HOW TO DO A POSTERIOR SUPERIOR ALVEOLAR (PSA) NERVE BLOCK | OnlineExodontia.com

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This video explores the technique and indications for a PSA nerve block. Helpful tips are presented for the successful delivery of this block.

[@nayanpatel1036]

i am glad i have found this channel. I think actually one of my classmates recommended it. thank you for explaining at a really good pace and clearly :)

[@oliviermarchand5172]

To the point and well presented.

[@khalidmahmood8589]

many thanks, great video, tips & easy to understand :)

[@irinap860]

Your video was very helpful. Please try to make more videos explaining the nerve blocks. Thank you in advance.

[@OnlineExodontia]

Thanks Irina for your kind comments. I offer an online course that covers all of them in detail if you are interested in learning more you can visit www.onlineexodontia.com. Stanley Malamed is a great resource for learning as well if you prefer textbooks. All the best to you!

[@67komalpotawad45]

Thank you!!

[@passionatesummer]

excellent video

[@muffycrosswire2945]

I have a hard time with this one! Good video👍

[@manwarhossain4204]

Your vedio was helpful.Thank you.

[@dongdongdong8413]

Thank you teacher

[@svyatoslavdanylyk6821]

Although I did use this technique a few times, I still prefer local infiltrations for some reason. This was very helpful information though! in a case of multiple extractions this is definitely the way to go!

[@shahirasaad4151]

Thank you

[@abdelrahmanelbaraky8987]

Simply awesome, thanks for the simplified info 👌

[@OnlineExodontia]

Thanks so much for your kind words! All the best!

[@libertyaaa9922]

Thanks doc

[@stuntdrag0n]

Thanks doc, I practiced this trick today and it worked extremely well

[@OnlineExodontia]

That's terrific Steve! Thanks for watching!

[@daylabs4696]

I love your channel

[@glitterlicious01]

Is the full length of half of the d=shirt needle being inserted?

[@AssistantofReginalManager]

Going to show this to my dentist. I'm tired of feeling everything at my dental visits.

[@zsk3411]

First Comment, Liked and Subscribed :)

[@pujadebnath1330]

How to do two plane aspiration?

[@yaelo4273]

Que pasa si causamos un hematoma??

[@geetgope6552]

Great

[@ihthgn3853]

An injection technique I've never had to use. Zero issues with local infiltrations 😁

[@alpertutuncu7971]

yeah zero issues you might be right but these techniques should been learn too

[@ingridcarter9407]

Do you also do just infiltration for lower molars that need a root canal? I’m asking because I’m a new and inexperienced dentist and I don’t master yet the inferior alveolar nerve block technique..

[@supriyasingh8787]

Pls explain the directions of needle in more detail👍

[@user-ro7zd7ye9l]

Здравствуйте доктор скажите Вот ставьят коронки они вообще выполняют жевательную функцию как свои или ето для красоты. Делается

[@annmathews]

I'm intrigued by this one thing. How is the purpose of the biplanar aspiration served if you bend the needle? Hope you understood the question.

[@OnlineExodontia]

The idea if aspirating twice is to ensure that the needle lumen isn't resting against a vessel wall. My video on aspiration explains this concept. In reality this is a minor detail, just it's the textbook way of doing it so I mention it in the video. All the best!

[@gardeningforsaleemmali7224]

Mujhe aapse treatment karvana hai I am from Pakistan my teeth is black please help us

[@winterwoodsbum850]

Is there a way for someone to extract a 2nd molar at home on their own?

[@OnlineExodontia]

There are many ways, some of which are available online, however I wouldn't recommend it! Removing a tooth can be challenging and you could cause some significant harm if trying to do so I would not recommend it. All the best!

[@MelvinMansoor]

I’ve only given 2 PSA blocks in my life. Both were given during dental school when we did stab lab lol. I’m scared of this injection

[@OnlineExodontia]

It’s intimidating at first, but it’s become one of my favourites! All the best!

[@sebastianm.6875]

i love u

[@Zaynukov_Osman]

🔥🔥🔥🔥❤

[@biancamattern3598]

I was taught that bending the needle interferes with blood cell flow through the lumen, possibly giving a false negative aspiration. Not great in a highly vascular area.

[@OnlineExodontia]

That's an interesting thought that I have never considered. Was the rationale explained? I don't notice any difference in the resistance to injected the anesthetic so I would have assumed the backflow would be the same as a needle that wasn't bent? Thanks for the comment Bianca - would love to learn more on this thought if you don't mind sharing.

[@resurgamm]

Should be okay with lower gauge needles

[@vaniavalenzuela9426]

you also risk needle breakage by bending it.

[@DE51B0Y]

What is your success rate on average? Do you have to repeat many to achieve the PSA nerve block?

[@OnlineExodontia]

It's significantly higher than a lower block. I don't want to sound like one of those people...but truly the PSA is tough to miss. Consider that if you do miss, you're still basically infiltrating. Although not perfect, it is quite predictable and effective.

