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Maxillary and Mandibular Anesthesia Techniques

1 Maxillary andMaxillary andMandibular Mandibular AnesthesiaAnesthesiaTechniquesTechniques Heera Chang, , Chang, , UniversityColumbia UniversityCollege of Dental MedicineCollege of Dental Medicine2 The NeedleThe Needle3 GaugeGauge Interior diameter of the lumen of theInterior diameter of the lumen of theneedleneedle The smaller the number, the greater theThe smaller the number, the greater thediameter of the needlediameter of the needle25 25 gaga.. inches inches27 27 gaga.. inches inches30 30 gaga.

Maxillary Anesthesia Local infiltration (Buccal or palatal) Nerve block 1. Posterior superior alveolar 2. Infraorbital 3. Greater palatine 4. Nasopalatine (Incisive) 5. Maxillary nerve (V2) Clinical Technique

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  Anesthesia, Mandibular, Mandibular anesthesia

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Transcription of Maxillary and Mandibular Anesthesia Techniques

1 1 Maxillary andMaxillary andMandibular Mandibular AnesthesiaAnesthesiaTechniquesTechniques Heera Chang, , Chang, , UniversityColumbia UniversityCollege of Dental MedicineCollege of Dental Medicine2 The NeedleThe Needle3 GaugeGauge Interior diameter of the lumen of theInterior diameter of the lumen of theneedleneedle The smaller the number, the greater theThe smaller the number, the greater thediameter of the needlediameter of the needle25 25 gaga.. inches inches27 27 gaga.. inches inches30 30 gaga.

2 Inches inchesLengthLength Long Long 1 5/8 inches or 40 mm. 1 5/8 inches or 40 mm. Short Short 1 inch or 25 mm. 1 inch or 25 Anesthesia TechniquesLocal Anesthesia Techniques Infiltration (Infiltration (SupraperiostealSupraperiosteal)) Nerve blockNerve block IntraligamentaryIntraligamentary IntrapulpalIntrapulpal6 Maxillary AnesthesiaMaxillary Anesthesia Local infiltration (Local infiltration (Buccal Buccal or palatal)or palatal) Nerve blockNerve block1. Posterior superior alveolar1. Posterior superior alveolar2.

3 Infraorbital2. Infraorbital3. Greater palatine3. Greater Nasopalatine Nasopalatine (Incisive)(Incisive)5. Maxillary nerve (V2)5. Maxillary nerve (V2)Clinical TechniqueClinical Technique7 Posterior Superior Alveolar BlockPosterior Superior Alveolar Block(PSA)(PSA)PSAPSA8 MSAMSAI nfraorbitalInfraorbital9 Greater palatine blockGreater palatine blockNasopalatine Nasopalatine (incisive) block(incisive) block10V2 blockV2 blockV2 blockV2 block11 Mandibular AnesthesiaMandibular Anesthesia Infiltration ??Infiltration ?

4 ? Nerve blockNerve block1. Inferior alveolar / Lingual1. Inferior alveolar / Lingual2. Mental2. Buccal Buccal Others (Alternates)Others (Alternates) Gow Gow-Gates (High Mandibular )-Gates (High Mandibular ) Akinosi Akinosi (Closed-mouth)(Closed-mouth)Clinical TechniqueClinical Technique1213 Proper Techniques in IANBP roper Techniques in IANB14 Proper Techniques in IANBP roper Techniques in IANBM ylohyoid Mylohyoid branchbranch15 LongLong buccal buccalGow Gow Gates and Gates and AkinosiAkinosi16 Mental Nerve and IncisiveMental Nerve and IncisiveNerve BlockNerve Block


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