Maxillary Anesthesia -1


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Unformatted text preview: MAXILLARY ANESTHESIA MAXILLARY Basic Injection Technique Basic Check flow of local anesthetic Position the patient Prepare the tissue Communicate with the patient Establish hand rest Basic Injection Technique Basic Make the tissue taut Keep the syringe out of patient sight Bevel the needle toward the bone Insert the needle Deposit while advancing the needle Basic Injection Technique Basic Aspirate Slowly inject Communicate with the patient Withdraw the needle Cap the needle Watch the patient Record the injection in the patient chart Infiltration - Palate Infiltration Nerves Terminal branches - Greater Palatine nerve Terminal Nasopalatine nerve Nasopalatine Area Palatal soft tissue in area of injection Palatal Infiltration - Palate Infiltration Indications Limited area Limited Hemostasis Hemostasis Contraindications More than 2 teeth More Inflammation/infection at site Inflammation/infection Infiltration - Palate Infiltration Advantages Hemostasis Hemostasis Minimal area affected Minimal Disadvantages Potentially traumatic Potentially Infiltration - Palate Infiltration Technique Apply topical, pressure Apply Insert into gingiva in center of area Insert - 5-10 mm from gingival margin 5-10 Aspirate (positive results are rare) Aspirate Inject 0.2-.3 ml, slowly Signs and Symptoms Signs Numbness, blanching of palatal soft tissue No pain during dental therapy Failures of Anesthesia Failures Quite rare Failure of hemostasis Inflammation Inflammation Lack of vasoconstrictor Lack Complications Complications Necrosis of soft tissue Necrosis (due to excess vasoconstriction) (due ...
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This note was uploaded on 11/10/2011 for the course PDBIO 220 taught by Professor Tomco during the Winter '09 term at BYU.

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