Maxillary Nerve Block: Anesthesia For Dental Procedures

Dr Teeth
30 Apr 202109:12
EducationalLearning
32 Likes 10 Comments

TLDRIn this informative video, Dr. Hinna from Dr Teeth channel educates dental students on the importance of maxillary nerve blocks for dental procedures. She explains the areas numbed by different blocks, such as the infra orbital nerve block, which anesthetizes the anterior teeth up to the mesobuccal root of the first molar, and the posterior superior alveolar nerve block, which covers all molars except the mesiobuccal root of the first molar. Dr. Hinna also discusses the middle superior alveolar nerve block, greater palatine nerve block, nasopalatine nerve block, and anterior middle superior alveolar nerve block, detailing their specific applications. The video provides a comprehensive guide for dental professionals to ensure effective anesthesia for various dental treatments, emphasizing the need for a combination of blocks for certain procedures. Dr. Hinna encourages viewers to subscribe for more dental education and offers additional resources on her Instagram page and website.

Takeaways
  • 🦷 The maxillary nerve block is crucial for dental procedures as it numbs specific areas to allow for treatment.
  • 🌟 The infra orbital nerve block, also known as the anterior superior alveolar nerve block, anesthetizes the anterior teeth up to the mesobuccal root of the first molar.
  • πŸ” The posterior superior alveolar nerve block (PSNF block) covers all molars except the mesiobuccal root of the first molar and the overlying structures.
  • πŸ’‰ For extracting the maxillary first molar, a combination of the PSNF block and a parallel block, such as the greater palatine nerve block (GP), is often used.
  • 🦴 The middle superior alveolar nerve block anesthetizes the premolars and the mesiobuccal root of the first molar, along with the associated structures.
  • 🌈 The greater palatine nerve block (GP) covers the entire area from the midline anteriorly to the last molar posteriorly, including bone and soft tissues.
  • 🌱 The nasopalatine nerve block (NP) anesthetizes the anterior portion of the hard palate, from the mesial aspect of the first premolar bilaterally.
  • 🦷 The anterior middle superior alveolar nerve block (AMSA) provides pulpal anesthesia for the maxillary incisors, canines, and premolars, as well as the buccal attached gingiva.
  • πŸ’Š The maxillary nerve block anesthetizes the entire quadrant on the injected side, including the hard and soft palate, and the skin of the lower eyelid, side of the nose, and upper lip.
  • πŸ“š Detailed notes and additional information on these nerve blocks, including techniques, indications, and contraindications, are available on the channel's website and Instagram page.
  • πŸ”— Links to more detailed videos on specific nerve blocks are provided in the video description for further learning.
Q & A
  • What is the infraorbital nerve block also known as?

    -The infraorbital nerve block is also referred to as the anterior superior alveolar nerve block.

  • Which areas are typically anesthetized by the infraorbital nerve block?

    -The infraorbital nerve block anesthetizes the entire anterior teeth up to the mesobuccal root of the first molar, including the buccal periodontium and associated structures, as well as the lower eyelid, lateral aspect of the nose, and upper lip.

  • What percentage of patients does the mesobuccal root of the first molar get anesthetized in with the infraorbital nerve block?

    -The mesobuccal root of the first molar is anesthetized in approximately 72 percent of patients with the infraorbital nerve block.

  • What is the PSNF block and which teeth does it anesthetize?

    -The PSNF block, or posterior superior alveolar nerve block, includes all the molars except the mesiobuccal root of the first molar and the overlying structures such as the buccal periodontium and mucous membrane.

  • If a dentist needs to extract the maxillary first molar, which nerve blocks would be given?

    -For extracting the maxillary first molar, the dentist would typically give a PSNF block, a middle superior alveolar nerve block, and a greater palatine nerve block (GP nerve block).

  • What is the coverage area of the greater palatine nerve block?

    -The greater palatine nerve block (GP) covers the area from the midline anteriorly to the premolar and posteriorly to the last molar, including the bone and soft tissues, the posterior hard palate, and its overlying soft tissues up to the first premolar and medially to the midline.

  • Which nerve block is used to anesthetize the anterior portion of the hard palate and what is it called?

    -The nasopalatine nerve block, also known as the NP block, is used to anesthetize the anterior portion of the hard palate from the mesial aspect of the first premolar to the mesial aspect of the first premolar bilaterally.

