SUMMARY OF INJECTIONS

MAXILLARY INJECTIONS
INJECTION

PENETRATION
SITE

INSERT
DEPTH

DEPOSITIO
N SITE

AMOUNT
DEPOSITE
D

Local Infiltration

mucofacial fold
at the midline of
the tooth

3 mm

root apex

1/2 - 3/4
cartridge

Infiltration
Between Teeth

between
maxillary teeth
usually infiltrate
mucofacial fold,
inferior to
infraorbital
foramen
mucobuccal fold
just posterior to
zygomatric
buttress

3mm

between
root apices

3/4
cartridge

3 mm

outside
infraorbital
foramen

3/4
cartridge

12-18
mm

PSA
foramen

3/4
cartridge

midline of
centrals

3 mm

root apex

1/2
cartridge

continuous
along
insertion
path

1 stopper

Anterior Superior
Alveolar
(infraorbital)

Posterior
Superior
Alveolar

Nasopalatine
3-Step
1. local
2. modified
interdental
3.nasopalatine
nerve block

interdental
papilla < 2 mm
from tip

3 mm
3 mm

Palatal
Infiltration

AREA ANESTHETIZED
OTHER TISSUE

max: MB of 1st molar

to midline for each
tooth (or between
teeth gets two)
mand: incisors only
tooth on either side of
injection
maxillary anteriors
and possibly
bicuspids and MB of
first molar
maxillary molars
except for MB
innervation of 1st
molar
central incisors

bone adjacent to tooth,

facial periosteum,
gingiva, mucosa,
bone adjacent to teeth,
facial periosteum,
gingiva, mucosa
bone adjacent to teeth,
facial periosteum,
gingiva, mucosa
bone adjacent to teeth,
facial periosteum,
gingiva, mucosa,

bone adjacent to teeth,

facial periosteum,
gingiva, mucosa
interdental to incisive
papilla

1 stopper

lateral to incisive
papilla
Greater Palatine

TEETH

2 mm ant to
junction of soft
palate where
tissues
compresses
Only
via interdental
approach
or on in area
blanched by an
interdental like
nasopalatine

3 mm

2 mm

midline
over
incisive
canal
outside
greater
palatine
foramen
area
already
anesthetize
d

anterior 1/3 of hard

palate
11/2
stopper

posterior of hard
palate on side injected

very littleno tissue

space

small area of blanched

tissue

or in area
already
anesthetized by
an interdental to
spread area of
anesthesia to
tissue not
anesthetized

MANDIBULAR INJECTIONS
INJECTION

PENETRATION SITE

INSERT
DEPTH

DEPOSITION
SITE

AMOUNT
DEPOSITE
D

Inferior
Alveolar

> way up fingernail

on internal surface of
the ramus (at least
way to maxillary
occlusal surface) and
just medial to ramus

25-30 mm

above
manibular
canal foramen

> 3/4
cartridge

Lingual

same as inferior
alveolar

12-15 mm

near lingual
nerve

1/4
cartridge

Buccal

height of occlusal
plane and over
anterior border of
ramus (or in buccal
vestibule)
> way up fingernail
on internal surface of
the ramus (at least
way to maxillary
occlusal surface) and
just medial to ramus.
No higher than
intertragic notch
medial to coronoid
process in mucofacial
fold. no higher than
neck of condyle
tissue over mental
foramen

3 mm

near buccal
nerve

1/4
cartridge

25-30 mm

1 mm from
neck of
condyle

25-30 mm

PDL

AREA ANESTHETIZED
TEETH

OTHER TISSUE

mandibular
quadrant

bone adjacent to
teeth, facial
periosteum, gingiva,
mucosa anterior to
mental foramen, lip to
midline on side
injected
lingual gingiva, floor
of mouth and
anterior 2/3 of tongue
(ipsilateral)
facial gingiva, &
mucosa to mental
foramen

>1
cartridge

mandibular
quadrant

inferior alveolar &

lingual nerve.
(sometimes BAMbuccal,
auriculotemporal and
mylohyoid)

pterygomandi
bular space

1 cartridge

mandibular
quadrant

same as Gow-Gates

3 mm

outside mental
foramen

3/4
cartridge

from tooth
adjacent
mental
foramen to
central
incisor

gingival sulcus at
mesial and distal

3 mm

PDL

2 stopper
each

any except
max
bicuspid

Mylohyoid

lingual gingiva near

distal root apex

2 mm

distal root
apex

1 stopper

Intraosseous

distal to tooth if
possible where good
trabecular bone
(usually ~ 6mm
apically to distal
papilla)

till drop in
trabecular
bone
(~3 mm)

trabecular
bone

1/2
cartridge

accessory
innervation
to
mandibular
molar or
incisor only
tooth
mesial to
injection &
possibly
tooth distal

bone adjacent to
teeth, due to also
getting mental nerve:
facial periosteum,
gingiva, mucosa from
foramen to midline,
lip to midline
bone adjacent to
teeth, adjacent
periosteum, gingiva,
mucosa
adjacent lingual
tissue

Gow-Gates

VaziraniAkinosi

Incisive
(mental)

/var/www/apps/conversion/tmp/scratch_4/337024693.doc

bone adjacent to
teeth, adjacent
periosteum, gingiva,
mucosa