This document provides information on various dental anesthesia techniques including nerve blocks, infiltrations, and palatal blocks. It discusses specific nerve blocks such as the anterior superior alveolar nerve block, greater palatine nerve block, maxillary division block, posterior superior alveolar nerve block, middle superior alveolar nerve block, and inferior alveolar nerve block. It also includes general information on the purposes, types, and uses of local anesthesia in dentistry.

1. ‫ميحرلا نمحرلا هللا‬ ‫بسم‬
Nerve Block & Infiltration
Prepared by: Student M.M.H.S
Last Year Dentistry Student
Dentistry School, UOT, Libya
May 2014
Core Concepts in Practical
Anesthesia
For Dental School Students

2. Anterior -Infra orbital-
superior Alveolar Nerve Block
Maxillary Anesthesia

3. Greater Palatine Nerve Block

4. kBlocNerveNASOPALATINE
‫أرى‬ ُ‫ولست‬َ‫ة‬‫السعاد‬‫مال‬ َ‫ع‬‫جم‬
‫ولكن‬ّ‫ي‬‫التق‬ُ‫د‬‫السعي‬ ‫هو‬

5. Maxillary Division Block
‫تفصيلها‬ ‫عن‬ ‫سأنبيك‬ .. ‫ة‬ّ‫ت‬‫بس‬ ‫اال‬ ‫العلم‬ ‫تنال‬ ‫لن‬ ‫أخي‬‫ببيان‬
‫زمان‬ ُ‫ل‬‫وطو‬ ‫أستاذ‬ ‫وصحبة‬ .. ٌ‫لغة‬ُ‫ب‬‫و‬ ٌ‫د‬‫واجتها‬ ٌ‫م‬‫وعل‬ ٌ‫ء‬‫ذكا‬
‫هللا‬ ‫رحمه‬ ّ‫ي‬‫الشافع‬ ‫االمام‬

6. Posterior Superior Alveolar Nerve Block

7. Middle Superior Alveolar
Nerve Block

8. Anatomical Landmarks
of Maxilla

9. Landmarks of Mandible..
Osteology..
Mandibular Anesthesia
‫يمشي‬‫الفقير‬‫وكل‬‫شيء‬‫ضده‬....‫والناس‬‫تغلق‬‫دونه‬‫أبوابها‬..
‫وتراه‬‫ممقوتا‬‫وليس‬‫بمذنب‬...‫ويرى‬‫العداوة‬‫ال‬‫يرى‬‫أسبابها‬..
‫حتى‬‫الكالب‬‫إذا‬‫رأته‬‫قبال‬ُ‫م‬...‫نبحت‬‫عليه‬‫وكشرت‬‫أنيابها‬..
‫وإذا‬‫رأت‬‫يوما‬‫غنيا‬‫ماشيا‬...ّ‫ن‬‫ح‬‫ت‬‫إليه‬‫وحركت‬‫أذنابها‬..
‫إن‬‫الغني‬‫وان‬‫تكلم‬‫بالخطأ‬...‫قالوا‬‫أصبت‬‫وصدقوا‬‫ما‬‫قاال‬..
‫وإذا‬‫الفقير‬‫أصاب‬‫قالوا‬‫كلهم‬...‫أخطأت‬‫يا‬‫هذا‬‫وقلت‬‫ضالال‬..

10. Inferior Alveolar ..
Nerve Block..

11. Long Buccal ..
.. Nerve Block

12. Mental Nerve Block ….
-‫تغرب‬‫عن‬‫األوطان‬‫في‬‫طلب‬‫العال‬...‫وسافر‬‫ففي‬‫األسفار‬ُ‫خمس‬‫فوائد‬
-‫تفرج‬‫هم‬‫واكتساب‬‫معيشة‬...‫وعلم‬‫وآداب‬‫وصحبة‬‫ماجد‬
‫تعالى‬ ‫هللا‬ ‫رحمه‬ ‫الشافعي‬ ‫االمام‬

13. ..BlockGOW Gates
Gow-Gates technique - Invented by Australian dentist George A.E. Gow-Gates in the
mid-1970s, the needle is directed at the neck of the condyle just under the insertion of
the lateral pterygoid muscle.This is used for more extensive anesthesia or when there
is failure of the IANB.

14. Block ..Akinosi
Vazirani-Akinosi technique - Invented by Sunder J. Vazirani in 1960
and later reintroduced in 1977 by Oyekunle J. Akinosi, a closed-
mouth injection technique, the syringe is "advanced parallel to the
maxillary occlusal plane at the level of the maxillary mucogingival
junction. This is used when the patient cannot open his mouth
enough for the IANB".

