Features of local anesthesia in children and inflammatory diseases in MFA

Question 1

Anatomical considerations in children

Answer 1

• Risk of penetrating vessels in tuberosity area w/ deep infiltration→ Pterygoid plexus or posterior superior alveolar artery
• Short ramus and narrower→ IAN penetration reduced

-Bone less calcified- better diffusion of anaesthetic

Question 2

Infiltration anaesthesia in children

Answer 2

Maxilla→ Normal technique w/ less anaesthetic→ solution penetrates well

-Mandible→ Up to age 5→ Infiltrations sufficient on all teeth

Question 3

Mandibular block variation

Answer 3

• Same technique but variation in position of foramen
• Below plane of occlusion in child under 4
• On occlusal plane in 4-10 year olds