Oral Cavity Maxillary Nerve Block

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Anesthesia of the ipsilateral maxilla (teeth/bone/soft tissue), skin of the nose, cheek and upper lip

Local anesthetics

Maxillary nerve block (transcutaneous/subzygomatic)

Local anesthetics: Mepivacain 2% / Bupivacain 0.5%
Injection volume: Cat: 0.2-0.25 ml, Dog: 0.2-0.8 ml 
(Beckmann 2006)
Approach: caudal to the maxilla, cranial to the coronoid process of the mandible, below the rostroventral border of the os zygomaticum, perpendicular to the skin
Distance surface to nerve: 1.5-2 cm middle sized dog, <1 cm cat
Onset: 1-2 min / 6-10 min
Duration: Pulpa: 40 / 90-180 min, Soft tissue: 120-180 / 240-540 min

With the friendly assistance of
Dr. Georg Papadopoulos
Veterinary Specialist for Small Animals
Additional Certification: Anesthesia in Small Animals
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B. Braun Vet Care GmbH
Am Aesculap Platz
78532 Tuttlingen


As with any intervention in the body, peripheral nerve blocks also carry the risk of complications. The presented procedures and dosages are thoroughly reviewed and based on currently available scientific data and clinical experience but should only be considered as guidelines along the contents of the course. The responsibility for performing the nerve blocks shown on this site as part of any anesthesia regimen or pain management lies with the executing clinician. B. Braun Vet Care GmbH and Dr. Papadopoulos cannot be held responsible for any complications or adverse effects, that may arise from the described techniques or for any mistakes in the information provided.