Dentistry Book


Periapical Block

Aka: Periapical Block, Periapical Nerve Block, Supraperiosteal Dental Anesthesia, Buccal Anesthesia
  1. See Also
    1. Inferior Alveolar Block
  2. Indications
    1. Tooth Anesthesia for all but the molar teeth
      1. Most useful for the upper teeth
      2. Inferior alveolar Nerve Block is preferred for the lower teeth
  3. Preparation
    1. Bupivicaine 0.25% with Epinephrine 2 cc in a 3 cc syringe (or dental control syringe)
    2. Needle 27 gauge 1.25"
    3. Topical benzocaine 20% gel
  4. Technique
    1. Apply topical benzocaine 20% gel to injection site
    2. Grasp the upper lip with gauze and retract
    3. Insert needle into the Buccal mucosa above the affected tooth
      1. Needle insertion site is at the mucobuccal fold
      2. Fold is where the upper lip meets the Buccal mucosa
    4. Angle the needle toward the Maxilla
      1. Advance the needle until it strikes the Maxilla
      2. Withdraw the needle 1 mm
    5. Aspirate and then inject the 1-2 cc of Bupivicaine
  5. Resources
    1. Medscape EMedicine: Oral Nerve Block
  6. References
    1. Stine (1994) Practical Approach to Emergency Medicine, 2nd ed., Little Brown, Boston, p. 1033

Buccal infiltration of local anesthetic (C0472460)

Concepts Therapeutic or Preventive Procedure (T061)
SnomedCT 231320000
English Buccal infiltrn-local anaesth, BI - Buccal infiltration, Buccal infiltration of local anaesthetic, Buccal infiltration of local anesthetic, Buccal infiltration of local anesthetic (procedure)
Spanish infiltración bucal con anestesia local (procedimiento), infiltración bucal con anestesia local
Derived from the NIH UMLS (Unified Medical Language System)

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