To anesthetize the maxillary premolars and their associated bone,the following procedure would be used:

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The middle superior alveolar nerve block anesthetizes the maxillary premolars and their associated bone,gingiva,buccal periodontium,and the mesiobuccal root of the maxillary first molar.The nasopalatine nerve block affects the hard and soft tissues of the palatal periodontium and gingiva of the six anterior teeth.A buccal nerve block is used for the buccal gingiva and periodontium of the molar teeth.A Gow-Gates block anesthetizes all of the mandibular teeth on one side,their lingual periodontium and gingiva,the periodontium and gingiva of the premolars and anterior teeth,the floor of the mouth and lip on one side,the anterior two-thirds of the tongue.In addition,this block also anesthetizes the soft tissues covering the zygomatic bone,some temporal areas,and the digastric and mylohyoid muscles.

To Anesthetize the Maxillary Premolars and Their Associated Bone,the Following