Local Anesthesia Technique

Greg Ness Oral & Maxillofacial Surgery The Ohio State University College of Dentistry

Maxillary Anesthesia

Trigeminal Nerve 2nd Division

Posterior Superior Alveolar Nerve

Middle Superior Alveolar Nerve

Anterior Superior Alveolar Nerve

Greater Palatine Nerve

Incisive (Nasopalatine) Nerve

Infraorbital Block

V2 Block

Mandibular Anesthesia

Mandibular Nerves
Long buccal Lingual Inferior alveolar Mental Incisive

Lingual nerveTaste

Exit the mandible as the metal N.

Gow-Gates Technique

Advantages of Gow-Gates Technique

Reduction in failure rate Full quadrant coverage Single puncture single target No muscular involvement Minimal vascular penetration Minimal adverse reaction Recumbent position of patient Suitable for fast or slow injection

Akinosi Technique

Periodontal Ligament Technique

Periodontal Ligament Technique

Immediate onset Short duration of pulpal anesthesia (20 minutes)

Success of PDL Injection

Strong back pressure Vasoconstrictor use Repeat injection if first fails

PDL injection is an intraosseous injection

Use prudently in medically compromised patients