CDCA Local Anesthesia Exam 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

What injection should be used for palatal anesthesia affecting the maxillary anterior teeth?

PSA block

Nasopalatine block

The nasopalatine block is the correct choice for providing palatal anesthesia that affects the maxillary anterior teeth. This block specifically targets the nasopalatine nerve, which innervates the palatal mucosa of the anterior maxilla, including the incisors and canines.

When performing dental procedures on the maxillary anterior region, achieving adequate anesthesia in this area is crucial for patient comfort and procedural success. The nasopalatine block is typically administered at the midline of the anterior palate, just posterior to the incisive papilla, allowing for effective anesthesia of the associated soft tissue and the hard palate of the anterior maxilla.

In contrast, while the other methods have specific applications, they do not provide the necessary coverage for procedures requiring anesthesia of the maxillary anterior teeth as effectively as the nasopalatine block does. For instance, the PSA block predominantly anesthetizes the maxillary molars and some of the premolars, the greater palatine block is focused on the posterior palate, and the IA block is designed for mandibular anesthesia rather than maxillary structures. Thus, the nasopalatine block is the most appropriate choice for achieving the desired anesthesia in this particular clinical scenario.

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Greater palatine block

IA block

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