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4 - Maxillary Infiltration Edited

The document outlines various methods of inducing local anaesthesia, including topical, infiltration, regional, and block anaesthesia. It details preparation steps and specific techniques for maxillary anaesthesia, including infiltration and nerve blocks, with instructions for buccal, palatal, nasopalatine, greater palatine, and lingual injections. Each technique includes landmarks and volumes of anaesthetic to be used for effective anaesthesia.

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Mahmoud Emeira
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8 views19 pages

4 - Maxillary Infiltration Edited

The document outlines various methods of inducing local anaesthesia, including topical, infiltration, regional, and block anaesthesia. It details preparation steps and specific techniques for maxillary anaesthesia, including infiltration and nerve blocks, with instructions for buccal, palatal, nasopalatine, greater palatine, and lingual injections. Each technique includes landmarks and volumes of anaesthetic to be used for effective anaesthesia.

Uploaded by

Mahmoud Emeira
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LOCAL

ANAESTHESIA
Methods of induction of local
anaesthesia:
➢ Topical or surface anaesthesia.
➢ Infiltration anaesthesia.
a)bony tissue infiltration
b)soft tissue infiltration
➢ Regional anaesthesia
➢ Block anaesthesia.
Preparation for anaesthesia:
➢ prepare your syringe and untighten the needle cover

➢ Land mark is taken (if needed)

➢ swabbing the site of the injection with a clean gauze.

➢ painting the site of injection with a disinfectant using


cotton pellet
Maxillary anaesthesia:
1)Infiltration:

–Able to be performed in the maxilla due to the thin


cortical nature of the bone
–Involves injecting tissue immediately
around surgical site
➢ Submucosal injection

➢ Supraperiosteal/paraperiosteal

injections(buccal/labial,palatal/lingual)
➢ Subperiosteal infilteration

➢ Intraosseous infilteration

➢ Intraseptal infilteration(intraligamentary)
2)Nerve blocks:
–Local anesthetic deposited near main nerve trunk and
is usually distant from operative site

✓ Posterior superior alveolar


✓ Infraorbital
✓ Greater palatine
✓ Nasopalatine
Buccal / labial infilteration:
Technique:
-Needle is inserted
a)opposite to the tooth to be extracted with bevel
towards bone
b)into mucobuccal fold at 45 degree angle to the bone

-Slow injection of 1.5 ml of the solution


Palatal injection:
Technique:
-Needle is inserted
a)palatal to the tooth to be extracted midway between
median palatine raphae and gingival margin
b)at right angle to the vault of the palate,thus,the needle
is derived from the opposite side.

-Only 0.2-0.3 ml of the solution is injected.


Nasopalatine nerve block:

Land marks:
➢ Central incisors

➢ Incisive papilla

➢ Incisive (nasopalatine) foramen

Structures anaesthesized:
Palatal alveolar plate and the overlying mucoperiosteum
of the maxillary six anteriors
Technique:
Needle is inserted into the incisive papilla parallel to
long axis and 1 cm posterior to central incisors
0.5 ml are injected slowly
Greater palatine nerve block:
Land marks:
➢ Greater palatine foramen
➢ 2nd and 3rd molar
➢ Median palatine raphae
➢ Gingival margin
Structures anaesthesized:
Palatal alveolar plate and the overlying mucoperiosteum
of the maxillary premolars and molars of the site
anaesthesized.
Technique:
➢ Greater palatine foramen is present between 7 & 8
midway between median palatine raphae and their
gingival margin
➢ Short needle is inserted into this side directed from
the opposite side.
➢ 0.2-0.3 ml of the solution is injected slowly
Lingual injection:
Technique:
-needle is inserted just above the mucolingual fold
-0.2-0.3 ml of the solution is injected slowly.

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