The patient's mouth must be widely open.
Palpate the landmarks of external and internal oblique ridges and note the line of the ptyerygomandibular raphe.
With the palpating thumb lying in the retromolar fossa, the needle should be inserted at the midpoint of the tip of the thumb slightly above the occlusal plane lateral to the ptyerygomandibular raphe.
The needle is inserted ~0.5 cm and if a lingual nerve block is required 0.5 ml of LA is injected at this point.
The syringe is then moved horizontally across the dorsum of the tongue and advanced to make contact with the lingula.
Once bony contact is made the needle is withdrawn slightly and the remainder of the LA injected.
It should never be necessary to insert the needle up to the hub.
Note that the mandibular foramen varies in position with age. In the edentulous, the foramen, and hence the point of needle insertion, is relatively higher than in the dentate.
Thank you brother, I will try to add Arabic explanation if I had time...
iarabii 1 month ago
where is your mask doctor???????
daij100 4 months ago
@daij100 Dear friend, i hope that you have noticed that this video is an educational one, the injection has not been performed at all
iarabii 4 months ago