“Tidak ada hal yang lebih penting yang dilakukan dokter gigi pada pasien selain pemberian obat pencegah sakit selama perawatan gigi”(Stanley F. Malamed)
Anastesi Lokal
Teknik penyuntikan dasar• Gunakan jarum tajam steril• Periksa cairan anastetikum• Periksa suhu anastetikum
(suhu kamar)• Tentukan posisi pasien• Keringkan jaringan• Pertimbangkan topikal
anastetikum• Tangan/syringe harus stabil• Jaringan harus tegang• Jauhkan syringe dari
pandangan pasien• Masukan jarum ke mukosa
• Komunikasi dan perhatikan pasien
• Deponir sedikit anastetikum• Lanjutkan suntikan perlahan• Deponir sebelum mencapai
periosteum• Aspirasi• Deponirkan perlahan• Komunikasi dengan pasien• Lepas syringe perlahan,
tutup jarum dan simpan• Observasi pasien• Isi catatan medik
TECHNIQUE AREA ANESTHETIZEDSupraperiosteal InjectionPeriodontal Ligament InjectionIntraseptal InjectionIntrapulpal Injection
Individual teeth and buccal soft tissueIndividual teeth and buccal soft tissueLocalized soft tissueIndividual tooth
Teknik Anastesi Maksila
TECHNIQUE AREA ANESTHETIZED
Posterior Superior Alveolar Nerve Block
Maxillary molars (with exception of mesiobuccal root of maxillary 1st molar in some cases), hard and soft tissue on buccal aspect
Middle Superior Alveolar Nerve Block
Mesiobuccal root of maxillary 1st molar (in some cases), premolars and surrounding hard and soft tissue on buccal aspect
Anterior Superior Alveolar Nerve Block/Infraorbital Nerve Block
Maxillary central and lateral incisors andcanine, surrounding hard and soft tissue on buccal aspect, mesiobuccal root of maxillary 1st molar (in some cases)
Greater Palatine Nerve Block Palatal mucosa and hard palate from 1st premolar anteriorly to posterior aspect ofthe hard palate, and to midline medially
Nasopalatine Nerve Block Hard and soft tissue of lingual aspect of maxillary anterior teeth from distal ofcanine on one side to distal of canine on the contralateral side
Maxillary Nerve Block Hemimaxilla on side of injection (teeth, hard and soft, buccal and lingual tissue)
Teknik anastesi Mandibula
Inferior Alveolar Nerve Block Mandibular teeth on side of injection, buccal and lingual hard and soft tissue, lower lip
Buccal Nerve Block Buccal soft tissue of molar region
Mental Nerve Block Buccal soft tissue anterior to mental foramen, lower lip, chin
Incisive Nerve Block Premolars, canine and incisors, lower lip, skin over the chin, buccal soft tissue anterior to the mental foramen
Gow-Gates Mandibular Nerve Block
Mandibular teeth to midline, hard and soft tissue of buccal and lingual aspect, anterior 2/3 of tongue, FOM, skin over zygoma, posterior aspect of cheek, and temporal region on side of injectio
Vazirani-Akinosi Closed Mouth Premolars, canine and incisors, lower lip, skin over the chin, buccal soft tissue anterior to the mental foramen