A patient requires root canal therapy on his maxillary second molar. anesthetizing so the Posterior superior alveolar nerve would provide the patient with a pain-free procedure.
What is Posterior superior alveolar nerve?
The posterior superior alveolar nerve, also known as the posterior superior dental nerve, is the first branch of the infra-orbital nerve, from the maxillary division of the trigeminal nerve. It is the first of the superior alveolar nerves and contributes to the superior dental plexus.
The posterior superior alveolar branches (posterior superior dental branches) arise from the trunk of the maxillary nerve just before it enters the infraorbital groove; they are generally two in number, but sometimes arise by a single trunk.
They descend on the tuberosity of the maxilla and give off several twigs to the gums and neighboring parts of the mucous membrane of the cheek.
The posterior superior alveolar nerve innervates the second and third maxillary molars, and two of the three roots of the maxillary first molar (all but the mesiobuccal root). When giving a posterior superior alveolar nerve block, it will anesthetize the mesialbuccal root of the maxillary first molar approximately 72% of the time.
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