Pain man injections
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| ASA anterior Superior Alveolar nerve block Areas anesthetized | Pulpal, buccal bone, periodontium of mx central and alater incisors, canine. Landmark Fossa ant to canine eminence apex of canine Penetration height of mucobuccal fold just mesial to eminence at apex of canine Depth 1/4 deposit 1/3-1/2
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| MSA middle superior Alveolar nerve block present in 28% of population | pulpal, buccal, periodontium of mx premolars and MB root of 1st molar, landmark mucobuccal fold apex of 2nd premolar penetration height mucobucccal fold parallel and ant to 2nd premolar depth 1/4 27 short deposit 1/2 2/3
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| PSA Posterior Superior alveolar nerve (aspirate @ 2 planes highly vascular) | Pulpal buccal bon periodontium of mx 2nd 3rd molar DBu & L roots of 1st molar Landmark mucobuccal fold, mx tuberosity, zygomatic, Penetration height mucobuccal fold distal to mx 2nd upward inward backward 1/2-3/4 27 short deposit 1/2-1
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| Supraperiosteal local infiltration *most frequently used for max teeth when a single tooth is treated | Pulpal osseous buccal periodontium adjacent to targeted tooth. Depth few millimeters 1/4 27 g short deposit 1/3
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| Gp greater palatine | lingual mucosa and osseous tissue of post portion hard palate and soft tissue to 1st premolar to midline.Penetration 2-3 mm approach from opposite side 27s g short deposit 1/4-1/3
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| NP nasopalatine | Lingual mucosa osseous tissue of mx canine to canine Landmark incsive foramen incisive papilla. Palatal mucosa just lateral 45 angle toward incisive place belvel toward soft tissue 27s g short penetration 2-3 mm amount 1/4
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| Mental incisive | buccal mucous chin skin of lower lip pulpal osseous buccal soft tissue of mand premolars and ant teeth. btw 1&2nd premolars depth 5-6mm (1/4) 27g short deposit 1/3
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| GG Gow gates | all of v3 landmark corner of mouth, mx 2nd molar ant ramus border. penetration just distal to MLi cusp approach opposite side mouth depth 25mm fully open mouth contact bone deposit 1.8 ml
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| Is intraseptal | bone soft tissue root of inejection papillary triangle about 2 mm below tip pentration center of papilla about 2 mm depth 1-2mm 27 g short deposit 1/8
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| PDL | pulpal osseous pdl and gingival tissue roots of tooth periodontal tissue bevel faces root 27g short depth of gingival sulcus .2ml minimum 20 secs
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| IA inferior alevolar | all mand teeth to midline all tissues except buccal 2/3 tongue ling soft tissue landmark coronoid notcy ptergo raphe & triangle approch opposite side depth 20-25 mm 27g LONG deposit 3/4
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| lingual nerve | ant 2/3 tongue floor of mouth lingual periosteum and soft tissue .3ml depth of 1/4
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| LB or B buccal nerve | soft tissue and buccal periosteum landmark mucobuccal fold 2-4 mm 27g LONG deposit 1/8
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