Nerve block: superior alveolar - Revision history

Danbot: Danbot moved page Nerve Block: Superior Alveolar to Nerve block: superior alveolar without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

2026-03-22T05:33:21Z

Danbot moved page Nerve Block: Superior Alveolar to Nerve block: superior alveolar without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

← Older revision	Revision as of 05:33, 22 March 2026
(No difference)

Rossdonaldson1: /* Overview */

2021-06-12T20:33:19Z

Overview

← Older revision		Revision as of 20:33, 12 June 2021
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	==Overview==		==Overview==
	There is no single block location for the superior alveolar nerves (anterior, middle, posterior) as they leave from the infraorbital and maxillary tuberosity prior to forming a plexus in the maxillary gingiva. This is in contrast to the [[Nerve Block: Inferior Alveolar]]. Essentially these are field blocks.		There is no single block location for the superior alveolar nerves (anterior, middle, posterior) as they leave from the infraorbital and maxillary tuberosity prior to forming a plexus in the maxillary gingiva. This is in contrast to the [[Nerve Block: Inferior Alveolar\|inferior aveolar nerve block]]. Essentially these are field blocks.

	==Indications==		==Indications==
	*dental pain (e.g. fracture, caries)		*dental pain (e.g. fracture, caries)

Hoxbox: /* External Links */

2021-01-14T16:04:29Z

External Links

← Older revision		Revision as of 16:04, 14 January 2021
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	==External Links==		==External Links==
	[http://www.~~iowadental~~.~~org~~/~~local%20anesthesia%20swift%20part%202.pdf]~~		*[Peer-Reviewed, Web Publication] Karalius V, Cunningham, A. (2020, Jan 20). Oral Nerve Blocks. [NUEM Blog. Expert Commentary by Friedman, B]. Retrieved from http://www.nuemblog.com/blog/oralnerveblock

	==References==		==References==
	<references/>		<references/>

ClaireLewis: /* References */

2019-10-09T16:45:13Z

References

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	[[Category:Procedures]]		[[Category:Procedures]]
			[[Category:ENT]]

Chungirv: /* See Also */

2017-08-07T15:10:02Z

Chungirv: Superior Alveolar Nerve Block

2017-07-31T20:35:46Z

Superior Alveolar Nerve Block

New page

==Overview==
There is no single block location for the superior alveolar nerves (anterior, middle, posterior) as they leave from the infraorbital and maxillary tuberosity prior to forming a plexus in the maxillary gingiva. This is in contrast to the [[Nerve Block: Inferior Alveolar]]. Essentially these are field blocks.
==Indications==
*dental pain (e.g. fracture, caries)
*periapical abscess
*dentoaveolar trauma
==Contraindications==
*overlying infection
*allergy to local anesthetic
==Equipment Needed==
*local anesthetic (e.g. lidocaine+/-epinephrine, bupivicaine)
*25-27 gauge needle
*3-10mL syringe
*topical anesthetic
==Procedure==
===Preparation===
#Seat patient with head against stretcher back or wall to avoid head jerking
#Position yourself on the ipsilateral side: the nerves run lateral to the alveolar ridge.
#Consider topical anesthesia.
===Anterior Superior Alveolar===
*descends from infraorbital nerve
*innervates ipsilateral incisors and canine; may provide some sensation to contralateral medial incisor
*can reliably be achieved with [[Nerve Block: Infraorbital]]

#Retract upper lip anteriorly and superiorly.
#At apex of canine, insert the syringe at 45 degree angle posteriorly, superiorly.
#Advance several millimeters until contact with bone.
#Draw back to ensure you have not accessed the vascular space.
#Inject 2-3mL anesthetic into the tissue and allow to diffuse.
===Middle Superior Alveolar===
*may branch from infraorbital nerve or maxillary nerve: may run parallel to posterior or anterior superior alveolar nerves
*innervates ipsilateral premolars, first molar
*can frequently be achieved with [[Nerve Block: Infraorbital]]

#Retract upper lip laterally and superiorly.
#Between apices of premolar and first molar, insert the syringe at 45 degree angle posteriorly, superiorly, medially.
#Advance several millimeters until contact with bone.
#Draw back to ensure you have not accessed the vascular space.
#Inject 2-3mL anesthetic into the tissue and allow to diffuse.

===Posterior Superior Alveolar===
*branches from maxillary nerve, exits below maxilla; '''not''' through infraorbital groove
*innervates ipsilateral molars; may provide partial innervation to first molar

#Retract upper lip laterally and superiorly.
#At root of upper second molar, insert the syringe at 45 degree angle posteriorly, superiorly, medially.
#Advance 1-2cm until contact with bone.
#Draw back to ensure you have not accessed the vascular space.
#Inject 2-3mL anesthetic into the tissue and allow to diffuse.
==Complications==
*hemorrhage
*hematoma
*neurovascular trauma
*intravascular injection
*allergy
==See Also==
[[Nerve and regional blocks (main)]]
[[Nerve Block: Inferior Alveolar]]
[[Nerve Block: Infraorbital]]
[[Local anesthetic systemic toxicity]]
==External Links==
[http://www.iowadental.org/local%20anesthesia%20swift%20part%202.pdf]
==References==
<references/>

Roberts, James R., Catherine B. Custalow, Todd W. Thomsen, and Jerris R. Hedges. 2014. Roberts and Hedges' clinical procedures in emergency medicine. 6th ed

[[Category:Procedures]]

← Older revision		Revision as of 15:10, 7 August 2017
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	*allergy		*allergy
	==See Also==		==See Also==
	[[Nerve and regional blocks (main)]]		*[[Nerve and regional blocks (main)]]
	[[Nerve Block: Inferior Alveolar]]		*[[Nerve Block: Inferior Alveolar]]
	[[Nerve Block: Infraorbital]]		*[[Nerve Block: Infraorbital]]
	[[Local anesthetic systemic toxicity]]		*[[Local anesthetic systemic toxicity]]

	==External Links==		==External Links==
	[http://www.iowadental.org/local%20anesthesia%20swift%20part%202.pdf]		[http://www.iowadental.org/local%20anesthesia%20swift%20part%202.pdf]