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the maxillary nerve block will numb the teeth bone and soft tissues on the affected side along with the upper lip cheek side of nose and lower eyelid I like to think of this injection as a PSA with a long needle since the main difference between the two is that you use a long needle to be able to docHub the maxillary nerve as it runs through the terago Palatine fusa use a long needle I have a 27 gauge long here insert at the same PSA location which is distal to the second Muller at the height of the mucco Buckle fold insert about 30 mm or 3/4s of the needle Link at the same 45 45 45 angles as the PSA this injection does have high risk for hematoma as youamp;#39;ll be closer with a long needle to the plexus reasons to use this technique are if the patient is not getting numb with the usual MSA PSA or ASA for root deprivement or if you have a patient with lots of dental anxiety with injections this way you can do one injection versus three
