For periodontal surgery around the second maxillary right molar, which injection is needed?

In the context of periodontal surgery around the second maxillary right molar, the need for effective anesthesia is crucial to ensure patient comfort and procedural success. The appropriate choice of injections targets the specific nerves responsible for sensation in that area.

The posterior superior alveolar (PSA) nerve block is essential as it anesthetizes the maxillary molars, including the second maxillary right molar, along with the surrounding buccal soft tissues. This block provides the necessary anesthesia needed for the tooth itself and the associated periodontal tissues.

Additionally, the greater palatine (GP) nerve block serves to anesthetize the palatal tissues in the region of the molars. This area is often innervated by the GP nerve, and for periodontal procedures, controlling discomfort in the palatine area can significantly improve patient comfort during the surgery.

By combining the PSA nerve block with the GP nerve block, a more comprehensive anesthesia is achieved. This dual approach ensures adequate coverage for both the buccal and palatal aspects of the surgical area, allowing for a smoother and less painful procedure.

Thus, the combination of the PSA nerve block and GP nerve block is the most effective choice for managing anesthesia during periodontal surgery around the second maxillary right molar.