Mandibular Nerve block

Soft tissue buccal lingual anesthesia lingual

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Unformatted text preview: ft tissue Buccal Lingual anesthesia Lingual Inferior Alveolar Nerve Block Contraindications Contraindications Infection/inflammation at injection site Infection/inflammation Patients at risk for self injury (eg. children) Patients Inferior Alveolar Nerve Block Inferior 10%-15% positive aspiration Inferior Alveolar Nerve Block Inferior Alternatives Mental nerve block Mental Incisive nerve block Incisive Anterior infiltration Anterior Inferior Alveolar Nerve Block Inferior Alternatives (cont.) Periodontal ligament injection (PDL) Periodontal Gow-Gates Gow-Gates Akinosi Intraseptal Intraseptal Inferior Alveolar Nerve Block Inferior Technique Apply topical Apply Area of insertion: Area medial ramus, mid-coronoid notch, medial level with occlusal plane (1 cm above), level 3/4 posterior from coronoid notch to pterygomandibular raphe pterygomandibular advance to bone (20-25 mm) advance Inferior Alveolar Nerve Block Target Area Target Inferior alveolar nerve, near mandibular foramen foramen Landmarks Landmarks Coronoid notch Coronoid Pterygomandibular raphe Pterygomandibular Occlusal plane of mandibular posteriors Occlusal Inferior Alveolar Nerve Block Inferior Precautions Do not inject if bone not contacted Do Avoid forceful bone contact Avoid Inferior Alveolar Nerve Block Inferior Failure of Anesthesia Injection too low Injection Injection too anterior Injection Accessory innervation Accessory -Mylohyoid nerve -Mylohyoid -contralateral Incisive nerve innervation -contralateral Inferior Alveolar Nerve Block Inferior Complications Hematoma Hematoma Trismus Trismus Facial paralysis Facial...
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