POSTERIDR SUPERIOR MDDLE SUPERIOR ANTERIOR sUPER

SUfRAPER)STE AL ALVEOLA NERVE

ALVEDUAR NERVE
BLOCK
AEOLA NERE 6RENTER PALATINE NAOPALATING LUA INFILTRAiON
NERVE BLocK NERVE BLOCK
Loal inflhahon Tuberosity block AnteiY pala hng nuSye rerve bloc
OTHER NAMES Zygamahe Llock Sphevopatne nervo
laraperios teal nerve block
bsck
injechor

NEEDLE 27-qawge 27 gwqe 27-9cuge

shot neod le shot - need le
shoYt neadlo nalle 27 gauqe shot 27 gaue sho t quge short
heodle
27gaug shart no le neodia neodle

AREA lp and root hs of moxil

ulps, ot ma xillary ontyol steriar porhn of Prmterior porhon of Soft tstues n
aY a ot The gd,2,t molars premolar, ioNne ing s01 Throah
ANESTHETIZED
n injece hord poloe hayd palote Fhe immecdiate
too Th
Bucal peyiosteummespbut cal root n 2,/ ahent emopsof overlying tísues, bilalcroly honn the viinihy o the
Buccal periosteum and bone verlyingof st molar anteriorl a, foy (mesia apet injechn
Connectiye tssue these tolh Bucialperiodgmta! fandfirstme molay
iobuealrot s, 1st pYemoar of 1ight frst
Mucow memy ane thssues ord Bucal perodonthu. and medioly to Premolar to
meva aspect of
bone oyer these midline.

maero
Laver euel id, late left rs remala
arean
aspect 0f nose,
uper ip.

AREA OF
INSERTIDN
Height of the Height of the, Height
myobuccal foldmuobur cal told
above the above the
of A
mucobual
thee i g h t
abve the
ot mucobuoal
bd directty aver
the hrst Premooy
Soft hiscäe
slahtty on terio
to qreater palatin
singlss.MHn
ehoHn
Irpitydlean/tWo, lateal (iprfaunsilvoae
hsoug
rhe at tached girgi
S b lo mm
the free qirgiva
Hom
apex of the mayilony secondmaxillary
tooth being
aresthetjzed
molar secord premoay foramen.
abiaer oft
al
mavqi

tyamen,
ta
lo ilat

TARGET AREA Apital reqion of PSA -neYve Maxillau bore Tntogrbital

foYame) Gyeaky atne otoImnuesrvne Girgival hsue s-19 mm
toth to be PosterioY, supey ioYabve tho apex om the frea
and medial to of the moxilav anteriory beueen
anaesthetized
the poster ior
bode of moxila
2rd prermolar soft tissçe ard
bme of the hord
palo te
fnusive pa ila gingiva marqin

UNDMARK Mucobur cal fod

Youn of tooth
Mucotuccal fold Muc obuceal Mucobulca l fold
Maxtllary tuberosity fo ld,above tre Intaorbital notch
pyeater polahine
foramer,
Papinave iotlalol to
'
papi
upl Girgiva hssuo in tha
eshmokd care of
Root contour of
the toth
Zygomate procen Preno
of the moxilla
maxilloy
lat seontabtal ameyn
Jurch on of
maxillayu alveolay
Procen àyd alatne
Cont
ird
nu'shoral
pauilvae enm ent
target ayea

bne.
ine-hm
zrd

ORIENTATION
of
Toward bone Towayd bone Toward bone Touavd bone Toyuarcd palatal sott
Hcue
paloTralwoe opdsivlae Towa yc alatal
BE VEL soft isue
fnerhm at: Advane
nnge fom opas te
agle tarqct ara.