Maxillary Anesthesia
Techniques
The word ,,anesthesia” is derived from Greek language and means loss of all
forms of sensation including pain, touch,temperature and pressure
perception and may be accompained by impairment of motor function.
There are two methods for obtaining anethesia in dentistry:local and
general.
Local anesthesia is a method,whereby a certain operative area is made
insensitive to pain, without loss of consciousness
Local anesthesia is best for:
a)Procedures taking less than 30-45 min
b)Single operative site in the mouth
c)Readily accessible areas of the mouth
General anesthesia is a method, whereby a certain operative area is made
insensitive to pain,with loss of consciousness, by blocking brain function.
General anesthesia is best for:
a)Complicated procedure of unpredictable duration
b)Multiple operative sites
c)Working in areas of the mouth with difficult access
Methods of local anaesthesia
• The local infiltration technique • The field block anesthetizes the
anesthetizes the terminal nerve terminal nerve branches in the area
endings of the dental plexus of treatment. Treatment can then be
This technique is indicated when an performed in an area slightly distal to
individual tooth or a specific isolated the site of injection.
area requires anesthesia. The Field block is indicated when two or
procedure is performed within the more teeth are being treated
direct vicinity of the site of infiltration.
Local anaesthetic is deposited at the • the nerve block anesthetizes the
buccal(and palatine) side of the main branch of a specific nerve,
maxillary alveolar process, which can allowing treatment to be performed
diffuse through the periosteum and in the region innervated by the nerve.
thin cortical plate of maxilla within This technique aims to deposit local
bone anaesthetic close to a main nerve,(at
It numbs a smaller area , where the a distance from the operative site)
injection was given before it divides into terminal
branches.It numbs an entire region.
Nerve block is indicated for dental or
sergical procedure in a quadrant of a
jaw
Topical anaesthetics
Glass catridges
Aspirating siringes
needles
A long-36mm
A short-25mm
An extra short-12mm
INFILTRATION ANAESTHESIA
Types of infiltration anesthesia
• Submucosal or subcutaneous anesthesia
• Paraperiosteal or supraperiosteal anesthesia
• Subperiosteal anesthesia
• Palatal infiltration
• Intraligamentary anesthesia
• Intrapulpal anesthesia
• Intraosseus anesthesia supplamentary techniques
• Intraseptal anesthesia
Local infiltration
Intraligamentary
(periodontal
ligament)
•The local anesthetic solution
(0.2ml )is deposit into the
periodontal ligament .
•it is used for cavity
preparation,pulp extraction
and endodontic treatment.
• This technique can
anaesthetise only single
tooth.
•The single rooted tooth
should be injected on the
mesial and the distal sides or
buccal and linqual sides. The
multirooted teeth are
injected over each root.
Bony infiltration (Intraosseus )anaesthesia
•The local anesthetic solution is
deposited directly into the cancellous
bone in close proximity to the nerve
filaments adjacent to the teeth to be
anesthetised
•Very rarely used
Intrapapillary(intraseptal)
This technique is a
variation of intraosseus
anesthesia.A needle is
forced gently into the
porous intraseptal bone
on either side of the
tooth to be
anesthetised.
