Superior Alveolar Nerve Blocks - Instructions Step 1: Apply topical anesthetic as discussed earlier to make entry with the needle more comfortable. Step 2: Retract the lip. Insert your needle through the mucobuccal fold at the at the area locations depicted in Step 3: With the bevel facing the maxilla, inject 1-3mL of anesthetic. - For the posterior superior alveolar nerve, enter just posterior to the root of the second molar. - For the middle superior alveolar nerve, enter between the first molar and second premolar. - For the anterior superior alveolar nerve, enter just above the canine tooth. By Vytas Karalius, MD #Superior #Alveolar #NerveBlock #Procedure #Instructions #Dental