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LOCAL
ANESTHESIA
LOCAL ANESTHESIA
Incision is made
into the same area
in which the LA has
been deposited.
Field block
Method of securing regional anesthesia
consisting of depositing a suitable LA
solution in proximity to the large terminal
nerve branches so that the area to be
anesthetized is circumscribed to prevent
the central passage of afferent impulses
Incision is made
into an area away
from the site of
injection
Nerve block
Method of securing regional anesthesia by
depositing LA solution within close
proximity to a main nerve trunk
Usually at a distance
from the site of
operative intervention
Periodontal ligament injection
Indications
1. Pulpal anesthesia of one
Contraindications
or two teeth in a quadrant 1. Infection or inflammation
at the site of injection
2.Treatment of isolated teeth in
mandibular quadrant
2. Primary teeth when the
3. Patient for whom residual soft tissue
anesthesia is undesirable
permanent tooth bud is
present
4. Situations in which regional block is
contraindicated
3. Patient who requires a
“numb” sensation for
psychological discomfort
Intraseptal injection
Indications
When both haemostasis & pain control are
desired for soft tissue & osseous
periodontal treatment
Contraindications
Infection or severe
inflammation at the
site of injection
Intrapulpal injection
Deposition of LA
directly into the pulp
chamber of a pulpally
involved tooth
provides effective
anesthesia for pulpal
extirpation &
instrumentation where
other techniques have
failed.
Intraosseous injection
Indications Contraindications
4. Post-injection soreness of
soft tissue may develop
Computer-controlled local
anesthetic delivery system
3. Non-threatening
4. Automatic aspiration
2. Increased cost
Electronic Dental Anesthesia
2. Ineffective LA
Contraindications
1. Cardiac pacemakers
2. Neurological disorders
3. Pregnancy
Spray
Ointments & jelly
EMLA (Eutectic mixture of LA)
Reference
s:-
Shobha tandon –Text book of pedodontics, 1st
edition 2001, published by Divyesh a kothari, page
no.464-469