O slideshow foi denunciado.
Seu SlideShare está sendo baixado. ×

Mandibular teeth infilteration techniques

Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Carregando em…3
×

Confira estes a seguir

1 de 25 Anúncio
Anúncio

Mais Conteúdo rRelacionado

Diapositivos para si (20)

Quem viu também gostou (20)

Anúncio

Semelhante a Mandibular teeth infilteration techniques (20)

Mais recentes (20)

Anúncio

Mandibular teeth infilteration techniques

  1. 1. Mandibular infiltration anesthetic techniques Hesham ELHAWARY
  2. 2. Mandibular infiltration anesthetic techniques Hesham ELHAWARY •  Chair  posi*on   •  Den*st  posi*on   •  Syringe   •  Needle   •  Areas/Nerves  to  be  anesthe*zed  -­‐  Landmarks   •  Point  of  inser*on   •  Direc*on  of  injec*on   •  Checking  the  anesthesia  
  3. 3. Mandibular infiltration anesthetic techniques Hesham ELHAWARY Subjec've  findings   Objec've  findings  
  4. 4. Mandibular infiltration anesthetic techniques Hesham ELHAWARY •  Chair  posi*on   •  Den*st  posi*on   •  Syringe   •  Needle   •  Areas/Nerves  to  be  anesthe*zed  -­‐  Landmarks   •  Point  of  inser'on   •  Direc'on  of  injec'on   •  Checking  the  anesthesia  
  5. 5. Mandibular infiltration anesthetic techniques Hesham ELHAWARY 1.  Main  Trunk   2.  Nervous  Spimosum   3.  Nerve  to  medial  pterygoid   4.  Anterior  Division   1.  N.  to  Temporalis  msc.   2.  N.  to  MasseJer  msc.     3.  N.  to  Lateral  Pterygoid  msc.   4.  Long  Buccal  N.   5.  Posterior  Division   1.  Auriculo-­‐temporal  N.   2.  Lingual  Nerve   3.  Inferior  Alveolar  N.  
  6. 6. Mandibular infiltration anesthetic techniques Hesham ELHAWARY Pulp  ,  Inves*ng  structures Incisive  nerve Anterior  teeth   (1,2,3)    Inferior  alveolar  nerve Premolars  (4,5)   &   Molars  (678)
  7. 7. Mandibular infiltration anesthetic techniques Hesham ELHAWARY Labial  (buccal)  mucoperiosteum Mental  nerve           Anterior  teeth   (1,2,3)     &     Premolars  (45)    Long    buccal  nerveMolars  (678)
  8. 8. Mandibular infiltration anesthetic techniques Hesham ELHAWARY Lingual  mucoperiosteum Lingual  nerve Anterior  teeth   (1,2,3)  Premolars   (4,5)  &  Molars   (678)
  9. 9. Mandibular infiltration anesthetic techniques Hesham ELHAWARY •  The   lower   anterior   teeth   cross   innerva*on   may   take   place  i.e.  branch  from  the  incisive  nerve  of  the  other  side   •  The  lower  premolar  may  receive  addi*onal  nerve  supply   from  the  cutaneous  coli  nerve  (  branch  of  cervical  plexus   C2  &  c3  )  gives  addi*onal  sensory  supply  for  the  BUCCAL   MUCOPERIOSTEUM  of  the  premolars  (  4  ,  5  )  in  about  20   %  pt   •  The   PULP   AND   INVESTING   STRUCTURES   of   the   lower   molars   may   receive   addi*onal   nerve   supply   from   the   nerve  to  mylohyoid  
  10. 10. Mandibular infiltration anesthetic techniques Hesham ELHAWARY Mandibular   anethesia   Infiltra*on   anesthesia   Anterior  labial   infl  anesth   Anterior  lingual   inf  anesth   Long  buccal  inf   anesth   Nerve  block   anesthesia   IA  and  L  NB   Mental  NB   Long  Buccal  NB  
  11. 11. Mandibular infiltration anesthetic techniques Hesham ELHAWARY
  12. 12. Mandibular infiltration anesthetic techniques Hesham ELHAWARY The  point  of    needle  inser'on    
  13. 13. Mandibular infiltration anesthetic techniques Hesham ELHAWARY Direc'on  of  needle  inser'on  
  14. 14. Mandibular infiltration anesthetic techniques Hesham ELHAWARY •  Subjec*ve  findings   – Numbness  of  the  lower  lip     •  Objec*ve  findings     – Probing  does  not  lead  to  pain  
  15. 15. Mandibular infiltration anesthetic techniques Hesham ELHAWARY
  16. 16. Mandibular infiltration anesthetic techniques Hesham ELHAWARY
  17. 17. Mandibular infiltration anesthetic techniques Hesham ELHAWARY
  18. 18. Mandibular infiltration anesthetic techniques Hesham ELHAWARY  
  19. 19. Mandibular infiltration anesthetic techniques Hesham ELHAWARY
  20. 20. Mandibular infiltration anesthetic techniques Hesham ELHAWARY
  21. 21. Mandibular infiltration anesthetic techniques Hesham ELHAWARY
  22. 22. Mandibular infiltration anesthetic techniques Hesham ELHAWARY
  23. 23. Mandibular infiltration anesthetic techniques Hesham ELHAWARY
  24. 24. Mandibular infiltration anesthetic techniques Hesham ELHAWARY
  25. 25. Mandibular infiltration anesthetic techniques Hesham ELHAWARY

×