15. :Information'sGeneral
Dental anesthesia (or dental anaesthesia) is a field of anesthesia that
includes not only local anesthetics but sedation and general
anesthesia.
Types of local anesthesia in dentistry:
Nerve block — a common form of local dental anesthesia; blocks the
reception of pain in one region of the mouth at a time.
Infiltration- given inferior to the root the tooth involved in the dental
work; used usually for minor procedures such as restorations.
Palatal block- given into the hard palate using pressure anesthesia;
useful in anesthetizing the palate side of the maxillary teeth.
Intraosseous- an injection of local anesthetic given directly into the
osseous (bone) structure of the tooth for more involved dental
procedures such as surgery or endodontic therapy (root canals).
Intrapulpal- an injection of local anesthetic given directly into the
pulp of the tooth to completely desensitize the tooth.
Pressure anesthesia — pressure with a cotton swab in the area to
distract the nerve sensation of pain when the needle enters certain
areas such as palatal tissue.
Electrical nerve blocks— a technology that involves using electrical
current to block the reception or generation of pain signals; the pain
control can be transient.
Acupuncture or accupressure An alternative to chemical or electrical
blocks, but is rarely used.
‫خطاكى‬ ‫انحق‬ ‫طريق‬ ‫عهي‬ ‫وسدد‬ ‫هللا‬ ‫وفقكى‬
‫هللا‬ ‫وجزى‬‫ين‬‫قاو‬‫بعًم‬‫انصور‬-‫االكهينيكية‬‫انتوضيحية‬-‫كم‬‫خير‬‫؛‬‫ه‬ًُ‫نعه‬ ‫ال‬ ‫ونحن‬

16. ‫أيضا؛‬ ُ‫ل‬‫ويقو‬
‫وبركاته‬ ‫هللا‬ ‫ورحًة‬ ‫عهيكى‬ ‫وانسالو‬
(‫وبركاته؛‬ ‫هللا‬ ‫ورحمة‬ ‫عليكن‬ ‫والسالم‬‫ويرضى‬ ‫يحب‬ ‫لما‬ ‫هللا‬ ‫وفقكن‬)
‫عن‬‫جابر‬‫أن‬‫رسول‬‫هللا‬‫صلى‬‫هللا‬‫عليه‬‫وسلم‬‫قال‬( :‫إن‬‫من‬‫أحبكم‬‫إلي‬‫وأقربكم‬‫مني‬‫مجلسا‬‫يوم‬‫القيامة‬
‫أحاسنكم‬‫أخالقا‬‫وإن‬‫أبغضكم‬‫إلي‬‫وأبعدكم‬‫مني‬‫مجلسا‬‫يوم‬‫القيامة‬‫الثرثارون‬‫والمتشدقون‬‫والمتفيهقون‬
‫قالوا‬‫يا‬‫رسول‬‫هللا‬‫قد‬‫علمنا‬‫الثرثارون‬‫والمتشدقون‬‫فما‬‫المتفيهقون‬‫قال‬‫المتكبرون‬. )
‫يقول‬‫هللا‬ ‫رحمه‬ ‫كشك‬ ‫الحميد‬ ‫عبد‬ ‫الجليل‬ ‫العالم‬:‫لبناء‬ ‫بحاجة‬ ‫اننا‬ ‫شركات؛‬ ‫وال‬ ‫مصانع‬ ‫لبناء‬ ‫بحاجة‬ ‫لسنا‬ ‫اننا‬‫النفوس‬‫لم‬ ‫الشرب‬ ‫مياه‬ ‫ان‬ ‫؛‬
‫الضمير‬ ‫ث‬ّ‫تلو‬ ‫بعد‬ ‫اال‬ ‫ث‬ّ‫تتلو‬!.‫؟‬
‫اإلسالم‬‫ال‬‫يعرف‬‫الحدود‬‫وال‬‫األسوار‬‫و‬‫ال‬‫جوازات‬‫السفر‬‫و‬‫ال‬‫تأشيرات‬‫الدخول‬‫و‬‫ال‬‫الخروج‬..
‫إنما‬‫يعرف‬"‫إن‬‫هذه‬‫أمتكم‬‫أمة‬‫واحدة‬‫و‬‫أنا‬‫ربكم‬‫فاعبدون‬" ..