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Fundamentals of technique The importance of a quiet, confident, and friendly manner towards all patients so physical comfort is also essential for the cooperation of the patient and the ease of operation of the dental surgeon. The patient should be seated in a semi-reclining position with the back and legs supported and with head rest in the nape of the neck. Most adult patients will respond to the dental surgeon's endeavors to gain the patient his or her confidence and so premedication will not be required for the administration of a local anaesthetic for a relatively simple procedure. Types of local anaesthesia Topical or surface anaesthesia Spray: Ointment An emulsion Ethyl chloride Jet injection Infiltration anaesthesia Sub-mucous injection Supra-periosteal injection Sub-periosteal injection Intra-osseous injection Intra-septal injection Regional (block) anaesthesia Periodontal ligament technique Intrapulpal injection Techniques of maxillary anaesthesia Anaesthesia of the permanent anterior teeth The infra-orbital block injection Anaesthesia of the premolar teeth Anaesthesia of molar teeth Anaesthesia of the palatal tissues Techniques of mandibular anaesthesia The pterygo-mandibular space The inferior alveolar nerve block Anatomic variation Long buccal nerve block Anaesthesia of anterior teeth The mental nerve block injection