Obtain informed consent
Place patient in semi-recumbent position
Draw up 2-5cc of anesthetic into syringe
Locate the<unk>  foramen by retracting the cheek laterally and palpating between the 2 lower premolar teeth
Insert the needle along the lower gum into the buccal fold between the premolar teeth without placing the needle directly into the foramen
Aspirate; if no blood, inject a few cc's of anesthetic slowly (avoid injecting directly into the foramen as to prevent damage to the neurovascular bundle)
For lacerations over the midline, block the<unk>  nerve on each side of the face to anesthetize crossover fibers
Block may also be performed extraorally by palpating and approaching the mandible slightly laterally to make contact just outside the<unk>  foramen
Nerve Block: Mental
Nerve Block: Median
Nerve Block: Penile
Nerve Block: Occipital
Nerve Block: Fascia Iliaca Compartment
Nerve Block: Upper Extremity
Nerve block: Lingual
Nerve Block: Femoral