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GP NB disadvantages
Traumatic, pt uncomfy w numb palate, no remote hemostasis
GP armentarium
27 9 short, R= 7/8 L=II, .4-.6 ml, 4 -6 m deep
GP NB insertion and landmark
Soft tissue slightly (1-2mm) anterior to palpable GP foreman
GP foramen (mid @1stmol area)
GP path
Syringe advances from contralateral side of mouth at right angle to target area of palate
GP safety
Contact w/ bone, aspiration
GP complications
Hematoma (rare), pt discomfort, ischemia and/or necrosis
Np NB aka incisive/sphenopalatine NB nerves
Bilateral nasopalatine nerves
Np NB aka incisive/sphenopalatine NB numbs
Bilateral anterior hard palate, soft and hard tissue from mesial to max 1st premol
Np NB aka incisive/sphenopalatine NB insertion
Palatial mucosa just lateral to incisive papilla (midline palate behind centrals)
Incsive foreman beneath incisive papilla
Np NB aka incisive/sphenopalatine NB safety
Bone contact, aspiration
Np NB aka incisive/sphenopalatine NB precautions
Do not directly penetrate incisive papilla or canal, slow admin
Local infiltration of palate numbs
Soft tissues in immediate vicinity of injection
Local infiltration of palate armentarium
27g short, R= 10 L=same direction as pt
Local infiltration of palate insertion
Attached ring 5-10mm from free ging margin palatal area of desired anesthesia