I had all four wisdom teeth pulled when I was 18 (in 1988) and I almost came out of the chair during these injections. I didn’t have any other anesthetic because I’m an asthmatic and, back then, they were concerned gas would affect my breathing. Thank you for teaching other dentists and oral surgeons how to do this relatively painlessly so patients don’t have to have my experience.
I’ve been an OS asssitant since 2002 take a 30 gauge short and put a half a drop on the palate - and I mean like don’t even put any pressure on the plunger. Then do your other buccal stuff and come back and finish your palatal - pt. Will feel NOTHING if done properly. Also you could use endo ice - works pretty good.
I just had an absolutely horrible palatial injection two days ago at a dental school - I wish painless injections were a bigger part of the dental school curriculum.
there isnt really an effective and practic way not to make it painless due to how thin the skin in your palate (you barely have any space between the pinch and hitting the bone) the least a dentist can actually do is heating up the solution a little bit (as close to body temp) and that actually decreases the pain
Absolutely it can be. If you look at the width / depth of the ramus you will see that a short needle is adequate to reach the IAN with your block. You may however have to modify your technique to approach the block ipsilaterally and more straight on. You will have less ability to aspirate properly due to the gauge of the needle and the needle will deflect more. If using a short i would suggest a short 27 gauge. All the best!
Painless this was the most painful ones I had. My dentist went in for it with pushing and twisting no numbing gel before hand it was to take out 2 teeth for my brasses. It was on ether side of my mouth same tooth. I had to had 4 injections 2 inside and 2 outside.
I have to have a root canal 3rd or 4th tooth on top left from the middle due to a deep filling pressing on the nerve causing sensitivity. Will I need a palate injection for this root canal most likely? I'm terrified I had ton of fillings and the injection was in other places other then my palate from what I remember I can handle those. I read so much that these injection are extremely painful even with numbing gel
here you make anasthesia product misially to second pri molaire in all teeth or it;s according to the teeth that you will do extaction for example thank a lot
Press down with enough pressure to arc or 'bow' the needle slightly, then lean the needle to allow the tip to penetrate the tissue. Hope that helps! All the best!
@@guysovereign The course access if for one year or as lifetime access. I don't offer shorter time frames as it is helpful for people to be able to look back at the material any time they wish to review the info. Thanks for watching! All the best!
Had 1st root canal (top L, #15). Felt & heard ice cracking in area of needle during full palatial injection. I asked what that was & if they heard it too! 😂 So weird. I do have a jagged hole where needle was. Did they burst the tissue or did the cauterize? Then a good 5-10 min into procedure, the inner corner of my left eye began feeling weird & was numb. I asked if there was dust in my eye. My endo (age late 50’s) seemed surprised & kept telling me it’s not possible. Then after, the younger techs told me it can happen. Anyone have experience w/ either odd situations? Thx! 😊
Hello - not familiar with the ice cracking sounds you’re describing, but you can absolutely get numbness around the eye of some of the anesthetic enters into a blood vessel. This generally isn’t a cause for concern as it resolves rather quickly
Everybody talks about how to give palatal injection as if everyone here are dental students, lol. Nobody says anything about what to expect afterwards??? How long does it take for palate to heal from it? Does it heal without any scars? What are possible complications?
Cali K - those answers can be found in other videos in the local anesthesia module of the course (found at www.onlineexodontia.com) if you're interested in learning more. The design of the course is to cover everything from the very beginning working up to more involved concepts. This video, as you know, focuses solely on one method of delivering palatal anesthesia and is not intended to cover more than that. If you're not interested in the course and would rather just read more... palatal necrosis would be the topic you're referring to in your follow-up questions. In case you or other viewers are interested, it heals like any other soft tissue lesion (10-14 days), is quite painful, appears as an ulceration, is triggered by needle trauma, pressurized deposition of anesthetic, excess vasoconstriction from epinephrine. It won't scar and is self-limiting requiring only treatment of the symptoms (NSAIDs, Chlorhexidine rinse, Orajel, etc.).
It helps to apply pressure without penetrating the tissue. As you lean your needle more towards the bevel it will allow you to poke through the tissue with less of a stabbing motion if that makes sense. It's just what I've learned to do...does it help? I like to think so, but it's hard to say for sure. Thanks for watching!
No subtitle support! Why? Automatic generated subtitles are important for all the people can't understand spoken English well, to follow the lesson tips.
