Anesthesia for the foramen incisivum

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It is a seductive anesthesia in the upper jaw used in dentistry.

The foramen incisivum is the roof of the papilla incisiva on the palate, which is located behind the upper first incisors in the midline. The canalis incisivus leading to the nervus nasopalatinus (from ggl. pterygopalatinum) results here.

Extent of Anesthesia[edit | edit source]

Upper incisors, possibly a canine. A small triangular field of mucosa and periosteum behind the upper incisors (cusps).

Performing anesthesia[edit | edit source]

We do not pierce the papilla, it is richly innervated. The injection site is immediately next to the palatine papilla, we guide the needle obliquely from the side, aspirate, apply a small amount of anesthetic (0.2 ml approx. 15–30 s)[1] until the papilla becomes numb.

Onset of effect[edit | edit source]

approx. 2-3  minutes. [1]


Complications[edit | edit source]

Complications are rare: hematoma, ischemia mucosa.

Note infiltration anesthesia is preferred in this area.


Links[edit | edit source]

Related Articles[edit | edit source]

Seductive anesthesia in HČ:

Seductive anesthesia in DČ:

References[edit | edit source]

  1. a b ŠČIGEL, Vladimír. Lokální anestezie v praxi zubního lékaře. 1. edition. Quintessenz, spol. s.r.o, 0000. 0 pp. ISBN 80-903181-4-2.

References[edit | edit source]

  • PAZDERA, Jindřich. základy ústní a čelistní chirurgie. 1. edition. Universita Palackého v Olomouci, 2007. 0 pp. ISBN 978-80-244-1670-0.