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Maxillary Nerve Block

Posted Feb 10 2009 12:13pm
This morning I was working on endodontic treatment on tooth #5. I had used several carpules of 2% lidocaine with 1:100k epinephrine, Septocaine with 1:100k epinephrine, and plain carbocaine. The patient was still really feeling a lot of pain. Obviously there really should not have been any error in anesthesia technique for an upper tooth. For some reason the patient's brain just kept saying that the tooth hurt.

I remembered back to dental school when a professor on a hospital dentistry rotation gave a Division II maxillary nerve block. I had never really tried one before, but I thought this might be an indictation. I searched the web for a good technique explanation and came up with this page. The graphics are way too small but the descriptors are nice.

I gave the patient the block and it seemed to help relieve the pain although it took a few minutes to set in. Anyone else have any technique tips for a maxillary nerve block?
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