The key to profound local anesthesia

Blanton, Patricia; Jeske, Arthur H

doi:10.14219/jada.archive.2003.0262

Cited by 49 publications

(44 citation statements)

References 19 publications

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“…Cutright observed that IOF was 3mm medial to the Zy-max suture [1], Apinhasmit stated 2.15 mm medial to ZY-MZ suture [3]. Blanton and Jeske et al found the IOF 5mm below Zymax suture [16]. The present study it was 2.8mm from Zy-Max suture.…”

Section: Infraorbital Foramensupporting

confidence: 51%

Localization and morphometric evaluation of Supraorbital and Infraorbital foramen in Dravidian Population of Southern India: A paleoantropological study on dry skulls.

Swaminathan¹

2013

IOSR-JDMS

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Section: Infraorbital Foramensupporting

confidence: 51%

Localization and morphometric evaluation of Supraorbital and Infraorbital foramen in Dravidian Population of Southern India: A paleoantropological study on dry skulls.

Swaminathan¹

2013

IOSR-JDMS

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“…(2) The boundary between the areas innervated by the two nerves corresponds roughly to a line drawn between the maxillary canines, although the two areas are not as sharply delineated as such an imaginary line might suggest. (3) By severing the nasopalatine nerve, Langford showed that the anterior palatine nerve may play a larger role in the innervation of the anterior palate than had previously been thought. (4) The middle and posterior (lesser) palatine nerves diverge from the GPC and emerge through the lesser palatine foramina (LPF) to supply the uvula, tonsil and soft palate.…”

Section: Introductionmentioning

confidence: 99%

Greater palatine foramen – key to successful hemimaxillary anaesthesia: a morphometric study and report of a rare aberration

Sharma¹,

Garud²

2013

smedj

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MeThODs The GPF was studied in 100 dried, adult, unsexed skulls from the state of Maharashtra in western India.Measurements were made using a vernier calliper. ResUlTsThe mean distances of the GPF from the midline maxillary suture, incisive fossa, posterior palatal border and pterygoid hamulus were 14.49 mm, 35.50 mm, 3.40 mm and 11.78 mm, respectively. The foramen was opposite the third maxillary molar in 73.38% of skulls, and the direction in which the foramen opened into the oral cavity was found to be most frequently anteromedial (49.49%). In one skull, the greater and lesser palatine foramina were bilaterally absent. Except for the invariably present incisive canals, there were no accessory palatal foramina, which might have permitted passage of the greater palatine neurovascular bundle in lieu of the absent GPF. To the best of our knowledge, this is the first study of such a non-syndromic presentation. CONClUsIONThe GPF is most frequently palatal to the third maxillary molar. For an edentulous patient, the foramen may be located 14-15 mm from the mid-palatal raphe or about 12 mm anterior to the palpable pterygoid hamulus.

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“…In such a case a second injection is warranted in 28% of patients [34]. Another way to deal with such a case is to add to the posterior superior alveolar nerve block a greater palatine nerve block to enhance the anaesthetic effect [2]. The most common complication is a haematoma resulting from puncturing the pterygoid plexus.…”

Section: Posterior Superior Alveolar Nerve Blockmentioning

confidence: 99%