A periodontal surgery is scheduled around the second maxillary right molar. Which type of injection is needed?

In cases involving periodontal surgery around the second maxillary right molar, a combination of the posterior superior alveolar (PSA) nerve block and the greater palatine (GP) nerve block is often the ideal approach.

The PSA nerve block effectively targets the second and third maxillary molars, providing anesthesia for the pulpal and buccal soft tissues of these teeth and the adjacent bone. By incorporating the GP nerve block, which anesthetizes the palatal tissues of the molars, you ensure complete anesthesia for the surgical site, including the necessary soft tissues that will be affected during the procedure.

The choice to include both the PSA and GP blocks maximizes comfort for the patient and minimizes the risk of discomfort during surgery, making it a thorough and comprehensive method to manage anesthesia in this area.