Download INJECTIONS SUMMARY Injection Landmarks Structures

INJECTIONS SUMMARY
Sol. Amount
Needle gauge,
Deposited
length, & bevel
orientation
0.9-1.2ml or ½ 25 gauge, short,
2/3 cart.
toward small
window and bone
0.9-1.2ml (1/2 –
25 gauge, short,
2/3 cart.)
toward small
window and bone
Injection Landmarks
Structures Anesthetized
ASA
Canine eminence,
apex of canine,
incisive fossa
2-3mm apical to max.
2nd premolar apex (35mm of only 1st pre.
Present), mucobuccal
fold, area frenum
POP, labial gingival and
mucosa for 3 anterior teeth
PSA
Mucobuccal fold
adjacent to the 2nd
molar tooth,
infratemporal fossa of
maxilla, inferior
border of zygomatic
process, maxillary
tuberosity, midsagittal
and occlusal planes.
POP, buccal gingival,
vestibular mucosa and skin
of cheek for max 2nd and 3rd
molars and DB & L roots off
1st molar.
0.9-1.8ml (1/2 -1
cart.)
25 gauge, short,
Toward small
window and bone
GP
GP foramen and
junction of the
maxillary alveolar
process and palatine
bone, distal to max.
2nd molar. (start
palpating from 1st
molar posteriorly).
Lingual gingiva of max.
posterior teeth, palatal
mucosa and underlying
osseous tissues from
alveolar crest to palatal
midline assoc. w/max.
posterior teeth.
.45-.6ml (1/4 –
1/3 cart.) deposit
comfort drops at
penetration
25 gauge, short,
(aspirate at
optimal depth &
angle & only 1
plane)
NP
Central incisors,
incisive foramen and
incisive papilla
Lingual gingiva of maxillary
anterior teeth, palatal
mucosa and osseous of
premaxillary posterior teeth.
.22-.45ml (1/8 –
¼ cart.), Deposit
comfort drops at
penetration.
25 gauge, short,
toward blanched
tissue, (aspirate at
optimal depth &
angle & only 1
plane)
MSA
POP, labial gingival and
mucosa for 1st and 2nd pre.
And the MB root of 1st
molar.
Optimal
Deposition Site,
Depth & Angle
Apex of canine,
4-6mm
Insertion Area
Max. bone 35mm above
apex of max 2nd
premolar, 46mm, parallel
with long axis of
2nd premolar
Posterior,
superior and
medial to max.
tuberosity
and/or 3rd
molar, 16mm
(3/4 in.),
45degrees to
mid-sagittal and
occlusal plane
GP nerve as it
passes
anteriorly
between the
soft tissues and
the bone of the
hard palate, 2-3
mm & not
greater 6mm.
Incisive
foramen,
beneath incisive
papilla, 1-3mm
Height of the mucobuccal fold
above the maxillary 2nd premolar
Mucolabial fold just anterior to
canine eminence
Height of mucobuccal fold in
posterior depression of
zygomatic process of maxilla
(often adjacent to 2nd molar).
Soft tissue slightly anterior to
the GP foramen
Palatal mucosa lateral to
incisive papilla
Injection Landmarks
Structures Anesthetized
Sol. Amount
Deposited
Needle gauge,
length, & bevel
orientation
25 gauge, long,
toward bone
IA
Greatest curvature of
coronoid notch,
external and internal
oblique ridges,
occlusal plane of
mand. Posterior teeth,
contralateral
premolars,
pterygomandibular
raphe and groove,
tilly’s.
LINGUAL NERVE: ant. 2/3 of
tongue, floor of mouth and
lingual gingiva associated
with all teeth in that quad,
IA PROPER: POP of molars
and 2nd premolar, INCISIVE
BRANCH: POP of 1st
premolar and anteriors to
midline, MENTAL BRANCH:
facial gingiva and vestibular
mucosa of anterior teeth,
skin of chin and lower lip.
L: .45mm (1/4
cart.), IA: 1.451.8ml (3/4 – 1
cart.)
B
Mucobuccal fold
adjacent to most
posterior molar,
retromolar pad,
horizontal plane of
mand. teeth, coronoid
notch
Buccal gingival and
vestibular mucosa
associated with the
mandibular posterior teeth
and adj. skin of teeth
.22-.45ml (1/8 –
¼ cart.)
25 gauge, long,
toward bone.
M
Adjacent mucobuccal
fold, mental foramen,
mandibular canine or
1st premolar
Buccal gingival and
vestibular mucosa
associated with the
mandibular posterior teeth
and adjacent skin of the
cheek.
.45-.6ml (1/4 –
1/3 cart.)
25 gauge short,
toward bone.
Optimal
Deposition Site,
Depth & Angle
Syringe
positioned at
height of
horizontal line
and in plane
parallel to
occlusal plane of
mandibular
posterior teeth,
proceed 6mm to
lingual nerve &
deposit.
Proceed to
touch bone, 2025mm depth,
then retract 12mm.
1-4mm into
bulge of tissue
distal and buccal
to last molar,
syringe parallel
and usually
below occlusal
plane of mand.
Teeth.
5-6mm at the
mental foramen
between the
premolars,
lateral/parallel
to occlusal
plane.
Insertion Area
1. Into mucous membrane on medial
side of the mandibular ramus in
pterygomandibular groove/fossa 510mm medial to finger. Needle
lateral to pterygo. raphe. 2. One:
Line intersections of horizontal line
between point of greatest curvature
of coronoid notch medially to
parallel point within pterygo.
Groove. Two: direction of needle
insertion in plane with line from
contralateral premolar teeth to
posterior boarder of the ramus.
Mucolabial fold 2-3mm distal to
the last tooth requiring
anesthesia (lateral and superior
to retromolar pad).
Mucolabial fold at the apex of
the canine or 1st premolar