First of all, I want to say that I understand everyone and everyone who fails and who is afraid of this type of anesthesia. I struggled with this myself for a long time. In this mini article I will describe those points that helped me understand the nuances and increase the success rate of mandibular anesthesia. Author @dr.ladyagin
Color scheme : Anterior edge of mandibular ramus Lateral clivus of pterygomandibular fold Landmark lines The first guideline for the correct placement of the needle is the deepest point of the anterior edge of the lower jaw branch. The opening of the mandibular canal is approximately at the same level. We rest the finger. I usually use the thumb or forefinger for this purpose (Fig. 1). The second landmark is the pterygo-mandibular fold. Its lateral (outer) slope, which, together with the buccal mucosa, forms a pronounced, and sometimes not very, furrow. (Figure 2). Third Landmark Auxiliary lines drawn: 1. along the occlusal plane of the teeth of the lower jaw 2. in the middle of the finger and the continuation of this line on the mucous membrane (Fig. 3) Now to the nuances. ☝️ It is necessary to place the finger parallel to the occlusal plane of the teeth. This was my main mistake. Otherwise, you risk making an injection lower ( cross) with all the consequences. Here the moment appears that the patient "everything is numb" and it hurts to work with the tooth. (fig.4) ✌️
The injection site will be at the intersection of the lines drawn in the middle of a correctly positioned finger and the line drawn along the crease slope. (Fig. 5) ☝️✌️ Important! I use needles 27G 35mm long. Another fear that prevents us from achieving the desired result is the deep injection of the needle. The injection must be carried out from opposite premolars and we must insert the needle at 20-25 mm. Take a ruler, attach it to the needle to visually understand this distance (Fig. 6).
Color scheme : Anterior edge of mandibular ramus Lateral clivus of pterygomandibular fold Landmark lines The first guideline for the correct placement of the needle is the deepest point of the anterior edge of the lower jaw branch. The opening of the mandibular canal is approximately at the same level. We rest the finger. I usually use the thumb or forefinger for this purpose (Fig. 1). The second landmark is the pterygo-mandibular fold. Its lateral (outer) slope, which, together with the buccal mucosa, forms a pronounced, and sometimes not very, furrow. (Figure 2). Third Landmark Auxiliary lines drawn: 1. along the occlusal plane of the teeth of the lower jaw 2. in the middle of the finger and the continuation of this line on the mucous membrane (Fig. 3) Now to the nuances. ☝️ It is necessary to place the finger parallel to the occlusal plane of the teeth. This was my main mistake. Otherwise, you risk making an injection lower ( cross) with all the consequences. Here the moment appears that the patient "everything is numb" and it hurts to work with the tooth. (fig.4) ✌️
The injection site will be at the intersection of the lines drawn in the middle of a correctly positioned finger and the line drawn along the crease slope. (Fig. 5) ☝️✌️ Important! I use needles 27G 35mm long. Another fear that prevents us from achieving the desired result is the deep injection of the needle. The injection must be carried out from opposite premolars and we must insert the needle at 20-25 mm. Take a ruler, attach it to the needle to visually understand this distance (Fig. 6).
#拥有泳佑[超话]#
☁️明信片大放送
：tokyo numb numb juice desu.
p1：0117发过快拍的东京塔
p2：艺术家 市原えつこ的“Future SUSHI”
p3：仙人掌牛仔裤
p4：0118发过快拍的anirago
p5：拉面
p6：peejay和✌
p7：慢动作的wonstein和peejay
p8：大竹伸朗 油画、拼贴作品《東京─プエルト・リコ》
p9：夕阳下的✌
☁️明信片大放送
：tokyo numb numb juice desu.
p1：0117发过快拍的东京塔
p2：艺术家 市原えつこ的“Future SUSHI”
p3：仙人掌牛仔裤
p4：0118发过快拍的anirago
p5：拉面
p6：peejay和✌
p7：慢动作的wonstein和peejay
p8：大竹伸朗 油画、拼贴作品《東京─プエルト・リコ》
p9：夕阳下的✌
#小王的年终总结和弗拉格
瞎折腾的一年 考研考编找工作啥都耍了一遍
结果考着玩玩就稀里糊涂滚进了体制内 勉勉强强也算是有了铁饭碗（但是怎么就要减薪了啊啊啊
暴躁到平（躺）静（平）的一年 也许还有点numb？挨了社会的毒打看到世界的参差 理想和现实的差距还挺大的哈哈哈
黏黏糊糊到异地恋的一年 平平淡淡但是想到小宋就很开心 因为办公室都是女生老是被小宋念要守男德 2022希望新冠滚蛋 可以每周跑上海不被小宋碎碎念（没有嫌弃碎碎念的意思！
2022年嘛 没啥指望了 就别比2021更烂了吧
祝我攒更多钱 学点有用的东西 最好找个能赚钱的副业（代做ppt考虑一下？） 多跟小宋线下见面 继续老夫老妻的平淡生活[doge]
祝小宋找到自己想做的事 早日成为富婆 跟我一起买大豪斯✌️ https://t.cn/EaXDhkD
瞎折腾的一年 考研考编找工作啥都耍了一遍
结果考着玩玩就稀里糊涂滚进了体制内 勉勉强强也算是有了铁饭碗（但是怎么就要减薪了啊啊啊
暴躁到平（躺）静（平）的一年 也许还有点numb？挨了社会的毒打看到世界的参差 理想和现实的差距还挺大的哈哈哈
黏黏糊糊到异地恋的一年 平平淡淡但是想到小宋就很开心 因为办公室都是女生老是被小宋念要守男德 2022希望新冠滚蛋 可以每周跑上海不被小宋碎碎念（没有嫌弃碎碎念的意思！
2022年嘛 没啥指望了 就别比2021更烂了吧
祝我攒更多钱 学点有用的东西 最好找个能赚钱的副业（代做ppt考虑一下？） 多跟小宋线下见面 继续老夫老妻的平淡生活[doge]
祝小宋找到自己想做的事 早日成为富婆 跟我一起买大豪斯✌️ https://t.cn/EaXDhkD
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