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Dentistry · Local anesthesia: aspiration
Sample itemWhy is aspiration performed before depositing local anesthetic near a major vessel?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Reduce risk of inadvertent intravascular injection
Aspiration checks whether the needle tip is within a blood vessel before anesthetic is injected. Combined with incremental injection, it reduces systemic toxicity and intravascular adrenaline effects.
Option by option
A. Increase pulp sensitivity
Local anesthetic reduces, not increases, pulp sensitivity.
B. Reduce risk of inadvertent intravascular injection (correct)
Correct. A negative aspiration lowers likelihood of vascular injection.
C. Make the anesthetic act more slowly
Aspiration does not determine onset speed.
D. Sterilize the injection site
Skin and mucosal antisepsis is performed separately.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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