DENTAL ANESTHESIA 4DD SEMESTER ONE
FINAL EVALUATION SCRIPT 2026
THOROUGH QUESTIONS AND EXPERT
ANSWERS GRADED A+
⩥ The long buccal nerve innervates which structures? Answer: Skin of
the cheek and buccal gingiva of the mandibular molars
⩥ What is the maximum number of cartridges can you safely administer
to a 120-pound patient of 3% Mepivacaine? Answer: 6.6 cartridges
⩥ Which solubility factor primarily determines an anesthetic agent's
potency? Answer: Lipid
⩥ A clinician determines that a patient needs an occlusal restoration on
tooth number 13. Which nerve(s) require anesthesia for this procedure?
Answer: Middle superior alveolar
⩥ You administer 4 cartridges of Lidocaine 2%, how many mg of
anesthetic did you administer? Answer: 144 mg
⩥ Which nerve is involved in the anesthesia of the palatal gingiva of the
maxillary lateral? Answer: Nasopalatine
, ⩥ How do local anesthetics function to decrease or limit the sensation of
pain? Answer: By preventing depolarization
⩥ When is pressure anesthesia utilizing a cotton tip applicator used?
Answer: In preparation for palatal injections
⩥ Besides increasing duration, what effect do vasoconstrictors have on
local anesthetics? Answer: Reducing toxicity by slowing absorption
⩥ In what instance should a clinician respond to a positive aspiration?
Answer: Any blood that enters the cartridge
⩥ What is the most likely cause of symptoms after administering
additional Lidocaine? Answer: Toxic reaction to the local anesthetic
⩥ The MSA and ASA nerves are branches of which nerve? Answer:
Infraorbital
⩥ What is the maximum dose of epinephrine in a patient with significant
cardiovascular disease? Answer: 0.04 mg
⩥ For most mandibular teeth, infiltration anesthesia is: Answer:
Impractical because of the density of the bone of the mandible
FINAL EVALUATION SCRIPT 2026
THOROUGH QUESTIONS AND EXPERT
ANSWERS GRADED A+
⩥ The long buccal nerve innervates which structures? Answer: Skin of
the cheek and buccal gingiva of the mandibular molars
⩥ What is the maximum number of cartridges can you safely administer
to a 120-pound patient of 3% Mepivacaine? Answer: 6.6 cartridges
⩥ Which solubility factor primarily determines an anesthetic agent's
potency? Answer: Lipid
⩥ A clinician determines that a patient needs an occlusal restoration on
tooth number 13. Which nerve(s) require anesthesia for this procedure?
Answer: Middle superior alveolar
⩥ You administer 4 cartridges of Lidocaine 2%, how many mg of
anesthetic did you administer? Answer: 144 mg
⩥ Which nerve is involved in the anesthesia of the palatal gingiva of the
maxillary lateral? Answer: Nasopalatine
, ⩥ How do local anesthetics function to decrease or limit the sensation of
pain? Answer: By preventing depolarization
⩥ When is pressure anesthesia utilizing a cotton tip applicator used?
Answer: In preparation for palatal injections
⩥ Besides increasing duration, what effect do vasoconstrictors have on
local anesthetics? Answer: Reducing toxicity by slowing absorption
⩥ In what instance should a clinician respond to a positive aspiration?
Answer: Any blood that enters the cartridge
⩥ What is the most likely cause of symptoms after administering
additional Lidocaine? Answer: Toxic reaction to the local anesthetic
⩥ The MSA and ASA nerves are branches of which nerve? Answer:
Infraorbital
⩥ What is the maximum dose of epinephrine in a patient with significant
cardiovascular disease? Answer: 0.04 mg
⩥ For most mandibular teeth, infiltration anesthesia is: Answer:
Impractical because of the density of the bone of the mandible
