Practical skill number 1 Carrying infiltration analgesia in patients (volunteer). Purpose: The ability to carry out infiltration analgesia in patients (volunteers). Indication: Preparing for the removal of teeth, exposed surface abscesses. Equipments: Syringe, anesthetic, the patient (volunteer) __________________ Performing manual skills :: 1. Plant a patient in the dental chair. 2. Hold the syringe with your right hand fingers III in the form of "writing pen" with your 1 0 4. then injected with 5-10 ml of anesthetic slowly left hand in moving soft tissue cheeks and lips with a spatula or a dental mirror sheet place puncture needle treated with 1% iodine tincture. 10 5. On the part of the sky puncture needle is produced in the angle formed by the palatine and alveolar shoot and impose no more than 0.5 ml of anesthetic 30 3. The bevel of the needle should refer to the bone. I then moved on the piston finger. Hold the syringe II-III finger. 20 Practical skill № 3 Conducting infraorbital anesthesia on the phantom . Purpose: The ability to conduct infraorbital anesthesia on the phantom . Indication: Preparing for surgery on the upper jaw. Equipment: skull , upper jaw , a syringe . Performing manual skills : ___________________ 1. . On the phantom are infraorbital foramen . This hole is located in the 0.5-0.75 cm below the point of intersection of the lower edge of the eye socket with a vertical line drawn through the middle. 4. Giving the needle the correct position to move up , posteriorly and outwards . 20 2.Properly Hold the syringe in his right hand in the form of " writing pen of the second upper small molar." 20 3. Approximately find a level transition lines between central and lateral incisors . 20 5. The needle is inserted in the infraorbital foramen 7-10 mm. 20 2 Practical skill № 3 Conducting infraorbital anesthesia extraoral way in patients ( volunteer ) . Purpose: The ability to conduct infraorbital anesthesia in patients ( volunteer ) . Indication: Preparing for surgery on the upper jaw. Equipment: syringe , anesthetic , the patient ( volunteer ) __________________ Performing manual skills: _____________________________ 1.Plant a patient or volunteer on a chair and find infraorbital foramen . 2. palpated the bottom edge of the orbit is determined by bone protrusion or groove corresponding to the junction of the zygomatic 4.From this projection downwards and inwards by 1 cm is made of injection needles . process of maxilla . Infraorbital foramen is located in the middle of the bottom edge of the eye socket to 0.5-0.75 cm below. 10 5.Giving the correct position of the needle , pushing it up backwards and outwards . 3.Determine the projection of infraorbital hole in the skin. The index finger of his left hand fixed tissue at this point to the bone. 10 6. In the infraorbital hole produced 0,5¬1,0 ml anesthetic gently moving the needle to a depth of 710 mL, 0.5-1.0 mL of anesthetic is injected . 3 7. Place puncture press down aseptic bandage. Practical skill № 4 Conducting infraorbital anesthesia intraoral way in patients ( volunteer ) . Purpose: The ability to conduct infraorbital anesthesia in patients ( volunteer ) . Indication: Preparing for surgery on the upper jaw. Equipment: Syringe patient ( volunteer) Performing manual skills : 1. The index finger of his left hand pressed against the soft tissues of infraorbital region to the bone below the lower edge of the orbit at 0.50.75 cm . 20 2. Use your thumb to assign upper lip upward and forward . When the movable mucosa moves forward 20 3. puncture needle produce 0.5 cm in front of the transition folds at the gap between the central and lateral incisors . 20 4 4. The needle is advanced backward , upward and outward toward the infraorbital canal . . 20 5. Finding the infraorbital canal, 0.5-1.0 mL injected anesthetic. 20 5