[@DE51B0Y]

Online Exodontia 👍

[@adamfirst4549]

Where can I find that skull?

[@OnlineExodontia]

Adam - I got it on E-bay many years ago. Unfortunately, although many have asked, I cannot find it any longer. Perhaps you'll have more luck! If you do, let me know! All the best!

[@j.piericoaching1087]

Hi there. I have my upper wisdom and two molars before the wisdom being extracted on both sides. Is this the injection they will give me and will it be affective at removing any pain during the procedure?

[@OnlineExodontia]

It's likely that you would have this block done, but sometimes the dentist / surgeon will just place the needle beside each tooth and do multiple injections. Either way should be effective. If not, then be sure you make them aware as there is no reason to have pain during an extraction. All the best!

[@j.piericoaching1087]

@@OnlineExodontia thanks for your reply. I've had 12 extractions this year already (long term stomach issues with acid) and have these last 6 teeth to remove. The bottom wisdoms and molars were totally fine but the pre molars were all painful and I needed more LA. Was just hoping these would be the same as the lower wisdoms and molars haha thank you

[@kazimalmusawi2897]

Not enough. U need to anesthesize the mesial root of upper first molar, which is supplied by middle superior alveolar nerve.

[@abdullahawad9679]

Useful technique when you have infection ( abscess) or in young children where bone is dense ( zygoma ) as in both cases infiltration just won't work . Thank you for demo

[@ravysavadydy8985]

Hello OK ko

[@MdFiroz-lo7gn]

I had this problem. Tell me solutions and specialist

[@OnlineExodontia]

Which problem did you have? A hematoma?

[@MdFiroz-lo7gn]

@@OnlineExodontia zygomatic bone swelling

[@MdFiroz-lo7gn]

@@OnlineExodontia nerve block facial

[@Iren-be9ss]

Hey, where’d u get that skull? Want one for myself

[@OnlineExodontia]

I found it on Ebay a long time ago. There are tons of different ones and I imagine you'd still be able to find something similar. All the best!

[@Iren-be9ss]

@@OnlineExodontia Thank u! What advice would you give to someone who wants to hone his local anesthesia administration skills? Obviously, you don’t wanna be practicing on real patients as a student. I was considering purchasing something like a manikin or a phantom head. But can’t, for the love of me, find anything remotely useful.

[@OnlineExodontia]

@@Iren-be9ss This is a great question...I don't know of any hands-on training aids for this, but I would assume it would come in handy! Let me know if you discover anything. All the best!

[@Iren-be9ss]

@@OnlineExodontia Sure, you got it!

[@Iren-be9ss]

@@OnlineExodontia Oh, and btw, great content you post here. It's priceless for students like myself. You are freaking awesome. Keep it up! Wish you uploaded more frequently though.

[@ashleybishton742]

im having mine tomorro lol not looking forward at all.

[@GeneralDentist]

,👍👍👍

[@ashleybishton742]

The student that did mine scraped all my cheek bone with the needle lol. Thought wtf u doing mate. The other side was even worse when it failed and I could feel the pain of him pulling away at top molars. Left some root in the one too. Was a terrible dentist visit hahaha.

[@OnlineExodontia]

Oh man - that sounds rough! I wish you a speedy recovery! All the best!

[@ashleybishton742]

@@OnlineExodontia still healing like 6 months after. Still got bit of a hole left in the left socket I can feel with my tongue but almost closed up. The other side seems to have healed up nicely.

[@asifdentalsyringmaker4122]

I'm manufacturer I'm a dental syringes maker

[@stevenlopez1717]

Stay out of the infratemporal fossa, risk of hematoma is high and frankly unnecessary.

[@abramjsolano]

Never bend the needle

[@OnlineExodontia]

Certainly bending needles will weaken them at the hub where they are most likely to separate, but is there another reason you say this? Always looking for new information! All the best and thanks for watching!

[@Travelwithmoi]

Why. Explain your reasoning

[@drarminvakilian177]

I had experience with hematoma on my px. After 1 min her chick got swollen

[@OnlineExodontia]

Thanks for sharing! Certainly a concerning thing the first time you see it. Thanks for your support in watching the video! All the best!

[@Andrea-jx3hs]

Don’t bend the needle, it can break.

[@OnlineExodontia]

Hi Andrea - check out a video from my other course and jump to 5:15 if you want to see the bending part. Putting a single bend in a needle and having it break is highly unlikely and as discussed in the linked video, it's a message that's propagated through the dental field, yet may not carry much significance. Thanks for watching and all the best! kzbin.info/www/bejne/bobLhJpunNd8bNU

[@michellearmstrong4111]

Be careful- bending the needle is actually not legal practice and against OSHA guidelines.

[@poly5734]

but what about the new technique,where there are numerous articles on this to bent the needle