MAXILLARY ANESTHESIA

Basic Injection Technique

Check flow of local anesthetic

Position the patient
Prepare the tissue
Communicate with the patient
Establish hand rest
 Basic Injection Technique

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

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

Nerves
Terminal branches - Greater Palatine nerve
Nasopalatine nerve
Area
Palatal soft tissue in area of injection
 Infiltration - Palate

Indications
Limited area
Hemostasis

Contraindications
More than 2 teeth
Inflammation/infection at site
 Infiltration - Palate

Advantages
Hemostasis
Minimal area affected

Disadvantages
Potentially traumatic
 Infiltration - Palate

Technique
Apply topical, pressure
Insert into gingiva in center of area
- 5-10 mm from gingival margin
Aspirate (positive results are rare)
Inject 0.2-.3 ml, slowly
 Signs and Symptoms

Numbness, blanching of palatal soft tissue

No pain during dental therapy

 Failures of Anesthesia

Quite rare

Failure of hemostasis
Inflammation
Lack of vasoconstrictor
 Complications

Necrosis of soft tissue

(due to excess vasoconstriction)