@@OnlineExodontia I'm not familiar with these things, too. But given that in your other videos auto-generated subtitle are available, probably the only thing you need is check some options or boxes in the video settings. Once you got the auto-transcribed subtitles, you could also edit them by adding punctuation. If you want, I'd like help you in this task: for me it'd be a helpful way to practice my English, to strengthen my dental skills and to contribute to channel's growth. All the best to you, too, from Italy!
You show the needle entering around the premolar areas, which means you are only numbing the gingiva next to those teeth. But what about the molars' palatal gingiva?
The purpose of this video is to demonstrate one method of completing a palatal injection. There are many approaches as I imagine you're aware. If you're looking to anesthetize the palatal gingiva in the molar region, you'd select a greater palatine block or if you want a more isolated area, you would insert just distal to the tooth in question. Hopefully that answers your question. Thanks for watching!
@@jlc5271 If the stars aligned and you injected quickly into a vessel in a patient that had other co-morbidities (diagnosed or undiagnosed), and your anesthetic had an effect on the cardiac tissue eliciting an undesirable response from your patient, you could run into trouble. This would be rare indeed, but it's always a good idea to be careful and aspirate regardless for all patients. All the best!
Sorry to hear that Chandra - sometimes the tissue can be irritated by these injections which can lead to discomfort that lasts a few days. I wish you a speedy recovery. All the best!
@@cloudyyy5508 Sometimes the anesthetic can hurt the tissues and cause a painful ulcer at the injection site. This is something that will heal on its own if this is indeed what occurred. All the best!
That injection was so damn painful. It's day 5 and and it still hurts. This dentist I went to totally did a hack job on my upper molar. I heard the snap. He left the piece of "tooth" so he says...I think it's bone. Inside because he was afraid of pushing it in my sinuses. He rocker my tooth back and forth vigorously fir 5 minutes until the snap and it pop out. I was in excruciating pain 10 mins later on the unber home. Called the dentist in a full on panic attack because of the pain . And the secretary laughed at me. What a nightmare.
I love whatever concerns maxillary infiltration bec my patients are usually very comfortable,no pain, sometimes they even get surprised when I tell them the tooth is out🤣 bec it's totally numb, all I would thank is God and my skills
@@davids5980 making sure there is bone contact on the tooth you wanna remove ,labial aspect ,make sure you inject 2/3 of dental anaesthesia on labial or buccal side and 1/3 on palatal, having patience while injecting on palatal, pay attention to mucosa colour change, if it turns white where you are numbing and its spreading ,then you know there is successful numbness, give a patient one minute before removing, massage on the labial or buccal aspect where you have injected to allow even distribution of anaesthesia, hope it works for ya😍
My ones hurt like mad worse than the psa that I had. Dentist was shocked when I told him about me studying these techniques he was like do u want to work with us hahaha. But yeah this paletal one felt like it was going clean through my skull lol then the pain from it was mental. I hated my PSA had one failed one so had to have it done again then the paletal ones. Student dentists the bain of me. The professional one that did my other extraction was painless but the student was like Chinese torture lol.
I had all four wisdom teeth pulled when I was 18 (in 1988) and I almost came out of the chair during these injections. I didn’t have any other anesthetic because I’m an asthmatic and, back then, they were concerned gas would affect my breathing. Thank you for teaching other dentists and oral surgeons how to do this relatively painlessly so patients don’t have to have my experience.
Bro i feel so bad for you
Yes had my temp brige and extraction done. My dentist used this technique, works wonders. Not PAINLESS but very manageable and I hate needles.
I’ve been an OS asssitant since 2002 take a 30 gauge short and put a half a drop on the palate - and I mean like don’t even put any pressure on the plunger. Then do your other buccal stuff and come back and finish your palatal - pt. Will feel NOTHING if done properly. Also you could use endo ice - works pretty good.
Great tip!
endo ice is an amazing idea to be honest. but how practical is it to use it on back to back patients ? thanks for the tip
How to use endo ice.. We shouldn't spray directly right? In a cotton pellet..keep it for a few seconds?
I do this with but instead of cotton swab i pressure my mirror on the area for like 5 seconds
I just had an absolutely horrible palatial injection two days ago at a dental school - I wish painless injections were a bigger part of the dental school curriculum.
there isnt really an effective and practic way not to make it painless due to how thin the skin in your palate (you barely have any space between the pinch and hitting the bone)
the least a dentist can actually do is heating up the solution a little bit (as close to body temp) and that actually decreases the pain
I need to send this to my dentist. 😖
😂😂😂
as a dentist, that breaks my heart to read 😂😂
Thank you!!!! Amazing demonstration!
