Anastesi Lokal

“Tidak ada hal yang lebih penting yang dilakukan

dokter gigi pada pasien selain pemberian obat
pencegah sakit selama perawatan gigi”
(Stanley F. Malamed)
Persarafan Maksila
Persarafan Maksila cont...
Persarafan Mandibula
Persarafan Mandibula cont...
Instrumentasi
Instrumentasi cont...
Instrumentasi cont...
 Teknik penyuntikan dasar
• Gunakan jarum tajam steril
• Periksa cairan anastetikum
• Periksa suhu anastetikum
(suhu kamar)
• Tentukan posisi pasien
• Keringkan jaringan
• Pertimbangkan topikal
anastetikum
• Tangan/syringe harus stabil
• Jaringan harus tegang
• Jauhkan syringe dari
pandangan pasien
• Masukan jarum ke mukosa
• Komunikasi dan perhatikan
pasien
• Deponir sedikit anastetikum
• Lanjutkan suntikan perlahan
• Deponir sebelum mencapai
periosteum
• Aspirasi
• Deponirkan perlahan
• Komunikasi dengan pasien
• Lepas syringe perlahan,
tutup jarum dan simpan
• Observasi pasien
• Isi catatan medik
 Posisi supine Retraksi bibir

Anastesi topikal

Pengeringan jaringan Topikal anastesi

Stabilisasi tangan / syringe
 Teknik Anastesi Maksila

TECHNIQUE AREA ANESTHETIZED

Supraperiosteal Injection Individual teeth and buccal soft tissue
Periodontal Ligament Injection Individual teeth and buccal soft tissue
Intraseptal Injection Localized soft tissue
Intrapulpal Injection Individual tooth
 TECHNIQUE AREA ANESTHETIZED
Posterior Superior Alveolar Maxillary molars (with exception of mesiobuccal root of
Nerve Block maxillary 1st molar
in some cases), hard and soft tissue on buccal aspect

Middle Superior Alveolar Nerve Mesiobuccal root of maxillary 1st molar (in some cases),
Block premolars and
surrounding hard and soft tissue on buccal aspect

Anterior Superior Alveolar Nerve Maxillary central and lateral incisors andcanine, surrounding
Block/Infraorbital Nerve Block hard and soft tissue
on buccal aspect, mesiobuccal root of maxillary 1st molar (in
some cases)

Greater Palatine Nerve Block Palatal mucosa and hard palate from 1st premolar anteriorly
to posterior aspect of
the hard palate, and to midline medially

Nasopalatine Nerve Block Hard and soft tissue of lingual aspect of maxillary anterior
teeth from distal of
canine on one side to distal of canine on the contralateral
side

Maxillary Nerve Block Hemimaxilla on side of injection (teeth, hard and soft, buccal
and lingual tissue)
Injeksi supraperiosteal
Injeksi intraligamen, intraseptal, dan intrapulpa
Blok nervus alveolaris superior posterior
Blok nervus alveolaris superior medius
Blok nervus alveolaris superior anterior/infraorbital
Blok nervus palatinus mayus
Blok nervus nasopalatinus
Infiltrasi lokal palataum
Blok nervus maksilaris
 Teknik anastesi Mandibula
Inferior Alveolar Nerve Block
Buccal Nerve Block
Mental  Nerve Block
Incisive Nerve Block
Gow-Gates Mandibular Nerve
Block
Vazirani-Akinosi Closed Mouth
Mandibular teeth on side of injection, buccal and
lingual hard and soft tissue, lower lip
Buccal soft tissue of molar region
Buccal soft tissue anterior to mental foramen, lower
lip, chin
Premolars, canine and incisors, lower lip, skin over
the chin, buccal soft tissue anterior to the mental
foramen
Mandibular teeth to midline, hard and soft tissue of
buccal and lingual aspect, anterior 2/3 of tongue,
FOM, skin over zygoma, posterior aspect of cheek,
and temporal region on side of injectio
Premolars, canine and incisors, lower lip, skin over
the chin, buccal soft tissue anterior to the mental
foramen
Blok nervus alveolaris inverior cont...
Blok nervus alveolaris inverior cont...
Blok nervus alveolaris inferior
Blok nervus alveolaris inferior
Blok nervus bukalis
Blok nervus mentalis
Teknik Gow-Gates
Teknik Akinosi
Komplikasi lokal
t. e.r.i.m.a k.a.s.i.h

drg. Helmi