LocalAnesthesia1.docx

**Topical Anesthesia Placement Sites** **Maxillary** **Name of Injection/** **Name of Nerve/ Topical Anesthesia** **[Injection Type Tissues Anesthesized Needle Length Placement Site\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** Anterior superior Anterior superior alveolar Short [Central & lateral incisors]: a...

**Topical Anesthesia Placement Sites** **Maxillary** **Name of Injection/** **Name of Nerve/ Topical Anesthesia** **[Injection Type Tissues Anesthesized Needle Length Placement Site\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** Anterior superior Anterior superior alveolar Short [Central & lateral incisors]: alveolar nerve nerve; numbs **max.** **anterior** height of mucobuccal fold (Infiltration/block) **teeth & surrounding facial** above root of tooth to be treated **tissue** [Cuspid]: height of mucobuccal fold midway between cuspid & lateral incisor Middle superior Middle superior alveolar Short [Premolars]: Height of mucobuccal alveolar nerve nerve; numbs **max.1^st^ & 2^nd^** fold of premolar to be treated, (Infiltration/block) **premolars & mesiobuccal** either 1^st^ premolar or 2^nd^premolar **root of 1^st^ molar & surrounding** [1^st^ Molar (Mesiobuccal root]**): facial tissue** height of mucobuccal fold of 2^nd^ premolar Posterior superior Posterior superior alveolar Short Height of mucobuccal fold above alveolar nerve nerve; numbs **distobuccal &** maxillary 2^nd^ molar (Infiltration/block) **lingual root of max. 1^st^ molar,** **2^nd^ molar & 3^rd^ molar, &** **surrounding facial tissue** Infraorbital injection Infraorbital nerve; numbs: **(DA)** Long Height of mucobuccal fold (Block) **max. anteriors in each quadrant;** of 1^st^ premolar **(CPDH) max anteriors, premolars** **& mesiobuccal root of 1^st^ molar** **& surrounding facial tissues including** **lower eyelid, side of nose, cheek & upper lip** **Topical Anesthesia Placement Sites** **Maxillary (Continued)** **[Palatal injections]** **Name of Nerve/ Topical Anesthesia** **[Name of Injection Tissues Anesthesized Needle Length Placement Site\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** Nasopalatine injection Nasopalatine nerve; numbs Short On palate posterior to maxillary (Block) palatal **soft tissue** **covering** central incisors alongside incisive **hard palate from cuspid** papilla **to cuspid (anterior 1/3^rd^ of** **palate)** Greater palatine Anterior palatine nerve; Short On palate at bisection of an injection numbs palatal **soft tissue** imaginary line between (Block) **covering hard palate** midline of palate to lingual **from distal of cuspid to tuberosity** gingival margin of maxillary 2nd **& from midline to gingival crest of** molar **teeth on side of injection** **Topical Anesthesia Placement Sites** **Mandibular** **Name of Nerve/ Topical Anesthesia** **[Name of Injection Tissues Anesthesized Needle Length Placement Site\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** Mandibular (Inferior Inferior alveolar nerve & Long Deep depression posterior to alveolar) nerve its branches (incisive & mental); retromolar area toward lingual (Block) numbs **teeth & surrounding soft** side of ramus **tissues in quadrant** Incisive nerve Incisive nerve; numbs Short Mucobuccal fold facial to apex of (Infiltration/ block) **premolars to the midline** tooth to be anesthesized **& surrounding facial tissues,** **lower lip & skin of chin** Mental nerve Mental nerve; numbs **(DA):** Long Mucobuccal fold between (Block) **mandibular** **premolars &** apices of premolars **cuspid**; **(CPDH): no** **teeth,** **periodontium & soft tissues** **from mental foramen to** **midline, skin of chin & lower lip** Long buccal Buccal nerve; numbs **buccal** Long Into mucous membrane just distal nerve **soft** **tissues on facial side of** & buccal to last mandibular molar (Block) **mandibular** **molars** in arch Lingual nerve Lingual nerve; numbs **soft** Long Lingual gingiva halfway down (Block) **tissue on lingual surface of** root of tooth to be anesthesized **mandibular teeth**