Thank you boss
mine was super good with the distracting pressure also gave me extra no pain for hours after
*Thank you*
Is it okay to use that technique on anterior teeth?
Thanks dr for your great video my question short needle can be used in nerve block
Absolutely it can be. If you look at the width / depth of the ramus you will see that a short needle is adequate to reach the IAN with your block. You may however have to modify your technique to approach the block ipsilaterally and more straight on. You will have less ability to aspirate properly due to the gauge of the needle and the needle will deflect more. If using a short i would suggest a short 27 gauge. All the best!
@@OnlineExodontia thanks alot doctor
@@OnlineExodontia Hi Dr, can you do a video on painless IDB injections?
@@ExodusLoui I wish there was such a thing. If you ever figure it out, let me know! Thanks for your support and all the best!
Painless this was the most painful ones I had. My dentist went in for it with pushing and twisting no numbing gel before hand it was to take out 2 teeth for my brasses. It was on ether side of my mouth same tooth. I had to had 4 injections 2 inside and 2 outside.
Facts bro😂
Bad dentist
I have to have a root canal 3rd or 4th tooth on top left from the middle due to a deep filling pressing on the nerve causing sensitivity. Will I need a palate injection for this root canal most likely? I'm terrified I had ton of fillings and the injection was in other places other then my palate from what I remember I can handle those. I read so much that these injection are extremely painful even with numbing gel
You'll do great. Depends on the tooth, but sometimes, yes these are used for root canal treatments. They're really not that bad. All the best!
here you make anasthesia product misially to second pri molaire in all teeth or it;s according to the teeth that you will do extaction for example thank a lot
Lower 7and 8 can be anasthized by articaine infiltration anathesia thanks alot doctor
Thanks for the comment Hany. I've never had much luck with this approach, but that's great if it's working for you! All the best!
@@OnlineExodontia thanks doctor for your reply
Can we get a close up around 3:00 to see what exactly is meant by bowing the needle?
Press down with enough pressure to arc or 'bow' the needle slightly, then lean the needle to allow the tip to penetrate the tissue. Hope that helps!
All the best!
@@OnlineExodontia Thanks for the response. For your website videos, do you offer shorter time subscriptions rather than a full year?
@@guysovereign The course access if for one year or as lifetime access. I don't offer shorter time frames as it is helpful for people to be able to look back at the material any time they wish to review the info. Thanks for watching! All the best!
Had 1st root canal (top L, #15). Felt & heard ice cracking in area of needle during full palatial injection. I asked what that was & if they heard it too! 😂 So weird. I do have a jagged hole where needle was. Did they burst the tissue or did the cauterize? Then a good 5-10 min into procedure, the inner corner of my left eye began feeling weird & was numb. I asked if there was dust in my eye. My endo (age late 50’s) seemed surprised & kept telling me it’s not possible. Then after, the younger techs told me it can happen. Anyone have experience w/ either odd situations? Thx! 😊
Hello - not familiar with the ice cracking sounds you’re describing, but you can absolutely get numbness around the eye of some of the anesthetic enters into a blood vessel. This generally isn’t a cause for concern as it resolves rather quickly
Why the tissue is usually well anaesthesied but I feel a painful broken bone during extraction?
That does not sound fun and I am not sure how to answer your question. I hope however that you are recovering okay. All the best!
hahah. 😅. that your dentist destroying your buccal plate.
Plz add English subtitles
Everybody talks about how to give palatal injection as if everyone here are dental students, lol. Nobody says anything about what to expect afterwards??? How long does it take for palate to heal from it? Does it heal without any scars? What are possible complications?
Cali K - those answers can be found in other videos in the local anesthesia module of the course (found at www.onlineexodontia.com) if you're interested in learning more. The design of the course is to cover everything from the very beginning working up to more involved concepts. This video, as you know, focuses solely on one method of delivering palatal anesthesia and is not intended to cover more than that. If you're not interested in the course and would rather just read more... palatal necrosis would be the topic you're referring to in your follow-up questions. In case you or other viewers are interested, it heals like any other soft tissue lesion (10-14 days), is quite painful, appears as an ulceration, is triggered by needle trauma, pressurized deposition of anesthetic, excess vasoconstriction from epinephrine. It won't scar and is self-limiting requiring only treatment of the symptoms (NSAIDs, Chlorhexidine rinse, Orajel, etc.).
