The Dental Box--Nasopalatine Block

Summary

This video explains the process of a traditional nasal palatine nerve block injection. The needle is inserted into the soft tissue near the incisive papilla and advanced through until bone is contacted. After confirming negative aspiration, 0.3 ml of local anesthetic is administered. This method is crucial for effective anesthesia in dental procedures involving the anterior palate, ensuring minimal discomfort for the patient.

Takeaways

• 😀 The third injection described is a traditional nasal palatine nerve block.
• 😀 A needle is inserted into the soft tissues just lateral to the incisive papilla.
• 😀 The needle is advanced through soft tissue until bone is contacted.
• 😀 Negative aspiration is performed before administering the anesthetic.
• 😀 0.3 ml of local anesthetic is administered following negative aspiration.
• 😀 The procedure focuses on the nasal, palatine nerve block for anesthesia.
• 😀 The injection is primarily for numbing the area around the incisive papilla.
• 😀 The approach is to first locate bone, ensuring accuracy before injecting.
• 😀 Proper technique involves confirming no blood vessels are aspirated before injection.
• 😀 The injection procedure aims to minimize discomfort for the patient while achieving effective numbness.

Q & A

What is the technique described in the script?

The technique described is a traditional nasal, palatine nerve block, which involves administering local anesthesia to a specific area in the mouth.

Where is the needle inserted during the procedure?

The needle is inserted into the soft tissues just lateral to the incisive papilla.

How far does the needle need to be advanced?

The needle is advanced through the soft tissue until bone is contacted.

What step is taken after the needle reaches the bone?

After contacting the bone, a negative aspiration is performed to ensure the needle is not in a blood vessel.

How much local anesthetic is administered?

0.3 ml of local anesthetic is administered after confirming negative aspiration.

Why is negative aspiration performed in this procedure?

Negative aspiration is performed to ensure the needle is not in a blood vessel, preventing accidental injection into the bloodstream.

What is the significance of the incisive papilla in this procedure?

The incisive papilla is a key anatomical landmark used to guide the needle insertion for the nerve block.

Is this technique a modern or traditional method?

This technique is described as a traditional method of performing a nasal, palatine nerve block.

What is the primary purpose of the nasal, palatine nerve block?

The primary purpose of the nasal, palatine nerve block is to provide localized anesthesia to the upper palate and surrounding tissues.

What happens if the needle does not contact bone?

If the needle does not contact bone, the procedure may need to be adjusted to ensure proper placement and effective anesthesia delivery.