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    Local Anesthesia Technique Handout

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    mirfanulhaq
    This document outlines techniques for local anesthesia injection. It describes patient preparation including medical history, vital signs, and positioning. Site preparation such as identifying landmarks and drying the area is covered. Injection techniques are provided, emphasizing proper bevel orientation, aspiration, injection rate and avoiding fully inserting the needle. Specific techniques are detailed for maxillary and mandibular injections, including infiltration, nerve blocks, injection sites, depths, and areas anesthetized.

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    Local Anesthesia Technique Handout

    Uploaded by

    mirfanulhaq
    147 views2 pages
    This document outlines techniques for local anesthesia injection. It describes patient preparation including medical history, vital signs, and positioning. Site preparation such as identifying landmarks and drying the area is covered. Injection techniques are provided, emphasizing proper bevel orientation, aspiration, injection rate and avoiding fully inserting the needle. Specific techniques are detailed for maxillary and mandibular injections, including infiltration, nerve blocks, injection sites, depths, and areas anesthetized.

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    Local Anesthesia Technique Handout

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    This document outlines techniques for local anesthesia injection. It describes patient preparation including medical history, vital signs, and positioning. Site preparation such as identifying landmarks and drying the area is covered. Injection techniques are provided, emphasizing proper bevel orientation, aspiration, injection rate and avoiding fully inserting the needle. Specific techniques are detailed for maxillary and mandibular injections, including infiltration, nerve blocks, injection sites, depths, and areas anesthetized.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    147 views2 pages

    Local Anesthesia Technique Handout

    Uploaded by

    mirfanulhaq
    This document outlines techniques for local anesthesia injection. It describes patient preparation including medical history, vital signs, and positioning. Site preparation such as identifying landmarks and drying the area is covered. Injection techniques are provided, emphasizing proper bevel orientation, aspiration, injection rate and avoiding fully inserting the needle. Specific techniques are detailed for maxillary and mandibular injections, including infiltration, nerve blocks, injection sites, depths, and areas anesthetized.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Local Anesthesia Injection Technique

    2009
    Division of Oral & Maxillofacial Surgery
    University of Minnesota

    I.

    Patient Preparation
    a. Medical history and physical evaluation
    b. Blood pressure and pulse assessment
    c. Chair position
    i. Supine
    ii. Semisupine
    d. Operator and Patient position
    e. Record event in chart

    II.

    Site Preparation
    a. Identify landmark
    b. Dry mucosa with sponge
    c. Apply topical anesthetic with cotton applicator
    i. Use pressure on palatal injection

    III.

    Technique
    a. Bevel orientation
    b. Insert needle
    c. Aspirate
    d. Monitor injection rate
    i. Position of the barrel of the syringe
    ii. Slow injection (1mL/min)
    e. Needle should not bend
    f. Needle should not be inserted all the way to the hub
    g. Replace needle cover with safe technique

    IV.

    Maxillary Injection Technique


    a. Local Infiltration (supraperiosteal injection)
    i. Injection site: Mucobuccal fold of target tooth
    ii. 30 gauge needle
    iii. Depth: A few millimeters
    iv. Anesthetized: Tooth, periosteum, mucous membrane
    b. Posterior Superior Alveolar N. Block (PSA)
    i. Injection site: Height of the mucobuccal fold above the maxillary 2nd
    molar; 45 angle to the maxillary occlusal plane
    ii. Depth: 16mm
    iii. Anesthetized: All molars but 72% of mesiobuccal root of maxillary 1 st
    molar
    c. Middle Superior Alveolar N. Block
    i. Injection site: Mucobuccal fold above the 2nd premolar
    ii. Depth: A few millimeters
    iii. Anesthetized: 1st and 2nd premolar and mesiobuccal root of maxillary
    1st molar
    d. Anterior Superior Alveolar N. Block (Intraorbital N. Block)
    i. Injection site: Height of the mucobuccal fold over 1st premolar
    ii. Depth: 16mm
    iii. Anesthetized: Central incisal through canine, occasionally maxillary
    premolars and mesiobuccal root of maxillary 1st molar
    e. Nasopalatine N. Block
    i. Injection site: Lateral to the incisive papillae

    ii. Depth: 6 10mm


    iii. 30 gauge needle
    iv. Anesthetized: Anterior palatal (hard and soft tissues of mesial of 1 st
    premolar to the other side of mesial of 1st premolar)
    f. Greater Palatine N. Block (Anterior Palatine Block)
    i. Injection site: Halfway between the alveolar crest and the midline (2 nd
    and 3rd molar area)
    ii. Depth: Less than 10mm
    iii. 30 gauge needle
    iv. Anesthetized: Posterior portion of hard palate and overlying soft
    tissue to the 1st premolar and midline
    g. Maxillary N. Block (V2 Block)
    i. Greater palatine canal approach
    ii. High tuberosity approach
    V.

    Mandibular Injection Technique


    a. Inferior Alveolar N. Block (IAN)
    b. Lingual N. Block
    i. Injection site: The line of needle insertion is from the opposite
    mandibular premolars
    ii. 25 or 27 gauge needle, long
    iii. Depth: 10 25mm; height of insertion is usually above the occlusal
    plane (6 10mm)
    iv. Withdraw slightly and deposit remainder of carpule for lingual nerve
    anesthesia
    v. Anesthetized: Pulp of the mandibular teeth to the midline, body of
    the mandible, buccal mucoperiosteum and mucous membrane
    anterior to the mandibular 1st molar, ipsilateral lower lip, anterior 2/3
    of tongue
    c. Long buccal N. block
    i. Injection site: Height of the occlusal plane, posterior to the
    mandibular 3rd molar into the soft tissue near the external oblique
    ridge
    ii. Depth: 1 or 2mm
    iii. Anesthetized: Periosteum, soft tissue buccal to the mandibular
    molars
    d. Mental N. Block
    i. Injection site: Between the mandibular premolars
    ii. Depth: 5 6mm
    iii. Anesthetized: Buccal mucous membrane anterior to the mental
    foramen to the midline, lip and chin
    e. Gow-Gates Mandibular Block (V3 Block)
    i. Injection site: Height of injection; mesiopalatal cusp of maxillary
    second molar.
    Penetration; distal to the 2nd molar
    ii. Depth: 25mm
    iii. Anesthetized: Distribution of V3
    f. Vazirani Akinosi Mandibular Block
    i. Injection site: Mouth closed. Align the needle and syringe parallel to
    and along the line of the maxillary 2nd and 3rd molar mucogingival
    junction; insertion of needle to the soft tissue overlying the mesial
    border of the mandibular ramus directly adjacent to the maxillary
    tuberosity at the height of the mucogingival junction adjacent to the
    maxillary 3rd molar
    ii. Depth: 25mm
    iii. Anesthetized: Distribution of IAN, lingual N., mental N., and incisive
    N.

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