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Fear of giving upper palatal injections

Discussion in 'Pre-Dental' started by DDSBound, May 7, 2007.

  1. DDSBound

    DDSBound 2+ Year Member

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    Mar 12, 2007
    I observed with a dentist here in Penn who did NOT believe in using topical anesthetic prior to local anethetic injection. When he administered this to his patients, they would SCREAM so loud the waiting room could hear. It was like a scene out of a horror movie. I am not a squeamish person at all, but I have such a fear of hurting my patients with this injection. Do you think this is something I will get used to? All I think about are my patients screaming as the anesthetic forces it's way between palate and bone, separating them. I know the local anesthetic works really fast in this area, but can someone give me a better experience? Will I get used to this?
     
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  3. pmantz

    pmantz Member 5+ Year Member

    1,017
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    Jul 3, 2006
    Milwaukee
    I have gotten several injections into my palate and a topical anenestic was used. It really didn't help as much as when you get an injection into soft tissue. I definately don't think it hurt that bad, I believed I winced my eyes thats it. Hope that helped...
     
  4. PChemGrad

    PChemGrad I am a banana. 10+ Year Member

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    Jun 29, 2006
    I think you will get use to it when you realize you should use anesthetic if you want to get paid.:laugh: Also you'll learn the best way to administer it when you get to practice on your fellow classmates, and they get to practice on you.

    Overall it is something that you get use to. it just takes practice.
     
  5. Ething

    Ething Junior Member 7+ Year Member

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    Aug 3, 2006
    Man that is a crazy story. I'm going to be in your class next year and when we get around to that stuff, I hope we are allowed to use topical. I agree with you, I really would not like to hurt my patients.
     
  6. sonylarkhi

    sonylarkhi 2+ Year Member

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    Dec 22, 2006
    There are cool little tricks on giving palatals...like holding a blunt object right next to the injection site to distract the patient.....wait til you have to give infraorbital injections...those are painful...
     
  7. DDSABeach

    DDSABeach Got a Dream Go Get it! 2+ Year Member

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    Nov 30, 2006
    Memphis, TN

    Yes, their are great techniques when injecting your patients as this, holding the end of your mouth mirror on the injection site area apply pressure then slowly inject epi, the slower you inject the epi the less it hurts the patient's. Just admin. a little at first then let that set in then do it again the second time the area has numbed enough for you won't hear the screaming, just toes curls. I truly believe in TOPICAL! you'll learn more tricks as you practice. It's all in preferences.
     
  8. doc toothache

    doc toothache 10+ Year Member

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    Jan 17, 2006
    Topical anesthesia is of limited value since the degree of penetration is limited. Palatal injections are indeed uncomfortable for the patient. Some patients may have a more dramatic response than others. The more dramatic response is not necessarily a function of the discomfort inflicted. There are situations in which palatal injections are indicated;they are not for routine use and they may be somewhat technique sensitive.
     
  9. DDSBound

    DDSBound 2+ Year Member

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    Mar 12, 2007
    This dentist gave palatal injections every time he had to remove a top molar from a patient. He saw probably on average 1-2/day.
     
  10. apaul

    apaul Some Dude 7+ Year Member

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    Mar 1, 2006
    so this is one of those parts of D school that I am definitely not looking forward to, getting shot up like crazy by the classmates as they practice....:eek:
     
  11. doc toothache

    doc toothache 10+ Year Member

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    Jan 17, 2006
    It is not unusual to require palatal injections for extraction in the upper posterior quadrant. His experience is such that for extractions he longer waits to see if he needs to supplement. You use what you know works in your hands.
     
  12. darius99

    darius99 Senior Member 5+ Year Member

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    Oct 31, 2005
    the dentist i shadowed never used topical before any injections... it's all about skill and practice. yes, some of the patients expressed discomfort, but you could already see that those patients were rigid and fearful of the needle before the injection even took place, so they were going to overreact no matter how little it hurt
     

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