25/10/2016
The Nasopalatine Nerve Block. The nasopalatine nerve innervates the palatal tissues of the six anterior teeth. If the needle is inserted into the nasopalatine foramen, it is possible to completely anesthetize the six anterior teeth. However, this technique is painful and not used routinely. The indications for a nasopalatine injection is when palatal soft tissue anesthesia is necessary for restorative therapy on more than two teeth (subgingival placement of matrix bands) and for periodontal and surgical procedures involving the hard palate. Local infiltration is indicated for treatment of one or two teeth. It is contraindicated when there is infection or inflammation in the area of the injection site.
There are two techniques; single pe*******on and multiple pe*******on. The single pe*******on consists of a single pe*******on of the mucosa directly into the incisive foramen relying on pressure anesthesia and slow deposition of anesthetic solution for pain management. Some clinicians feel this technique is still traumatic, especially for the pediatric patient and suggest a multiple pe*******on technique to minimize pain. The suggested technique is after buccal anesthesia is achieved with local infiltration, anesthetic solution is injected into the interdental papilla penetrating from the labial and diffusing solution palatally. The palatal tissue is sufficiently anesthetized to proceed with an atraumatic nasopalatine block.