ANESTEHSIOLOGY LAB MAXILLARY ANESTHETIC TECHNQIUES

Supraperiosteal injection

What is most frequently used technique?

Supraperiosteal Injection

What nerve block is this?

Local infiltration (common), paraperiosteal injection

other names for supraperiosteal

1-2 teeth, limited treatment short

indication for supraperiosteal

height of mucobuccal fold above the apex of the teeth

Area of insertion for supraperiosteal

large terminal of dental plexus

nerve anesthesized for supraperiosteal

Soft tissue buccal and tooth itself

specific anesthesized for supraperiosteal

Posterior Superior Alveolar Nerve Block

What Nerve block is this? (All molars except MB Toot of 1st Molar)

PSA nerve block, Zygomatic block, Tuberosity !block

Other names for PSA

1-3 maxillary molar, except mesiobuccal root of mx 1st molar

Indication for PSA

Local infiltration, PSA, ASA

in PSA, you should add what?

Height of muccobuccal fold above the apex of the mx 2nd molar

area of insertion for PSA

PSA NN

Nerve anesthesized for PSA

high risk of hematoma

why is PSA not used?

27 gauge short needle

If PSA is requied what gauge is used

Middle Superior Alveolar Nerve Block

What nerve block is this? (Distal to canine to MB root of 1st Molar)

MSA nn block

Other name for Middle sueprior alveolar nn block

Mx 2 premoalrs, mesiobuccal root mx 1st molar

Indication for MSA

Height of muccobuccal fold above the apex of the mx 2nd premolar

Area of insertion for MSA

MSA nn

Nerve anesthesied for MSA

Infraorbital nn/ ASA

Other name for anterior superior alveolar nn

-lOCAL ANESTHESIA FAILS

-Central to mesiobuccal root of mx 1st molar

Indication for ASA:

Height of muccobuccal fold aboe the apex of the teeth anterior to mx 2nd moalr

Area of insertion for ASA

ASA, MSA, infraorbital nerve

NErve anesthesize for ASA:

ASA nn block

WHat anes technique is prone to injury to eyes

Anterior palatine nn block

Other name for Greater palatine nn

Paltal anesthesia for 1 or more teeth

-DIstal canine to distal 3rd molar palate palate, resto, perio

INdication for greater palatine nn

Greater palatine foramen

-(guide for greater palatine foramen) anterior half of mx 3rd molar

Area of insertion for Greater palatine

Nasopalatine nn block

COnsidered to be the msot traumatic anesthetic technique

Incisive nn blokc/ sphenopalatine nn block

Other name for nasopalatine nn

palatal anesthesia canine to canine

indication for nasopalatine nn

incisive papilla (behind 2 mx incisors)

area of isnertion for nasopalatine

Nasopalatine nn block

nerve anesthesized for nasopalatine

local infiltration of the palate

What anes tehcnqiue goes hand in hand with supraperiosteal

palatal anes 1-2 teeth

-achieve hemostasis durign surgery

Indication for local infiltraion of the palate

5-10 mm of attached gingiva away from gingival amrgin

Area of isnertion for local infiltration of the palate

TErminal branches of nasopalatine and greater palatine nn

Nerve anesthsized for local infiltraion of the palate

second division nn block/ v2 nn block

Other name for miaxllary n blokc

pain prior to extensive surgery for perio or resto

-entire maxilla

Indication of maxilalry nn block

HEIGHT OF MUCCOBUCCAL FOLD DISTAL MX 2ND MOLAR

Area of isnertion of maxilla nn blokc

maxillary division

Nerve anesthesized for maixllary n blokc

25 gauge long

WHat gauge is used for maxillary nn blokc, less likely to break to thicker tissue)