Superior Alveolar Nerve Blocks - Instructions



Step 1: Apply topical anesthetic as discussed earlier to make entry with the needle more comfortable. 

Step 2: Retract the lip.  Insert your needle through the mucobuccal fold at the at the area locations depicted in 

Step 3:  With the bevel facing the maxilla, inject 1-3mL of anesthetic.

- For the posterior superior alveolar nerve, enter just posterior to the root of the second molar. 

- For the middle superior alveolar nerve, enter between the first molar and second premolar. 

- For the anterior superior alveolar nerve, enter just above the canine tooth. 



By Vytas Karalius, MD



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