1. MAXILLARY ANESTHESIA

2. Basic Injection Technique
Check flow of local anesthetic
Position the patient
Prepare the tissue
Communicate with the patient
Establish hand rest

3. Basic Injection Technique
Make the tissue taut
Keep the syringe out of patient sight
Bevel the needle toward the bone
Insert the needle
Deposit while advancing the needle

4. Basic Injection Technique
Aspirate
Slowly inject
Communicate with the patient
Withdraw the needle
Cap the needle
Watch the patient
Record the injection in the patient chart

5. Infiltration - Palate Nerves
Terminal branches - Greater Palatine nerve
Nasopalatine nerve
Area
Palatal soft tissue in area of injection

6. Infiltration - Palate Indications Limited area Hemostasis
Contraindications
More than 2 teeth
Inflammation/infection at site

7. Infiltration - Palate Advantages Hemostasis Minimal area affected
Disadvantages
Potentially traumatic

8. Infiltration - Palate Technique Apply topical, pressure
Insert into gingiva in center of area
mm from gingival margin
Aspirate (positive results are rare)
Inject ml, slowly

10. Signs and Symptoms Numbness, blanching of palatal soft tissue
No pain during dental therapy

11. Failures of Anesthesia
Quite rare
Failure of hemostasis
Inflammation
Lack of vasoconstrictor

12. Complications
Necrosis of soft tissue
(due to excess vasoconstriction)