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Maxillary anesthesia 1
The document discusses maxillary anesthesia techniques. It describes the basic injection technique which includes checking the local anesthetic, positioning the patient, preparing the tissue, communicating with the patient, and establishing a hand rest. It also discusses infiltration of the palate specifically, including the nerves and area, indications and contraindications, advantages and disadvantages, and the technique. Signs and symptoms of successful anesthesia and possible failures or complications are outlined.
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Maxillary anesthesia 1
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- 2. Basic Injection TechniqueBasicInjection Technique Check flow of local anestheticCheck flow of local anesthetic Position the patientPosition the patient Prepare the tissuePrepare the tissue Communicate with the patientCommunicate with the patient Establish hand restEstablish hand rest
- 3. Basic Injection TechniqueBasicInjection Technique Make the tissue tautMake the tissue taut Keep the syringe out of patient sightKeep the syringe out of patient sight Bevel the needle toward the boneBevel the needle toward the bone Insert the needleInsert the needle Deposit while advancing the needleDeposit while advancing the needle
- 4. Basic Injection TechniqueBasicInjection Technique AspirateAspirate Slowly injectSlowly inject Communicate with the patientCommunicate with the patient Withdraw the needleWithdraw the needle Cap the needleCap the needle Watch the patientWatch the patient Record the injection in the patient chartRecord the injection in the patient chart
- 5. Infiltration - PalateInfiltration- Palate NervesNerves Terminal branches - Greater Palatine nerveTerminal branches - Greater Palatine nerve Nasopalatine nerveNasopalatine nerve AreaArea Palatal soft tissue in area of injectionPalatal soft tissue in area of injection
- 6. Infiltration - PalateInfiltration- Palate IndicationsIndications Limited areaLimited area HemostasisHemostasis ContraindicationsContraindications More than 2 teethMore than 2 teeth Inflammation/infection at siteInflammation/infection at site
- 7. Infiltration - PalateInfiltration- Palate AdvantagesAdvantages HemostasisHemostasis Minimal area affectedMinimal area affected DisadvantagesDisadvantages Potentially traumaticPotentially traumatic
- 8. Infiltration - PalateInfiltration- Palate TechniqueTechnique Apply topical, pressureApply topical, pressure Insert into gingiva in center of areaInsert into gingiva in center of area - 5-10 mm from gingival margin- 5-10 mm from gingival margin Aspirate (positive results are rare)Aspirate (positive results are rare) Inject 0.2-.3 ml, slowlyInject 0.2-.3 ml, slowly
- 10. Signs and SymptomsSignsand Symptoms Numbness, blanching of palatal soft tissueNumbness, blanching of palatal soft tissue No pain during dental therapyNo pain during dental therapy
- 11. Failures of AnesthesiaFailuresof Anesthesia Quite rareQuite rare Failure of hemostasisFailure of hemostasis InflammationInflammation Lack of vasoconstrictorLack of vasoconstrictor
- 12. ComplicationsComplications Necrosis of softtissueNecrosis of soft tissue (due to excess vasoconstriction)(due to excess vasoconstriction)