Palatal anesthesia is often necessary and one of the most unpleasant things we do for patients. There are a number of ways today to reduce the stick of a palatal injection from using the “Wand” from Compudent to buffering your anesthetic from Onpharma. Even with all this new technology I still find patients hate even the idea of a palatal injection. many years ago I learned a method for obtaining palatal tissue anesthesia without the stick. I follow my routine of beginning with topical gel. I inject a quarter carpule of carbocaine plain as an infiltration. I follow this with three-quarters of a carpule of septicaine again as an infiltration. After waiting a few minutes I place the tip of the needle with the remaining septicaine into the papilla about 3mm from the tip and aimed to the palatal and begin to inject.
I watch as the tissue blanches towards the palatal. Typically if I do the papilla on each side of the tooth the anesthesia ont he palate meets in the middle and is profound. If I have to I can follow the blanching and inject directly in the palatal tissue and the patient will not feel it as the area I am injecting into is already numb. This type of palatal anesthesia is more than adequate for placing cord or even extracting the tooth.