Technique of infiltration analgesia for children
This is the most routinely used dental local treatment. Local analgesic infiltration will usually analgesic technique for both restorative dentistry achieve pulpal analgesia in maxillary teeth, but and minor oral surgical procedures in children. does not reliably secure pulpal analgesia in Frequently, however, additional techniques are mandibular primary molars in children of 6 years required to secure adequate analgesia prior to or older.
Figure 1 : A topical analgesic agent should be applied to the mucosa for one minute prior to injection.
Figure 2 : The lip/cheek should be gripped and retracted to pull the mucosa taut at the injection site.
Figure 3 :The needle tip is advanced to the injection site and gently perforates the mucosa. This can often be achieved by ‘pulling’ the lip and mucosa down onto the needle. The tugging sensation produced will act as a distraction from the needle penetration.
Figure 4 : Local analgesic agent is injected slowly, at a rate of no more than 1 ml every 15–20 seconds. This is particularly important during the injection of the first 0.5 ml, especially in the anterior maxillary region. Aspiration should be routinely carried out at several points during the injection. Once sufficient local analgesic solution has been deposited under the mucosa, the needle should be smoothly withdrawn and the protective sheath replaced.