What does a block anaesthesia cost? | Conduction anesthesia at the dentist

What does a block anaesthesia cost?

Conduction anesthesia is usually covered by the statutory health insurance companies, as pain elimination must be guaranteed during treatment.

  • According to BEMA’s billing items, intraoral block anaesthesia can be billed through item 41a and costs 11.20€. The extraoral form (position 41b) costs 15€.
  • For privately insured patients the intraoral line anaesthesia can be charged according to position GOZ 0100 and costs 9,05€.

Differences of conduction anesthesia in the upper and lower jaw

As already described, in the upper jaw it is normally sufficient to perform an infiltration anesthesia, in which the teeth are anesthetized individually. Exceptions are major surgical procedures or mucous membrane transplants, which have to be removed from the palate. A distinction is made between the following types of anaesthesia in the upper jaw: More information on the anatomy of the upper jaw can be found under Upper jaw Due to the thicker bone structure in the lower jaw, block anaesthesia is the method of choice for treatment of teeth.

There are the following possibilities: You can find more information about the anatomy of the lower jaw under Lower jaw Here it is important to note that the inferior alveolar nerve is rarely anaesthetized alone, but that the lingual nerve is usually switched off as well due to the close positional relationship. This means that the gums on the inside and the tongue are also anaesthetized. With a sufficient conduction anesthesia in the mandibular foramen, all teeth of the affected lower jaw half are anesthetized, as well as part of the gums and the tongue (lingual nerve).

However, if only the teeth of the front of the lower jaw are to be anaesthetized, it is possible to perform a mental anaesthesia in the foramen. This is where the nerve branch of the inferior alveolar nerve that supplies this area runs. This makes it possible to anesthetize only this area, which is often more comfortable for the patient, since the tongue and the back part of the teeth can still react sensitively.

  • Tuber anaesthesia
  • F. palatinum majus
  • F. incisivum
  • F.

    infraorbital

  • F. mandibular (inferior alveolar and lingual nerves)
  • F. mental (N. mentalis)
  • N. Buccalis

Read next article in this series:

All articles in this series:

  1. Conduction anesthesia at the dentist
  2. How painful is that?
  3. What does a block anaesthesia cost?
  4. What can be done if a block anaesthesia does not work