  • What does the anterior middle superior alveolar nerve block (AMSA) anesthetize?

    -The anterior middle superior alveolar nerve block (AMSA) anesthetizes the entire palatal as well as the buccal aspect of the anterior teeth, including the pulpal anesthesia of the maxillary incisors, canines, and premolars, and the buccal attached gingiva of these teeth.

  • Which nerve block covers the largest area and includes the hard and soft palate?

    -The maxillary nerve block covers the largest area and includes the hard and soft palate, buccal surface, all the teeth, and also the lower eyelid, side of the nose, and upper lip.

  • What additional resources are available for dental students to enhance their understanding of nerve blocks?

    -Additional resources for dental students include notes in the description box of the video, Dr. Hinna's Instagram page for further notes, channel membership for exclusive videos, and the prime series on the website for covering the syllabus.

  • How can viewers request more detailed coverage of specific nerve blocks not covered in the video?

    -Viewers can request more detailed coverage of specific nerve blocks by letting Dr. Hinna know in the comments section of the video, and she will try her best to address those in future videos.

  • What is the importance of understanding the areas numbed by a nerve block in dental procedures?

    -Understanding the areas numbed by a nerve block is crucial for dental procedures as it ensures that the dentist can work on a specific set of teeth without causing pain or discomfort to the patient, and it also helps in planning the appropriate anesthesia for different dental treatments.

Outlines
00:00
🦷 Maxillary Nerve Block Overview

This paragraph introduces the topic of maxillary nerve block, emphasizing its significance for dental procedures. Dr. Hinna, the host of the channel 'Dr. Teeth', welcomes viewers and encourages them to subscribe for more dental education content. The video focuses on explaining which areas are numbed by the nerve block, allowing for specific dental work. The infra orbital nerve block, also known as the anterior superior alveolar nerve block, is discussed first, detailing the areas it anesthetizes, including the maxillary central incisor, canine, and the mesobuccal root of the first molar. It also anesthetizes the lower eyelid, lateral aspect of the nose, and upper lip. The posterior superior alveolar nerve block (PSNF block) is then introduced, covering all molars except the mesial root of the first molar and associated structures. The paragraph concludes with a discussion on nerve blocks required for extracting the maxillary first molar, including the PSNF block, the greater palatine nerve block (GP), and the middle superior alveolar nerve block.

05:02
🌟 Advanced Nerve Blocks for Dental Procedures

The second paragraph delves into additional nerve blocks used in dental anesthesia. The greater palatine nerve block (GP) is described, highlighting its extensive coverage from the midline anteriorly to the last molar posteriorly, including both bone and soft tissues. The nasopalatine nerve block (NP) is then introduced, focusing on its role in anesthetizing the anterior portion of the hard palate. The anterior middle superior alveolar nerve block (AMSA) is detailed for its effect on the palatal and buccal aspects of anterior teeth, including the maxillary incisors, canines, and premolars. The maxillary nerve block is also discussed for its comprehensive coverage of the entire quadrant on the injected side, including the hard and soft palate, buccal surface, and associated soft tissues. The paragraph concludes with a summary of the nerve blocks covered and a reminder that detailed notes and further resources are available on the channel's website and Instagram page. It also invites viewers to join channel membership for exclusive content and suggests checking out separate videos for detailed techniques, indications, and contraindications of the nerve blocks.

