Académique Documents
Professionnel Documents
Culture Documents
Maxillary Anesthetic
Techniques
Dr Hesham El-
El-Hawary
www.elhawarydentalclinic.com
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
Anterior teeth
Anterior superior alveolar nerve
(1,2,3)
Molars except MB
root of 1st Posterior superior alveolar nerve
molar(6)
ELHAWARY
Maxillary Anesthetic Techniques
Palatal mucoperiosteum
Anterior teeth
Nasopalatine nerve
(1,2,3)
Premolars
(4,5)
Greater ( Anterior) palatine nerve
&
Molars (678)
ELHAWARY
Maxillary Anesthetic Techniques
Local Anesthesia
1. Topical anesthesia
2. Local infiltration
3. Field block
4. Nerve block
ELHAWARY
Maxillary Anesthetic Techniques
Local Anesthesia
Topical Anesthesia
Ointments, gels, sprays and pastes on mucous
membrane or skin
Application of a topical anesthetic agent on the
mucosa allows for the easy and painless insertion
of the sharp needle
Affects free nerve endings
ELHAWARY
Maxillary Anesthetic Techniques
Local Anesthesia
Local Infiltration
Flooding of the small terminal nerve endings with
local anesthetic solution
ELHAWARY
Maxillary Anesthetic Techniques
Local Anesthesia
Field Block
Referred to as local infiltration
local anesthetic solution is deposited in the
vicinity of larger terminal nerve fiber
so a circumscribed area is anesthetized
Local anesthesia injection above a tooth apex is
an example of a field block, in spite of being
referred to as paraperiosteal or supraperiosteal
infiltration anesthesia
ELHAWARY
Maxillary Anesthetic Techniques
Local Anesthesia
Subperiosteal injection
Not be attempted
Because of
Liability of needle breakage
Difficulty of forcing the anesthetic agent between
periosteum and bone
ELHAWARY
Maxillary Anesthetic Techniques
Local Anesthesia
Nerve Block
The anesthetic solution is deposited close to a
main nerve trunk
Usually at a distance from the operative site
before the nerve divided into terminal branches
ELHAWARY
Maxillary Anesthetic Techniques
Buccal inf.
Infiltiration
Palatal inf.
Incisive N.B.
Maxillary anesthesia
Anterior &
Middle Sup. Alv.
N.B.
Palatine N.B.
Maxillary N.B.
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
INFILTRATION ANESTHESIA
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
Paraperiosteal Anesthesia
Advantages Disadvantages
1. High success rate Not suitable for large areas
2. Technically it is an easy Needs multiple punctures
injection Administeration of large
3. Usually it is entirely amount of L.A. solution
atraumatic
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
Techniques Advantages
A special needle is used to 1. Very profound anesthesia
drill and pierce the outer
2. When other techniques have
cortical plate
failed
Using rose head round bur
(#2) Disadvantages
1. The needle easily get clogged
3. Painfull
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
Needle:
25-27 gauge
Long needle
Syringe
Aspirating syringe
ELHAWARY
Maxillary Anesthetic Techniques
Landmarks
Muccobuccal fold
Maxillary tuberosity
Zygomatic process
ELHAWARY
Maxillary Anesthetic Techniques
Technique
1. Retract the cheek and prepare site of injection
2. The needle is introduced into the height of the mucobuccal fold
above the 2nd molar
3. Advance the needle slowly upward, backward and inward
4. The needle shouldnt touch bone, and the max. depth allowed is
the length of the long needle, then ASPIRATE
5. If blood comes out then retract and try again, but if you get blood
also the next time then abort the technique
6. If no blood comes out then deposit 1.5 ml of the anesthetic solution,
wait 3-5 minutes before working
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
Area to be anesthetized:
The mucosa of the Anterior part of the palate opposite to the anterior teeth
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
Areas to be anesthetized:
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
ELHAWARY
Maxillary Anesthetic Techniques
THANK YOU
ELHAWARY