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MSA Nerve Block — NDEB AFK MCQ

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ModeratePain & Anxiety ControlMSA Nerve BlockNDEB AFK

Which nerve block provides anaesthesia to the maxillary premolars, mesiobuccal root of the maxillary first molar, and associated buccal soft tissues?

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Correct answer: AMiddle superior alveolar (MSA) nerve block

The middle superior alveolar (MSA) nerve block anaesthetises the maxillary premolars, mesiobuccal root of the maxillary first molar, and their associated buccal periodontium and bone. The MSA nerve is present in only approximately 72% of the population; when absent, the PSA and ASA nerves provide overlapping coverage. The injection site is the mucobuccal fold above the maxillary second premolar.

Reference: Malamed – Handbook of Local Anesthesia, 7th ed., 2020