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Intrapapillary Injection Technique For Children

This document describes an intrapapillary injection technique for providing local analgesia to children during dental procedures. The technique involves first administering a buccal infiltration injection, then inserting a small needle into the interdental papilla to a depth of 1-2 mm and slowly injecting local analgesic solution. Injection continues until blanching of the palate extends more than halfway along the palatal gingival margin, usually taking 20-30 seconds. The process is then repeated on the other side of the tooth to achieve analgesia of the complete gingival cuff. This technique provides suitable analgesia for procedures like rubber dam placement, stainless steel crowns, and primary tooth extractions in children.

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0% found this document useful (0 votes)
1K views2 pages

Intrapapillary Injection Technique For Children

This document describes an intrapapillary injection technique for providing local analgesia to children during dental procedures. The technique involves first administering a buccal infiltration injection, then inserting a small needle into the interdental papilla to a depth of 1-2 mm and slowly injecting local analgesic solution. Injection continues until blanching of the palate extends more than halfway along the palatal gingival margin, usually taking 20-30 seconds. The process is then repeated on the other side of the tooth to achieve analgesia of the complete gingival cuff. This technique provides suitable analgesia for procedures like rubber dam placement, stainless steel crowns, and primary tooth extractions in children.

Uploaded by

Tyara Mekarina
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Intrapapillary injection technique for children

November 25, 2011 | By neuron arc | 0 Comments

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Intrapapillary injection technique for children

This provides suitable palatal analgesia for rubber dam, matrix band or stainless steel crown placement on all
maxillary primary teeth. It will also give adequate analgesia for extraction of primary incisors and canines. It will
produce the same effect in the lower arch in children of 5 years of age and below where infiltration rather than
block analgesia has been administered.

image: http://2.bp.blogspot.com/-3Bn5SGl8AsM/Ts9xSJSEmnI/AAAAAAAAAQk/FyNOQHe--
Ac/s1600/image35.jpg

Figure 1 : A buccal infiltration injection is administered. After approximately two minutes, analgesia of the buccal
aspect of the interdental papillae mesial and distal to the tooth is tested with a probe.

image: http://4.bp.blogspot.com/-dAw-tVLtsZw/Ts9xTRNNYeI/AAAAAAAAAQs/rqP8ErmA5Xs/s1600/image37.jpg

Figure 2 ;The interdental papilla is penetrated using a 30-gauge needle to a depth of 12 mm. The syringe barrel
is held parallel to the occlusal plane and perpendicular to the line of the arch. Local analgesic solution is injected
slowly, and the needle is gently advanced to a depth of a few millimetres.

image: http://4.bp.blogspot.com/-q9eWDz-90D0/Ts9xUoZiMeI/AAAAAAAAAQ0/cOelf8-OYJQ/s1600/image39.jpg
Figure 3 : Injection should continue until blanching of the palate is observed extending more than halfway along
the palatal gingival margin. This usually takes 2030 seconds.

image: http://2.bp.blogspot.com/-
mRHOJvXc6GY/Ts9xV07ArOI/AAAAAAAAAQ8/26Ip5NbWxso/s1600/image40.jpg

Figure 4 : The same procedure is repeated on the other side of the tooth, with injection continuing until the
blanching extends to and joins with that produced by the previous injection. Analgesia of the complete gingival
cuff has now been achieved.

Tags: Intrapapillary injection, Intrapapillary injection procedure, Intrapapillary injection technique, Intrapapillary
injection technique for children
Category: Dental, Pedodontics

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