Mindmap
Keywords
πŸ’‘Maxillary Nerve Block
A maxillary nerve block is a dental procedure used to numb a specific area of the upper jaw by injecting an anesthetic near the maxillary nerve. In the video, it is the central theme as various types of nerve blocks are discussed to anesthetize different areas for dental procedures.
πŸ’‘Infraorbital Nerve Block
The infraorbital nerve block, also known as the anterior superior alveolar nerve block, is a technique that anesthetizes the anterior teeth up to the mesobuccal root of the first molar, including the buccal periodontium and associated structures. It is mentioned as the first nerve block in the video and is crucial for working on specific sets of teeth.
πŸ’‘Posterior Superior Alveolar Nerve Block (PSNF Block)
The PSNF block is a type of maxillary nerve block that anesthetizes all the molars except the mesiobuccal root of the first molar and the overlying structures. It is discussed in the video as the second nerve block and is important for procedures involving molars.
πŸ’‘Mesobuccal Root
The mesiobuccal root refers to the specific root of the first molar that is not always anesthetized by the PSNF block. The video explains that in 28 percent of cases, an additional block is necessary to ensure anesthesia of this root for dental procedures.
πŸ’‘Greater Palatine Nerve Block (GP Nerve Block)
The greater palatine nerve block is used to anesthetize the hard palate and associated structures. It is discussed in the video as a complementary block to the PSNF block, especially when extracting the maxillary first molar.
πŸ’‘Nasopalatine Nerve Block (NP Block)
The nasopalatine nerve block is used to anesthetize the anterior portion of the hard palate and soft tissues. In the video, it is mentioned in the context of procedures involving the canine teeth, where it is used in conjunction with the infraorbital nerve block.
πŸ’‘Anterior Middle Superior Alveolar Nerve Block (AMSA)
The AMSA block anesthetizes the entire palatal and buccal aspect of the anterior teeth, including the pulpal anesthesia of the maxillary incisors, canines, and premolars. It is highlighted in the video as a block that covers a significant area for dental work on the front teeth.
πŸ’‘Pulpal Anesthesia
Pulpal anesthesia refers to the numbing of the dental pulp, the soft tissue inside the tooth that contains nerves and blood vessels. It is a key objective of the nerve blocks discussed in the video, as it allows for painless dental procedures.
πŸ’‘Buccal Periodontium
The buccal periodontium is the gum tissue on the cheek side of the teeth. The video mentions that various nerve blocks, including the infraorbital and PSNF blocks, anesthetize this area to facilitate dental work.
πŸ’‘Maxillary Central Incisor and Canine
The maxillary central incisor and canine are specific types of teeth in the upper jaw. The video discusses how the infraorbital nerve block anesthetizes the pulp of these teeth, which is important for dental procedures on the front teeth.
πŸ’‘Channel Membership
Channel membership is a feature that allows viewers to support the content creators by subscribing to different levels of membership, gaining access to exclusive content. In the video, Dr. Hinna invites viewers to join the channel membership for additional benefits.
Highlights

The video discusses the maxillary nerve block, which is crucial for understanding which areas are numbed to work on specific teeth.

The infra orbital nerve block, also known as the anterior superior alveolar nerve block, anesthetizes the anterior teeth up to the mesobuccal root of the first molar.

The infra orbital nerve block also affects the buccal periodontium, associated structures, and the pulp of the maxillary central incisor and canine.

Anesthesia of the mesobuccal root of the first molar is achieved in only 72 percent of patients with the infra orbital nerve block.

The posterior superior alveolar nerve block (PSNF block) covers all molars except the mesiobuccal root of the first molar and includes the buccal periodontium and mucous membrane.

A PSNF block does not anesthetize the mesiobuccal root of the maxillary first molar in 28 percent of cases.

For extracting the maxillary first molar, a combination of PSNF block and a parallel nerve block, such as the greater palatine nerve block, is recommended.

The middle superior alveolar nerve block anesthetizes the premolars and the mesiobuccal root of the first molar, along with the associated buccal periodontal tissues and bone.

The greater palatine nerve block covers the area from the midline anteriorly to the last molar posteriorly, including bone and soft tissues.

The nasopalatine nerve block anesthetizes the anterior portion of the hard palate from the mesial aspect of the first premolar bilaterally.

For procedures involving the canine, both the nasopalatine nerve block and the infra orbital nerve block are recommended.

The anterior middle superior alveolar nerve block (AMSA) provides anesthesia to the entire palatal and buccal aspect of the anterior teeth, including the pulp of maxillary incisors, canines, and premolars.

The maxillary nerve block anesthetizes the entire quadrant on the injected side, including the hard and soft palate, buccal surface, and the lower eyelid, side of the nose, and upper lip.

The video provides a quick summary of the different nerve blocks and their areas of anesthesia for dental procedures.

Detailed notes and additional information on the video's content are available in the description box and on the presenter's Instagram page.

The channel offers channel membership with access to exclusive videos and a prime series to cover the dental syllabus.

Separate videos are available that cover the techniques, indications, and contraindications of the nerve blocks in detail.

The presenter encourages viewers to request coverage of any nerve blocks not detailed in the video and promises to assist as much as possible.

Transcripts
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