What is the purpose of bowing the needle ? TIA
It helps to apply pressure without penetrating the tissue. As you lean your needle more towards the bevel it will allow you to poke through the tissue with less of a stabbing motion if that makes sense. It's just what I've learned to do...does it help? I like to think so, but it's hard to say for sure. Thanks for watching!
@@OnlineExodontia thanks for the response. It is much appreciated!!
No subtitle support! Why? Automatic generated subtitles are important for all the people can't understand spoken English well, to follow the lesson tips.
Gianna - I am not familiar with how to do this? Is there a link you could please direct me to? Thanks so much! All the best!
@@OnlineExodontia I'm not familiar with these things, too. But given that in your other videos auto-generated subtitle are available, probably the only thing you need is check some options or boxes in the video settings. Once you got the auto-transcribed subtitles, you could also edit them by adding punctuation. If you want, I'd like help you in this task: for me it'd be a helpful way to practice my English, to strengthen my dental skills and to contribute to channel's growth. All the best to you, too, from Italy!
what does me negative aspiration
please thanks
when you pull back the plunger there is no blood
👌👌
even if it is pain-free i will still fell it some how
Better he might have done this demo on patient
You show the needle entering around the premolar areas, which means you are only numbing the gingiva next to those teeth. But what about the molars' palatal gingiva?
The purpose of this video is to demonstrate one method of completing a palatal injection. There are many approaches as I imagine you're aware. If you're looking to anesthetize the palatal gingiva in the molar region, you'd select a greater palatine block or if you want a more isolated area, you would insert just distal to the tooth in question. Hopefully that answers your question. Thanks for watching!
Why the aspiration dr?
Aspiration is to ensure that you don't inadvertently inject into a vessel. This would lead to failed anesthesia. All the best!
@@OnlineExodontia thank you so much
@@OnlineExodontia is it dangerous to inject into a vessel?
@@jlc5271 If the stars aligned and you injected quickly into a vessel in a patient that had other co-morbidities (diagnosed or undiagnosed), and your anesthetic had an effect on the cardiac tissue eliciting an undesirable response from your patient, you could run into trouble. This would be rare indeed, but it's always a good idea to be careful and aspirate regardless for all patients. All the best!
I am in pain from the palate injection
Sorry to hear that Chandra - sometimes the tissue can be irritated by these injections which can lead to discomfort that lasts a few days. I wish you a speedy recovery. All the best!
Same! 5 days after my tooth got extracted, my hard palate hurts whenever my tongue or food touches it.
@@cloudyyy5508 Sometimes the anesthetic can hurt the tissues and cause a painful ulcer at the injection site. This is something that will heal on its own if this is indeed what occurred. All the best!
@@OnlineExodontia Thank you ❤️. I just needed to know its not infected.
That injection was so damn painful. It's day 5 and and it still hurts. This dentist I went to totally did a hack job on my upper molar. I heard the snap. He left the piece of "tooth" so he says...I think it's bone. Inside because he was afraid of pushing it in my sinuses. He rocker my tooth back and forth vigorously fir 5 minutes until the snap and it pop out. I was in excruciating pain 10 mins later on the unber home. Called the dentist in a full on panic attack because of the pain . And the secretary laughed at me. What a nightmare.
I love whatever concerns maxillary infiltration bec my patients are usually very comfortable,no pain, sometimes they even get surprised when I tell them the tooth is out🤣 bec it's totally numb, all I would thank is God and my skills
That's the best feeling...when a tooth comes out and the patient says "You got it out already?!". All the best!
How do you do it? Please share 😅.
@@davids5980 making sure there is bone contact on the tooth you wanna remove ,labial aspect ,make sure you inject 2/3 of dental anaesthesia on labial or buccal side and 1/3 on palatal, having patience while injecting on palatal, pay attention to mucosa colour change, if it turns white where you are numbing and its spreading ,then you know there is successful numbness, give a patient one minute before removing, massage on the labial or buccal aspect where you have injected to allow even distribution of anaesthesia, hope it works for ya😍
@@mwakoikombelwa2735 Great! Thanks! 🙏🏽
My ones hurt like mad worse than the psa that I had. Dentist was shocked when I told him about me studying these techniques he was like do u want to work with us hahaha. But yeah this paletal one felt like it was going clean through my skull lol then the pain from it was mental. I hated my PSA had one failed one so had to have it done again then the paletal ones. Student dentists the bain of me. The professional one that did my other extraction was painless but the student was like Chinese torture lol.
Good on you for letting someone learn on you. Sounds like it was an interesting experience! All the best!