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    Inferior Alveolar Nerve Block

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    savyasachin
    This document discusses techniques for mandibular anesthesia. It begins by noting the lower success rate of mandibular anesthesia compared to maxillary, around 80-85% due to denser bone. It then describes various mandibular nerve blocks including the inferior alveolar nerve block, which anesthetizes the inferior alveolar, mental, and incisive nerves. This is the most commonly performed technique but has the highest failure rate around 15-20%. The document provides detailed instructions for performing an inferior alveolar nerve block, including landmarks, target area, technique, and potential complications.

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    Inferior Alveolar Nerve Block

    Uploaded by

    savyasachin
    28 views23 pages
    This document discusses techniques for mandibular anesthesia. It begins by noting the lower success rate of mandibular anesthesia compared to maxillary, around 80-85% due to denser bone. It then describes various mandibular nerve blocks including the inferior alveolar nerve block, which anesthetizes the inferior alveolar, mental, and incisive nerves. This is the most commonly performed technique but has the highest failure rate around 15-20%. The document provides detailed instructions for performing an inferior alveolar nerve block, including landmarks, target area, technique, and potential complications.

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    ertqwert

    Original Title

    88759273 Inferior Alveolar Nerve Block

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    This document discusses techniques for mandibular anesthesia. It begins by noting the lower success rate of mandibular anesthesia compared to maxillary, around 80-85% due to denser bone. It then describes various mandibular nerve blocks including the inferior alveolar nerve block, which anesthetizes the inferior alveolar, mental, and incisive nerves. This is the most commonly performed technique but has the highest failure rate around 15-20%. The document provides detailed instructions for performing an inferior alveolar nerve block, including landmarks, target area, technique, and potential complications.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views23 pages

    Inferior Alveolar Nerve Block

    Uploaded by

    savyasachin
    This document discusses techniques for mandibular anesthesia. It begins by noting the lower success rate of mandibular anesthesia compared to maxillary, around 80-85% due to denser bone. It then describes various mandibular nerve blocks including the inferior alveolar nerve block, which anesthetizes the inferior alveolar, mental, and incisive nerves. This is the most commonly performed technique but has the highest failure rate around 15-20%. The document provides detailed instructions for performing an inferior alveolar nerve block, including landmarks, target area, technique, and potential complications.

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    You are on page 1of 23

    Techniques of Mandibular

    Anesthesia
    Prepared by
    Dr shabeel pn

    Mandibular Anesthesia

    Lower success rate than Maxillary


    anesthesia - approx. 80-85 %
    Related to bone density

    Mandibular Nerve Blocks


    Inferior alveolar
    Mental - Incisive
    Buccal
    Lingual
    Gow-Gates
    Akinosi

    Mandibular Anesthesia
    Most commonly performed technique
    Has highest failure rate (15-20%)
    Success depends on depositing solution within
    1 mm of nerve trunk

    Inferior Alveolar Nerve Block


    Not a complete mandibular nerve block.
    Requires supplemental buccal nerve block
    May require infiltration of incisors or mesial
    root of first molar

    Inferior Alveolar Nerve Block


    Nerves anesthetized
    Inferior Alveolar
    Mental
    Incisive
    Lingual

    Inferior Alveolar Nerve Block


    Areas Anesthetized
    Mandibular teeth to midline
    Body of mandible, inferior ramus
    Buccal mucosa anterior to mental foramen
    Anterior 2/3 tongue & floor of mouth
    Lingual soft tissue and periosteum

    Inferior Alveolar Nerve Block


    Indications
    Multiple mandibular teeth
    Buccal anterior soft tissue
    Lingual anesthesia

    Inferior Alveolar Nerve Block


    Contraindications
    Infection/inflammation at injection site
    Patients at risk for self injury (eg. children)

    Inferior Alveolar Nerve Block


    10%-15% positive aspiration

    Inferior Alveolar Nerve Block


    Alternatives
    Mental nerve block
    Incisive nerve block
    Anterior infiltration

    Inferior Alveolar Nerve Block


    Alternatives (cont.)
    Periodontal ligament injection (PDL)
    Gow-Gates
    Akinosi
    Intraseptal

    Inferior Alveolar Nerve Block


    Technique
    Apply topical
    Area of insertion:
    medial ramus, mid-coronoid notch,
    level with occlusal plane (1 cm above),
    3/4 posterior from coronoid notch to
    pterygomandibular raphe
    advance to bone (20-25 mm)

    Inferior Alveolar Nerve Block


    Target Area
    Inferior alveolar nerve, near mandibular
    foramen
    Landmarks
    Coronoid notch
    Pterygomandibular raphe
    Occlusal plane of mandibular posteriors

    Inferior Alveolar Nerve Block


    Precautions
    Do not inject if bone not contacted
    Avoid forceful bone contact

    Inferior Alveolar Nerve Block


    Failure of Anesthesia
    Injection too low
    Injection too anterior
    Accessory innervation
    -Mylohyoid nerve
    -contralateral Incisive nerve innervation

    Inferior Alveolar Nerve Block


    Complications
    Hematoma
    Trismus
    Facial paralysis

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