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sometimes the 45 45 45 degree angle is hard to visualize so one way I do this is by keeping my syringe and aligned with the nose and with the corner of their eyebrow like that so to give the actual PSA injection usually Ill have my patient shift to their jaw to the left that way youll be able to open that job a little bit more and see a little bit better and youll be inserting at the height of the mucosal fold distal over that second molar now your minimum does not have to be at your exact angles your minimum can be at whatever angle you want it to be at to begin with but as you insert and progress towards your 45 45 45 angle thats when you start working on getting your angle correct now a lot of times people will have this index finger in the way so as you go out you want to move that finger forward and now as you can see Im in line with the nose and that opposite eyebrow up here then youll aspirate and youll deposit about one half of the car pool for your periodontal debridem