED IN THE TREATMEN Tx OF COMPLICATIONS & EMERGENCIES HEMOSTAT OR CLAMPS EMERGENCY TRAY syringe, needles, torniquet, ampules, vials of emergency drugs Oxygen & suitable equipment for administering manual ventilator