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Half-mouth SRP injections

My Half-mouth SRP injections:
2 carpules of Lido w/ epi- 1 carp for IA, 1/2 carp for PSA, 1/2 carp AMSA
Curious what other hygienists out there do…



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1 Answer

Maxillary:
ASA/IO: 0.9-1.2 mL (2/3-3-4 carp)
MSA: .9-1.2 mL (1/2-2/3 carp)
PSA: 0.9-1.8 mL (3/4-1 carp)
 
Mandibular:
IA: 1.5 mL (almost full carp)
Long Buccal: 0.3 mL (1/8 carp/rest of carp from IA)
 
This is just generally speaking. I normally don’t need to do palatal injections because I can get my patients comfortable with these blocks. Sometimes, due to cross-inervation, a patient’s maxillary anteriors aren’t anesthetized enough for the patient to be comfortable, so I will give an infiltration at the central incisor (0.6 mL which is about 1/3 carp). Same goes for the mandibular anteriors, in which I sometimes give the same amount in a mental/incisive block.

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