NERVE BLOCKS

INDIAN DENTAL ACADEMY

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Greater Palatine Nerve
Block
Anterior palatine nerve block
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ANATOMICAL LANDMARKS
Maxillary 2
nd
& 3
rd
molars
Palatal gingival margins of the
molars
Midline of the palate
Line approx 1cm from palatal
margin towards the midline
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INDICATIONS
Palatal Anesthesia in
conjunction with PSA or MSA
Blocks
Surgery-Posterior palate
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AREAS ANESTHETIZED
Palatal Gingiva & Post portion of
Hard Palate
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TECHNIQUE
Approach Opposite side
1 inch, 25 gauge needle
Right angle to the curvature of
palatal bone.
Anesthetic solution- 0.25 to
0.5ml- injected slowly
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SYMPTOMS
Subjective-Numbness on
contact with tongue
Objective-absence of pain
sensation
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ADVANTAGES
Deposition of solution anterior to
the foramen.
Dual innervation.
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COMPLICATIONS

Palatal ischemia
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NASOPALATINE
NERVE BLOCK
Incisive nerve block
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ANATOMICAL LANDMARKS
Central incisor teeth
Incisive papilla
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INDICATIONS
Supplement for Anterior and
Middle superior alveolar nerves
Analgesia for maxillary anteriors
Anesthesia of nasal septum
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AREAS ANESTHETIZED
Anterior portion of the hard
palate
Palatal gingival tissue of six
anterior teeth
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TECHNIQUE
Extremely painful- preparatory
injection is made by inserting
1inch, 25 gauge needle into the
labial inter-septal tissue
between maxillary central
incisors and 0.25ml of solution is
deposited.

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TECHNIQUE
Needle inserted slowly into crest
of papilla
Advanced into the incisive
foramen, 0.5cm into the canal.
0.25-0.5ml solution injected
slowly to prevent distention of
surrounding tissue
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SYMPTOMS
Subjective-feeling of Numbness
on contact with palate
Objective-Absence of pain on
instrumentation
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COMPLICATIONS
Palatal soft tissue necrosis
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