Int J Stomatol

Int J Stomatol ›› 2019, Vol. 46 ›› Issue (5): 497-502.doi: 10.7518/gjkq.2019086

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Research on block anesthesia of posterior superior alveolar nerve

Hua Chengge()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of General Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2019-03-05 Revised:2019-06-10 Online:2019-09-01 Published:2019-09-10
  • Contact: Chengge Hua E-mail:huacg@163.com
  • Supported by:
    This study was supported by Key Research and Development Foundation of Sichuan Province(2018SZ0181)

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Abstract:

Posterior alveolar nerve block is a common anesthesia technique in oro-dental clinics. However, some clinicians are reluctant to use it because of several adverse reactions and uncertainty with the anesthetic effect. Based on published literature and the author’s experience, this article discusses the related anatomy, clinical operation, adverse reactions, and countermeasures of posterior superior alveolar nerve-block anesthesia.

Key words: posterior alveolar nerve, block anesthesia, hypo-anesthesia, hematoma, diplopia

CLC Number: 

  • R 782

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Fig 1

Distribution of superior alveolar nerve"

Fig 2

The actual effect of turn internally through advancing the needle"

Fig 3

Point and direction of insertion"

Tab 1

Clinical data of 37 patients with hematoma at injection site after local anesthesia"

影响因素 分组 病例数
性别 男 3
女 34
麻醉方式 上牙槽后神经阻滞麻醉 33
上颌磨牙区浸润麻醉 4*
年龄/岁 20~30 2
31~40 9
41~50 18
51~60 6
>60 2

Fig 4

Handle of post-injection hemorrhage"

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